A prospective evaluation of the availability and utility of the Ambulance Call Record in the emergency department
| العنوان: | A prospective evaluation of the availability and utility of the Ambulance Call Record in the emergency department |
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| المؤلفون: | Natalie Cram, Matthew H. Davis, Michael Lewell, Shelley McLeod |
| المصدر: | CJEM. 19:81-87 |
| بيانات النشر: | Springer Science and Business Media LLC, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Ambulances, Tertiary care, Prospective evaluation, 03 medical and health sciences, 0302 clinical medicine, Treatment plan, Emergency medical services, Electronic Health Records, Humans, Medicine, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Ontario, business.industry, Patient Handoff, 030208 emergency & critical care medicine, Geriatric assessment, Emergency department, medicine.disease, Emergency medicine, Emergency Medicine, Female, Medical emergency, Emergency Service, Hospital, business, Relevant information |
| الوصف: | ObjectiveTo determine how often the Ambulance Call Record (ACR) was available to emergency department (ED) physicians and whether it contained information that changed the ED management of patients.MethodsThis was a prospective cohort study of adult patients transported to one of two tertiary care centre EDs. Physicians completed a data collection form for each patient regarding ACR availability and the perceived value of the ACR. This study began shortly after the implementation of a new electronic ACR (eACR) handover process (Round 1). To control for any confounding factors related to this new eACR handover process, the study was repeated 6 months after its implementation (Round 2).ResultsTotal of 869 forms were collected: 545 in Round 1, and 324 in Round 2. The ACR was available at first physician assessment for 82 (15.7%) patients in Round 1, and 76 (24.4%) patients in Round 2 (Δ8.7%, 95% CI: 3.1%, 14.5%). The ACR was available at some point during patients’ ED stay for 154 (28.9%) patients in Round 1, compared to 111 (34.5%) patients in Round 2 (Δ5.6%, 95% CI: 0.0%, 12.1%). When the ACR was available for a patient (n=265), physicians believed that information in the ACR changed their treatment plan in 76 (28.8%) cases.ConclusionPhysicians who review the ACR believe that the ACR contains relevant information that may influence patient management; however, physicians commonly manage patients without reviewing the ACR. |
| تدمد: | 1481-8043 1481-8035 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e8ba7f02b8c7142dec15da0671cd3bd3 https://doi.org/10.1017/cem.2016.362 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e8ba7f02b8c7142dec15da0671cd3bd3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14818043 14818035 |
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