Prospective determination of medical necessity for ambulance transport by paramedics

Prehospital Emergency Care

Volumn 7, Issue 4, 2003, Pages 466-469

  Gratton, Matthew C ^a,b   Ellison, Stefanie R ^a   Hunt, Jason ^a   Ma, O John ^a  

^a TRUMAN MEDICAL CENTER   (United States)

^b EMS Section   (United States)

Author keywords

Ambulance; Emergency department; Emergency medical services; Paramedic

Indexed keywords

ADULT; AGED; AMBULANCE; ARTICLE; DECISION MAKING; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HEALTH CARE NEED; HOSPITAL CARE; HUMAN; MAJOR CLINICAL STUDY; MALE; MALPRACTICE; PATIENT CARE; PATIENT TRANSPORT; PROSPECTIVE STUDY; REIMBURSEMENT;

EID: 0142094540     PISSN: 10903127     EISSN: None     Source Type: Journal    
DOI: 10.1080/31270300220X     Document Type: Article

References (20)

1. Billittier AJ, Moscati R, Janicke D, Lerner EB, Seymour J, Olsson D. A multisite survey of factors contributing to medically unnecessary ambulance transports. Acad Emerg Med. 1996;3:1046-52.
2. Brown E, Sindelar J. The emergent problem of ambulance misuse. Ann Emerg Med. 1993;22:646-50.
3. Brady WJ, Hennes H, Wolf A, Hall KN, Davis M. Pattern of basic life support ambulance use in an urban pediatric population. Am J Emerg Med. 1996;14:250-3.
4. Kost S, Arruda J. Appropriateness of ambulance transportation to a suburban pediatric emergency department. Prehosp Emerg Care. 1999;3:187-90.
5. Camasso-Richardson K, Wilde JA, Petrack EM. Medically unnecessary pediatric ambulance transports: a medical taxi service? Acad Emerg Med. 1997;4:1137-41.
6. Richards JR, Ferrall SJ. Inappropriate use of emergency medical services transport: comparison of provider and patient perspectives. Acad Emerg Med. 1996;1:14-20.
7. Rademaker AW, Powell DG, Read JH, et al. Inappropriate use and unmet need in paramedic and nonparamedic ambulance systems. Ann Emerg Med. 1987;16:553-6.
8. Neely KW, Drake ME, Moorhead JC, Schmidt TA, Skeen DT, Wilson EA. Multiple options and unique pathways: a new direction for EMS? Ann Emerg Med. 1997;30:797-9.
9. Neely K. Demand management: the new view of EMS? Prehosp Emerg Care. 1997;1:114-8.
10. Pointer JE, Levitt MA, Young JC, Promes SB, Messana BJ, Ader ME. Can paramedics using guidelines accurately triage patients? Ann Emerg Med. 2001;38:268-77.
11. Hauswald M, Brillman J, Raynovich W, Bralove D, Martinez A. Training paramedics to determine who does not need ambulance transport: validation of an educational program and protocol [abstract]. Acad Emerg Med. 1999;4:474.
12. Sasser SM, Brokaw M, Blackwell TH. Paramedic vs emergency physician decisions regarding the need for emergency department evaluation [abstract]. Acad Emerg Med. 1998;5:391.
13. Schmidt TA, Atcheson R, Federiuk C, et al. Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols. Prehosp Emerg Care. 2001;5:366-70.
14. Zalenski R, Compton S, Welch R, et al. Accuracy of an out-of-hospital triage rule to detect unnecessary emergency medical services transports [abstract]. Ann Emerg Med. 2000;36:S19.
15. Silvestri S, Rothrock SG, Kennedy D, Ladde J, Bryant M, Pagane J. Can paramedics accurately identify patients who do not require emergency care? Prehosp Emerg Care. 2002;6:387-90.
16. Fleiss JL. Statistical Methods for Rates and Proportions, ed 2. New York: John Wiley & Sons, 1981, pp. 212-36.
17. Asplin BR. Undertriage, overtrige, or no triage? In search of the unnecessary emergency department visit. Ann Emerg Med. 2001;38:282-5.
18. Zachariah BS. The problem of ambulance misuse: whose problem is it anyway? Acad Emerg Med. 1999;6:2-5.
19. Krohmer JR. Appropriate EMS transport. Acad Emerg Med. 1999;6:5-7.
20. Koenig KL. Unscheduled access to health care: reengineering the 911 system. Acad Emerg Med. 1996;3:989-91.