Topic: Low acuity calls

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

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:...

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Whose Triage Is It Anyway? with Dr. Conrad Fivaz and Gigi Marshall Knight

https//media.blubrry.com/aedr_podcast/p/content.blubrry.com/aedr_podcast/Episode05-2017-09-29-Gigi_Marhall_and_Conrad_Fivaz_mixdown.mp3Podcast: Play in new window | Download (Duration: 27:23 — 37.6MB) | EmbedSubscribe: Apple Podcasts | Android | Stitcher | RSS | MoreIsabel talks with Dr. Conrad Fivaz, the clinical director of Priority Solutions, and Gigi Marshall Knight, Emergency Communication Nurse System (ECNS) program administrator. They discuss the goals of secondary triage, the...

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

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...

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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

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...

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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...

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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...

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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...

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