Annals of Emergency Dispatch & Response Logo

Original Research

International Comparison of Ambulance Times Terminology and Definitions: A Benchmarking Study

Burton, E., Willis, D., Boseley, E., Deasy, C., Franklin, M., Garrison, D., Henderson, C., Hutchinson, H., Kearney, P.M., Krammel, M., Lloyd, A., Loudon, W., Quinn, R., Masterson, S., McCarthy, V.J.C., Merwick, Á., O’Donnell, C., Overton, J., Van de Pas, H., Wolfe, J.H., Zavadsky, M., Crosbie-Staunton, K., Buckley, C.M.

Jul 14, 2023|AEDR 2023 Vol. 11 Issue 1|Original Research

It is evident from the above results that there is a lack of standardisation of terms commonly used among the participating ambulance services.

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Public Safety Communications Centers’ Benchmarking Survey

Doug Smith-Lee

Sep 19, 2022|AEDR 2022 Vol. 10 Issue 2|Original Research

Benchmarking for Public Safety Communication Centers (PSCCs) is relatively new. Recently, professional associations have been working on Key Performance Indicators (KPIs) to identify a number of performance metrics for call taking, dispatching, technology, quality assurance and administration. The goal of developing these KPIs is to provide fundamental metrics which are inherent in all PSCC work. Yet the standardization of PSCCs’ levels performance to these various KPIs is somewhat limited.

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Quantifying Cognitive Load of Emergency Dispatchers

Emily Weeden, Kelly Hale

Apr 04, 2022|AEDR 2022 Vol. 10 Issue 1|Original Research

During a given incident, dispatchers are under high stress balancing the workload of listening, understanding, recording, and responding to an unfolding event. These personnel work in a high stakes environment, where seconds can mean life and death. They are called upon to be the voice of reason and calm during traumatic events, and must follow policy and procedures in effectively communicating event information to a number of different user groups. The goal of this work was to demonstrate how a predictive workload equation can be used to evaluate cognitive workload of a dispatcher during a representati

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Proposed use of the Emergency Communication Nurse System in Welsh Ambulance Service 999 Secondary Triage with Paramedic and Nurse Users

Mike Brady, PhD, Susan Tucket, RN, Michelle Perry, Brian Jarvis, Peter Brown, Mark Conrad Fivaz, MD, Gigi Marshall, MSN

Sep 07, 2021|AEDR 2021 Vol. 9 Issue 2|Original Research

The Welsh Ambulance Service NHS Trust (WAST) manages more than 500,000 calls every year, with its emergency ambulance staff attending more than 250,000 of these calls. WAST currently uses the Medical Priority Dispatch System to process its 999 emergency calls and is an accredited centre of excellence. WAST employs experienced nurses and paramedics to undertake 999 secondary telephone triages of 1) low acuity patients, 2) patients awaiting an ambulance response, and 3) patients whose condition may be managed effectively by an alternative to an ambulance...

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Is There any Correlation between Over/Under Triage and Number of Consecutive Working Hours in the Emergency Medical Communication Center?

Andrea Furgani, MD, Giuseppina Contiero, EMD, Christopher Olola, PhD, Salvatore Esposito, MD, Stefano Ferlito, MD, Fabio Ferrari, MD, Roberto Sanna, MD, Francesco Bermano, MD

Jun 22, 2021|AEDR 2021 Vol. 9 Issue 1|Original Research

There are many recent articles published in scientific literature on the topic of work-related stress. However, these studies focus on the effects of stress on the workers and not on the impact that stress could have on their work performance—more specifically on the calltaker’s (emergency dispatcher (ED)) performance and consequently on the whole Emergency Medical Service (EMS). : The objective of this study was to assess whether the number of consecutive hours worked...

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Factors Contributing to Stress Levels of Emergency Dispatchers

Kate Wahlgren, EMD, Audrey Fraizer, Mike Taigman, MS, Marc Gay, Ronald Williscroft, QI, EMD, Dawn Faudere, EMT-P, EMD-Q, Andre Jones, PhD, Christopher Olola, PhD

Jan 20, 2021|AEDR 2020 Vol. 8 Issue 3|Original Research

There is now substantial research literature on the occupational stress among emergency dispatchers from multiple studies that have cited dispatcher claims of significant emotional, mental, and physical stress as a result of their work. However, there is very little literature that ranks in order of prevalence or severity the factors contributing to overall stress specific to emergency dispatchers. The aim of this study is to collect data that will complement other research findings in this field to inform the development of new programs designed to address specific...

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Caller’s Ability to Understand “Responding Normally” vs. “Completely Alert” Key Question in a North American English version of an Emergency Medical Dispatch Protocol

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Chris Davis, EMD-I, Bryon Schultz, BA, Charles Gipson, MA, Jeff J. Clawson, MD

Apr 04, 2022|AEDR 2022 Vol. 10 Issue 1|Original Research

The difficulty of evaluating mental status, particularly alertness, is more pronounced in the medical dispatch context, where the Emergency Medical Dispatcher (EMD) must work through the eyes and ears of the caller, who is most likely a layperson. Determining true non-alertness and the level of its effects on outcome needs to be solved to perfect the interrogation and response-coding processes at dispatch.

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Reprioritization of 911 Emergency Medical Calls Using Historical Clinical Data

Veer D. Vithalani, MD, FACEP, FAEMS, Greg Scott, MBA, EMD-QI, Christopher Olola, PhD

Sep 07, 2021|AEDR 2021 Vol. 9 Issue 2|Original Research

Emergency Medical Services (EMS) systems often utilize a structured approach to 911 call-taking and emergency medical dispatch (EMD). One such system, Medical Priority Dispatch System (MPDS®), categorizes 911 calls into EMD determinant codes based on problem and severity, with response priorities and resources determined at the local level through a predetermined response matrix. In this study, we proposed a methodology for utilizing historical clinical data to increase the accuracy of 911 call prioritization of patients with time-sensitive critical illness...

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Multilevel Factors Associated with Stress in 9-1-1 Telecommunicators

Hwa Young Chae, MPH, PhD, Hendrika Meischke, PhD, MPH

Jun 22, 2021|AEDR 2021 Vol. 9 Issue 1|Original Research

Although diverse factors associated with occupational stress have been examined, little is known about it among 9-1-1 Telecommunicators (TCs). As the first of the first responders, they experience post-traumatic stress disorder due to vicarious trauma and often work long-shifts and overtime. A more comprehensive assessment of the factors associated with stress among TCs is crucial for development of interventions to reduce occupational stress in call centers...

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