Author: Brett Patterson

Enhancing Emergency Medical Dispatch to Drive Specific and Significant Improvements in Patient Care

OVERVIEW Measurement is a critical part of testing and implementing changes as well as identifying areas for further research, in prehospital care and dispatch.1 Kaunas, the second largest city in Lithuania, implemented the Medical Priority Dispatch System™ (MPDS®) to improve the efficiency, timely availability, consistency, and reliability of dispatch data and information. This in turn facilitated a research study into the care of cardiac arrest patients. Measurement is a critical part of testing and implementing changes, as well as identifying areas for further research, in...

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Characterization of Call Prioritization Time in a Medical Priority Dispatch System

Emergency Medical Services (EMS) agencies have a pressing need to understand call prioritization time (CPT), a key sub-component of call processing time in Emergency Medical Dispatch, as it impacts response time to specific cases and overall EMS agency response time performance. :  The objective of this study was to determine median CPT by dispatch priority level and Chief Complaint type. Methods: This retrospective study included data from six emergency communication agencies, each accredited by the International Academies of Emergency Dispatch (IAED). The...

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Emergency Medical Dispatchers’ Ability to Determine Obvious or Expected Death Outcomes Using a Medical Priority Dispatch Protocol

Emergency Medical Dispatchers (EMDs), at emergency communication centers that have implemented the Medical Priority Dispatch System® (MPDS) protocols, use scripted questions to interrogate people calling 9-1-1. Based on this interrogation, case determinant codes are assigned– to identify the specific patient condition and enable optimal allocation and deployment of resources to ensure appropriate field responses. MPDS determinant codes for both OBVIOUS and EXPECTED DEATH exist for patients that are clearly and irreversibly dead, or have a terminal illness accompanied...

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The Distribution of Recommended Care Levels by Age, Gender, and Trauma vs Medical Classification within the Emergency Communication Nurse System

An examination of the Emergency Communications Nurse-determined Recommended Care Levels (RCLs), for calls transferred for secondary nurse-triage has not been performed.  The outcome of such an investigation would help to gain a more complete picture of the type of care ultimately recommended for these patients. The Emergency Communications Nurse System (ECNS) studied contained 22 RCLs, ranging from urgent levels, including a country-specific 3-digit number Emergency response (911), and Emergency care as soon as possible to less time-dependent, low priority levels, such...

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Characterization of Call Prioritization Time in a Police Priority Dispatch System™

Time-to-dispatch in a 911 center continues to be a topic of much discussion in public safety. This study represents a first attempt to classify a subset of time-todispatch, call prioritization time, the time required to gather critical information prior to dispatching the call. The study characterizes call prioritization time in two Police dispatching agencies by determining overall median call prioritization time for all Chief Complaints (CCs) in the agencies studied, then by determining specific call prioritization times for the top five most commonly-used CCs, both...

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