Advantages and limitations of medical dispatching

Nemitz, B

doi:10.1097/00063110-199509000-00009

Cited by 13 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The knowledge of how the caller may express paradoxes during the call can be useful when educating RNs at the EMCC, but these identified paradoxes also need to be examined in future studies. Barriers are commonly described as language and communication problems [ 8 , 25 , 26 ]. In this study, language problems were not identified as a barrier, although a third of the calls were made by a non- native speaker.…”

Section: Discussionmentioning

confidence: 99%

Barriers and opportunities in assessing calls to emergency medical communication centre - a qualitative study

Lindström

Heikkilä

Bohm

et al. 2014

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

IntroductionPrevious studies have described the difficulties and the complexity of assessing an emergency call, and assessment protocols intended to support the emergency medical dispatcher’s (EMD) assessment have been developed and evaluated in recent years. At present, the EMD identifies about 50-70 % of patients suffering from cardiac arrest, acute myocardial infarction or stroke. The previous research has primarily been focused on specific conditions, and it is still unclear whether there are any overall factors that may influence the assessment of the call to the emergency medical communication centre (EMCC).AimThe aim of the study was to identify overall factors influencing the registered nurses’ (RNs) assessment of calls to the EMCC.MethodA qualitative study design was used; a purposeful selection of calls to the EMCC was analysed by content analysis.ResultsOne hundred calls to the EMCC were analysed. Barriers and opportunities related to the RN or the caller were identified as the main factors influencing the RN’s assessment of calls to the EMCC. The opportunities appeared in the callers’ symptom description and the communication strategies used by the RN. The barriers appeared in callers’ descriptions of unclear symptoms, paradoxes and the RN’s lack of communication strategies during the call.ConclusionBarriers in assessing the call to the EMCC were associated with contradictory information, the absence of a primary problem, or the structure of the call. Opportunities were associated with a clear symptom description that was also repeated, and the RN’s use of different communication strategies such as closed loop communication.

show abstract

Section: Discussionmentioning

confidence: 99%

Barriers and opportunities in assessing calls to emergency medical communication centre - a qualitative study

Lindström

Heikkilä

Bohm

et al. 2014

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…A more detailed evaluation is required to propose a better organization (Liberman, Mulder, Lavoie, & Sampalis, 2004). In most developed countries, emergency care is coordinated by a call center (Nemitz, 1995), this system has been adopted in many developing countries such as Morocco (Sasser et al, 2005). In this study, the hospital interns received the calls in contrast to French standards where paramedics also participate in triage of calls before physicians attend those requiring attention (Masmejean et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

Emergency Trauma Care for Severe Injuries in a Moroccan Region: Conformance to French and World Health Organization Standards

Tachfouti

Bhatti

Nejjari

et al. 2011

Journal for Healthcare Quality

View full text Add to dashboard Cite

In Morocco, injuries account for 11% of total burden of disease. Better organization of emergency care can improve the outcome of trauma patients. In Morocco, these services have been reorganized recently, but were never evaluated. The objective was to assess actual structure and processes of emergency trauma care in a Moroccan region. This comparative qualitative study was carried out in the region of Fez. The process and structure of contacting emergency care and prehospital emergency care were compared with the French 2002 standards. Emergency care at the University Teaching Hospital (UTH) was compared with World Health Organization 2005 Essential Trauma Care guidelines. Predefined care items were categorized as conforming to the standards or not. An emergency call center with a dedicated dial-up number has been established in the region since January 2007. Compared with the standards, this center was not protected by any legislation and was run by interns only. The center was underutilized during triage to help transportation of severe trauma patients. At the prehospital care level, only 3 out of 15 ambulances were equipped with resuscitation equipment and were used rarely. Only one of the ambulance staff out of three was trained in required skills. At the UTH, emergency care equipment and staff was nearly adequate. This study identified several opportunities for improvement in organizing trauma care in Fez particularly at emergency call center and ambulance service. A quality assurance program would be useful to further identifying improvements in this system.

show abstract

“…ref. 52 for the situation in France). The fact that operators with no medical training showed no sensitivity to the manipulated calls they had to process suggests that policy research needs to look not only into differences of assessment accuracy by medically and non-medically trained personnel 42 53 , but also to their differences in handling extra-medical influences, possibly mediated by different attitudes to the task of triage and subsequent care.…”

Section: Discussionmentioning

confidence: 99%

Emergency medical triage decisions are swayed by computer-manipulated cues of physical dominance in caller’s voice

Boidron¹,

Boudenia²,

Avena³

et al. 2016

Sci Rep

View full text Add to dashboard Cite

In humans as well as other animals, displays of body strength such as power postures or deep masculine voices are associated with prevalence in conflicts of interest and facilitated access to resources. We conduct here an ecological and highly critical test of this hypothesis in a domain that, on first thought, would appear to be shielded from such influences: access to emergency medical care. Using acoustic manipulations of vocal masculinity, we systematically varied the perceived level of physical dominance of mock patients calling a medical call center simulator. Callers whose voice were perceived as indicative of physical dominance (i.e. those with low fundamental and formant frequency voices) obtained a higher grade of response, a higher evaluation of medical emergency and longer attention from physicians than callers with strictly identical medical needs whose voice signaled lower physical dominance. Strikingly, while the effect was important for physician participants, it was virtually non-existent when calls were processed by non-medically-trained phone operators. This finding demonstrates an unprecedented degree of vulnerability of telephone-based medical decisions to extra-medical factors carried by vocal cues, and shows that it may not simply be assumed that more medical training will shield decisions from such influences.

show abstract

Advantages and limitations of medical dispatching

Cited by 13 publications

References 0 publications

Barriers and opportunities in assessing calls to emergency medical communication centre - a qualitative study

Barriers and opportunities in assessing calls to emergency medical communication centre - a qualitative study

Emergency Trauma Care for Severe Injuries in a Moroccan Region: Conformance to French and World Health Organization Standards

Emergency medical triage decisions are swayed by computer-manipulated cues of physical dominance in caller’s voice

Contact Info

Product

Resources

About