Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers

Widespread use of Emergency Medicine Services (EMS) for non-emergency care has increased recently, causing overcrowding of the Emergency Department (ED). The increased availability of urgent care centers (UCCs), with their ability to see large numbers of unscheduled patients with more acute presenta...

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Autores principales: Carroll, Gerard, Levy, Katelyn, Pescatore, Richard, Hong, Rick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473233/
https://www.ncbi.nlm.nih.gov/pubmed/30717383
http://dx.doi.org/10.3390/healthcare7010024
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author Carroll, Gerard
Levy, Katelyn
Pescatore, Richard
Hong, Rick
author_facet Carroll, Gerard
Levy, Katelyn
Pescatore, Richard
Hong, Rick
author_sort Carroll, Gerard
collection PubMed
description Widespread use of Emergency Medicine Services (EMS) for non-emergency care has increased recently, causing overcrowding of the Emergency Department (ED). The increased availability of urgent care centers (UCCs), with their ability to see large numbers of unscheduled patients with more acute presentations, may offer a viable option for many EMS systems to divert non-emergent cases. Using a survey-based study combined with retrospective chart review, EMS provider ability to determine patient suitability for diversion to UCCs was assessed. Results indicated a rate of inappropriate diversion of 11.6%. UCCs may be an alternative option for EMS transport, however strict protocols with medical direction are needed.
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spelling pubmed-64732332019-05-02 Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers Carroll, Gerard Levy, Katelyn Pescatore, Richard Hong, Rick Healthcare (Basel) Article Widespread use of Emergency Medicine Services (EMS) for non-emergency care has increased recently, causing overcrowding of the Emergency Department (ED). The increased availability of urgent care centers (UCCs), with their ability to see large numbers of unscheduled patients with more acute presentations, may offer a viable option for many EMS systems to divert non-emergent cases. Using a survey-based study combined with retrospective chart review, EMS provider ability to determine patient suitability for diversion to UCCs was assessed. Results indicated a rate of inappropriate diversion of 11.6%. UCCs may be an alternative option for EMS transport, however strict protocols with medical direction are needed. MDPI 2019-02-02 /pmc/articles/PMC6473233/ /pubmed/30717383 http://dx.doi.org/10.3390/healthcare7010024 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Carroll, Gerard
Levy, Katelyn
Pescatore, Richard
Hong, Rick
Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
title Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
title_full Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
title_fullStr Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
title_full_unstemmed Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
title_short Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
title_sort examination of ems decision making in determining suitability of patient diversion to urgent care centers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473233/
https://www.ncbi.nlm.nih.gov/pubmed/30717383
http://dx.doi.org/10.3390/healthcare7010024
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