Prehospital Provider Prediction of Emergency Department Disposition:

Price, Timothy G.; Hooker, Edmond A.; Neubauer, Joshua

doi:10.1080/10903120590962012

Cited by 30 publications

(33 citation statements)

References 14 publications

(8 reference statements)

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“…17 Three studies have evaluated the ability of U.S. paramedics to predict the need for hospital admission or intensive care unit admission. Paramedics' predictions of the need for hospital admission have a negative predictive value ranging from 0.83 to 0.90, [47][48][49] and predictions about the need for intensive care unit admission have a negative predictive value ranging from 0.96 to 0.98. 47,48 Hospitalization and intensive care unit admission, however, can be misleading reference standards.…”

Section: Ems Determinations Of Medical Necessity For Emergency Departmentioning

confidence: 99%

“…Paramedics' predictions of the need for hospital admission have a negative predictive value ranging from 0.83 to 0.90, [47][48][49] and predictions about the need for intensive care unit admission have a negative predictive value ranging from 0.96 to 0.98. 47,48 Hospitalization and intensive care unit admission, however, can be misleading reference standards. Many patients who legitimately require ambulance transport or ED care may not require hospital admission; conversely, many patients admitted to a hospital do not arrive by ambulance or present to the ED.…”

Section: Ems Determinations Of Medical Necessity For Emergency Departmentioning

confidence: 99%

See 1 more Smart Citation

EMS Provider Determinations of Necessity for Transport and Reimbursement for EMS Response, Medical Care, and Transport: Combined Resource Document for the National Association of EMS Physicians Position Statements

Millin

Brown²,

Schwartz

2011

Prehospital Emergency Care

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With increasing demands for emergency medical services (EMS), many EMS jurisdictions are utilizing EMS providerinitiated nontransport policies as a method to offload potentially nonemergent patients from the EMS system. EMS provider determination of medical necessity, resulting in nontransport of patients, has the potential to avert unnecessary emergency department visits. However, EMS systems that utilize these policies must have additional education for the providers, a quality improvement process, and active physician oversight. In addition, EMS provider determination of nontransport for a specific situation should be supported by evidence in the peer-reviewed literature that the practice is safe. Further, EMS systems that do not utilize these programs should not be financially penalized. Payment for EMS services should be based on the prudent layperson standard. EMS systems that do utilize nontransport policies should be appropriately reimbursed, as this represents potential cost savings to the health care system.

show abstract

Section: Ems Determinations Of Medical Necessity For Emergency Departmentioning

confidence: 99%

Section: Ems Determinations Of Medical Necessity For Emergency Departmentioning

confidence: 99%

EMS Provider Determinations of Necessity for Transport and Reimbursement for EMS Response, Medical Care, and Transport: Combined Resource Document for the National Association of EMS Physicians Position Statements

Millin

Brown²,

Schwartz

2011

Prehospital Emergency Care

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show abstract

“…11 Similarly, past studies have also depicted the capabilities of different emergency services in predicting the need for hospital admission. [12][13][14][15] However, no studies to date have included early streaming by senior ED doctors at triage or soon after triage to predict a patient's disposition. In this study, we aimed to determine whether ED consultants, ED registrars and triage nurses can accurately predict patient disposition outcomes early in a patient's journey in ED, i.e.…”

Section: Introductionmentioning

confidence: 99%

The emergency department prediction of disposition (EPOD) study

Vaghasiya

Murphy

O’Flynn

et al. 2014

Australasian Emergency Nursing Journal

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“…[7] u svom istraživanju publikovanom 2005. godine opisuju kako osoblje hitne pomoći na terenu procenjuje pacijente prema unapred definisanom protokolu i zaključuju da pružaoci usluga hitne pomoći ispravno procene najveći broj pacijenata koji ne zahtevaju hitno smeštanje u bolnicu. Khorram-Manesh i sar.…”

Section: Diskusijaunclassified

Uticaj korišćenja protokola „Indeks urgentnog zbrinjavanja“ na procenu tegoba i hitnosti pacijenta

Zivanovic¹,

Stanković

2015

Biomedicinska istraž.

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1 Gradski zavod za hitnu medicinsku pomoć, Beograd, Srbija 2 Dom zdravlja Pirot, Srbija Kratak sadržajUvod. Godine 2006. Gradski zavod za hitnu medicinsku pomoć (HP) u Beogradu je počeo da koristi "Indeks urgentnog zbrinjavanja" (Index), uputstvo za rad na telefonskoj centrali 194. Index se sastoji od "start strane" i 38 grupa tegoba, stanja i definisanih pitanja koja operater mora da postavi pozivaocu zavisno na koje tegobe ukazuje. Tegobe koje navede operater na telefonskom broju 194 ne slažu se uvek sa onim tegobama na koje se žali pacijent lekaru HP koji je pored njega. Često ne postoji slaganje između procene hitnosti operatera na telefonskoj centrali i lekara uz pacijenta. Cilj rada je bio da se analizira uticaj Index-a na tačno prepoznavanje tegoba, kao i na broj crvenih poziva i pravilnu procenu hitnosti stanja pacijenta koju daje operater.Metode. Analiziran je rad jednog lekara na terenu u periodu od 14.05.2003. godine do 17.02.2012. godine u kom su izvršene 6324 intervencije koje su podeljene u tri grupe: pre primene Index-a, neposredno posle uvođenja Index-a, kao i tokom njegove kasnije upotrebe.Rezultati. Slaganje tegoba pacijenta koje je registrovao operater i onih koje je utvrdio lekar bilo je 80% u prvom, 85% u drugom i 90% u trećem periodu u kojima je pregledano po 2108 pacijenata. Broj crveno označenih poziva je po periodima bio 81, 1015 i 247. Procentualno slaganje procene crvene hitnosti operatera na telefonu 194 sa procenom lekara na terenu povećalo se u drugom periodu da bi se u trećem periodu praktično vratilo na stanje u prvom periodu.Zaključak. Rastući procenat dobro procenjenih tegoba i crvenih poziva operatera direktna su posledica korišćenja Index-a.Ključne reči: hitna medicinska pomoć, Beograd, prijem poziva, hitnost, Indeks urgentnog zbrinjavanja Adresa autora: Prim. dr Slavoljub Živanović Mrakovička 25/26,

show abstract

Prehospital Provider Prediction of Emergency Department Disposition:

Abstract: EMS providers appear to be capable of using selective diversion categories. EMS providers correctly identified most patients who will not require a critical care bed. The EMS providers also correctly identified most patients who will be discharged from the ED after treatment.

Cited by 30 publications

References 14 publications

EMS Provider Determinations of Necessity for Transport and Reimbursement for EMS Response, Medical Care, and Transport: Combined Resource Document for the National Association of EMS Physicians Position Statements

EMS Provider Determinations of Necessity for Transport and Reimbursement for EMS Response, Medical Care, and Transport: Combined Resource Document for the National Association of EMS Physicians Position Statements

The emergency department prediction of disposition (EPOD) study

Uticaj korišćenja protokola „Indeks urgentnog zbrinjavanja“ na procenu tegoba i hitnosti pacijenta

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