Dr. Conrad Fivaz, President of Priority Solutions Inc and chair of the ECNS council of standards, Ellen Edwards, Senior Professional Practice Educator for Clinical Support Desk at Welsh Ambulance Service, and Dr. Mike Brady, Consultant Clinician NHS 111, discuss the implementation of video technology at the Welsh Ambulance Service NHS Trust (WAST). They go over best practices, the types of calls best handled with video technology, and clinician feedback.
Isabel talks with Dr. Karen Abrashkin, Medical Director of the House Calls Program and the Clinical Call Center for Northwell Health. They discuss how the House Calls Program works, the benefits of aging in place, and the complexities of DNRs...
Isabel talks with Jerry Overton, President of the International Academies of Emergency Dispatch. They discuss the importance of studying low acuity calls, the role of an IRB in research, and IAED's focus for the future...
Isabel talks with Dr. Chris Olola, the director of research and biomedical informatics at the IAED. They discuss the role of emergency dispatch in patient care, heart attacks coded as ALPHA at dispatch, and the future of the research team...
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...
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...
Isabel 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 importance of studying low acuity calls, and how ECNS affects emergency dispatchers...
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...
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...
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...
