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Low acuity calls

KÖNNEN EMDs MITHILFE DES MPDS AUF SICHERE WEISE KRANKHEITEN UND VERLETZUNGEN MIT NIEDRIGER DRINGLICHKEIT ERKENNEN?

AEDR Editorial Team

Dec 21, 2017|Research Briefs

KÖNNEN EMDs MITHILFE DES MPDS AUF SICHERE WEISE KRANKHEITEN UND VERLETZUNGEN MIT NIEDRIGER DRINGLICHKEIT ERKENNEN? Ja! Indem Fragen wortwörtlich und in der richtigen Reihenfolge gestellt werden. Krankheiten und Verletzungen können eine niedrigere Dringlichkeit aufweisen. Das Medical Priority Dispatch System™ (MPDS®) priorisiert die Disposition aufgrund der Dringlichkeit einer Krankheit oder Verletzung. Um das System nutzen zu können, werden medizinische Notfalldisponenten (EMDs) darauf geschult, die Hauptbeschwerde eines Anrufers zu identifizieren, wobei sie ein besonderes Augenmerk auf vier...

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Can EMDs Using MPDS Safely Identify Low-Acuity Illness and Injury?

AEDR Editorial Team

Dec 07, 2017|Research Briefs

CAN EMDs USING MPDS SAFELY IDENTIFY LOW-ACUITY ILLNESS AND INJURY? Yes! By asking questions in order and as written. Designed to Determine: Low-acuity illness and injury are non-urgent medical conditions and symptoms. The Medical Priority Dispatch System™ (MPDS®) prioritizes emergency dispatch by illness and injury acuity. In order to use the system, Emergency Medical Dispatchers (EMDs) are trained to identify a caller's Chief Complaint, with particular attention to four priority symptoms: chest pain, alertness, breathing problems, and serious hemorrhaging. EMDs ask callers exactly...

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Assessing Call Demand and Utilization of a Secondary Triage Emergency Communication Nurse System for Low Acuity Calls Transferred from an Emergency Dispatch System

Dr. Mark Conrad Fivaz, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Corike Toxopeus, PhD, Matt Zavadsky, MS, Kristen Miller, JD, Neal Richmond, MD, FACEP, Christopher Olola, PhD

Aug 01, 2015|AEDR 2015 Vol. 3 Issue 2|Original Research

Telephone nurse triage at the 9-1-1 dispatch point is relatively new in the United States despite its ability to significantly reduce expensive and scarce Emergency Medical Services (EMS) resource use and emergency department visits. A previous study investigated the distribution of 9-1-1-triaged call incident types within the Emergency Communications Nurse System (ECNS) and found that 9-1-1 triage systems yielded a variety of low acuity complaints that were handled by the Emergency Communications Nurse (ECN). This study explored the current and potential utilization...

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The Distribution of Recommended Care Level Classification by Time of Day within the Emergency Communication Nurse System

Dr. Mark Conrad Fivaz, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Corike Toxopeus, PhD, Matt Zavadsky, MS, Kristen Miller, JD, Neal Richmond, MD, FACEP, Christopher Olola, PhD

Aug 01, 2015|AEDR 2015 Vol. 3 Issue 2|Original Research

Research has shown that two-thirds of emergency visits occur after business hours (weekdays 9am – 5pm). Therefore, identifying primary healthcare providers available after business hours is one strategy for improving appropriate access to healthcare services. Previous studies have also shown a high and steady volume of secondary triage-eligible calls throughout the day and into the evening. However, because the Emergency Communication Nurse (ECN) performing the secondary triage has some discretion on selecting the Recommended Care Level (RCL) based on resource...

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

Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Kristen Miller, JD, Neal Richmond, MD, FACEP, Comilla Sasson, MD, Matt Zavadsky, MS, Mark Rector, Andrew Wilcox, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

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

Dr. Mark Conrad Fivaz, Jennie McQueen, RN, Tracey Barron, BS, Jeff J. Clawson, MD, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Brett Patterson, Matt Zavadsky, MS, Neal Richmond, MD, FACEP, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

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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