Author: Isabel Gardett, PhD

911 Emergency Communication Nurse Triage Reduces EMS Patient Costs and Directs Patients to High-Satisfaction Alternative Point of Care

Recent estimates indicate that more than half of all Emergency Department (ED) visits could be avoided, reducing patient costs and increasing satisfaction with care.  Since 911 is increasingly the first point of contact for many patients entering the health care system—even those with non-emergency conditions—one potential approach to decreasing emergency costs and ED overcrowding is to reinvent the 911 dispatch center as a clearinghouse for directing patients to alternative care providers.  This study presents a cost avoidance analysis of two 911 dispatch centers that...

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The Distribution of a Fire Priority Dispatch System’s™ Call Incident Types and Priority Levels in Selected U.S. Fire Agencies

The extent of fire emergencies in our communities is of great concern, not only to the public, but to the nation’s fire departments, whose role is not only to respond to them, but to mitigate and, even earlier, to prevent them.  The variety of types of fire-related emergencies reported to 911 is of significant interest to this ongoing mandate. s: The aim of this study was to characterize the distribution of calls handled using a Fire Priority Dispatch System (FPDS™) in the studied agencies. Methods: This was a retrospective and non-controlled descriptive study...

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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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The Distribution of 911 Triaged Call Incident Types within the Emergency Communication Nurse System™

This study examined the distribution of the MPDS® Chief Complaint protocols and determinant codes assigned by the EMD as eligible for nurse triage, as well as the distribution of the Chief Complaint protocols contained in the Emergency Communications Nurse System™ (ECNS™) secondary nurse triage process, as determined by the emergency communications nurse (ECN). Protocol distribution was also examined by patient gender. : This study characterized protocol and gender distributions to provide a better understanding of the types of patients and their associated...

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Past, Present, and Future of Emergency Dispatch Research: A Systematic Literature Review

Emergency dispatch is a relatively new field, but the growth of dispatching as a profession, along with raised expectations for help before responders arrive, has led to increased production of and interest in emergency dispatch research.  As yet, no systematic review of dispatch research has been conducted. : This study reviewed the existing literature and indicated gaps in the research as well as potentially fruitful extensions of current lines of study. Methods: Dispatch-related terms were used to search for papers in research databases (including PubMed,...

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