Evaluation of a training program for emergency medical service physician dispatchers to reduce emergency departments visits

Foucaud, Amandine; Gilbert, Thomas; Vincent, Adélaïde; Jomard, Nathalie; Comte, B; Porthault, Sylvie; Comte, G.; Theurey, O.; Gueugniaud, Pierre‐Yves; Bourelly, Laura; Rabilloud, Muriel; Boutitie, Florent; Douplat, Marion; Tassa, Ouazna; Haesebaert, Julie; Termoz, Anne; Schott, Anne‐Marie

doi:10.1111/jgs.18101

Cited by 2 publications

(2 citation statements)

References 64 publications

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“…One-hundred-and-fourteen studies evaluated 118 interventions. These interventions were broadly categorized into thirteen different types based on the most predominant component: care coordination/case management or other care programs (n=51) , capacity increase in non-ED settings (n=17) [68-76, 76-83], education (n=15), [84][85][86][87][88][89][90][91][92][93][94][95][96][97], follow-up of patients (i.e., from primary care or after an ED or primary care visits or after hospital discharge) (n=9) [98][99][100][101][102][103][104][105][106], telemonitoring (n=7) [107][108][109][110][111][112][113], self-management (n=4) [114][115][116][117], patient financial incentives (n=4) [97,[118][119][120], structural change in primary care (n=3) [121][122][123], triage (n=3) [97,124,125], ED reports to specialists (n=2) [126,…”

Section: Interventionsmentioning

confidence: 99%

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Non-Emergency Department (ED) Interventions to Reduce ED Utilization: a Scoping Review

Nummedal,

Bjørnsen,

King

et al. 2023

Preprint

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Background: Emergency department (ED) crowding is a global burden. Interventions to reduce ED utilization have been widely discussed in the literature, but previous reviews have mainly focused on specific interventions or patient groups within the EDs. The purpose of this scoping review was to identify, summarize, and categorize the various types of non-ED-based interventions designed to reduce unnecessary visits to EDs. Methods: This scoping review followed the JBI Manual for Evidence Synthesis and the PRISMA-SCR checklist. A comprehensive structured literature search was performed in the databases MEDLINE and Embase from 2008 to January 2023. The inclusion criteria covered studies reporting on interventions outside the ED aimed at reducing ED visits. Two reviewers independently screened the records and categorized the included articles by intervention type, location, and targeted population. Results: Among the 9,799 screened records, we included 139 studies, comprising 114 intervention studies and 25 systematic reviews. In the primary studies, care coordination/case management or other care programs were most commonly examined across 13 categories of interventions. The majority of interventions took place in clinics or medical centers, in patients' homes, or in primary care settings - and targeted patients with a specific medical conditions. Conclusion: A large number of studies have been published investigating interventions to mitigate the influx of patients to the EDs. Many of these targeted patients with specific medical conditions, frequent users and high-risk patients. Further research is also needed to address other high prevalent groups in the ED - including older adults and mental health patients (who are ill but may not need the ED). There is also room for further research on new interventions to reduce ED utilization in low-acuity patients and in the general patient population.

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Section: Interventionsmentioning

confidence: 99%

“…These interventions included group sessions for patients [85,89,94] or educational brochures/posters for the patients [84,95]. Others were aimed at parents [87,88,90,96], staff [86,[91][92][93]131], or for publicity through media [97].…”

Section: Interventionsmentioning

confidence: 99%

Non-Emergency Department (ED) Interventions to Reduce ED Utilization: a Scoping Review

Nummedal,

Bjørnsen,

King

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Non-emergency department (ED) interventions to reduce ED utilization: a scoping review

Nummedal,

King,

Uleberg

et al. 2024

BMC Emerg Med

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Background Emergency department (ED) crowding is a global burden. Interventions to reduce ED utilization have been widely discussed in the literature, but previous reviews have mainly focused on specific interventions or patient groups within the EDs. The purpose of this scoping review was to identify, summarize, and categorize the various types of non-ED-based interventions designed to reduce unnecessary visits to EDs. Methods This scoping review followed the JBI Manual for Evidence Synthesis and the PRISMA-SCR checklist. A comprehensive structured literature search was performed in the databases MEDLINE and Embase from 2008 to March 2024. The inclusion criteria covered studies reporting on interventions outside the ED that aimed to reduce ED visits. Two reviewers independently screened the records and categorized the included articles by intervention type, location, and population. Results Among the 15,324 screened records, we included 210 studies, comprising 183 intervention studies and 27 systematic reviews. In the primary studies, care coordination/case management or other care programs were the most commonly examined out of 15 different intervention categories. The majority of interventions took place in clinics or medical centers, in patients’ homes, followed by hospitals and primary care settings - and targeted patients with specific medical conditions. Conclusion A large number of studies have been published investigating interventions to mitigate the influx of patients to EDs. Many of these targeted patients with specific medical conditions, frequent users and high-risk patients. Further research is needed to address other high prevalent groups in the ED - including older adults and mental health patients (who are ill but may not need the ED). There is also room for further research on new interventions to reduce ED utilization in low-acuity patients and in the general patient population.

show abstract

Evaluation of a training program for emergency medical service physician dispatchers to reduce emergency departments visits

Cited by 2 publications

References 64 publications

Non-Emergency Department (ED) Interventions to Reduce ED Utilization: a Scoping Review

Non-Emergency Department (ED) Interventions to Reduce ED Utilization: a Scoping Review

Non-emergency department (ED) interventions to reduce ED utilization: a scoping review

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