The association between ambulance hospital turnaround times and patient acuity, destination hospital, and time of day

Prehospital Emergency Care

Volumn 15, Issue 3, 2011, Pages 366-370

  Vandeventer, Steve ^a   Studnek, Jonathan R ^a,b   Garrett, John S ^c   Ward, Steven R ^a   Staley, Kevin ^a   Blackwell, Tom ^a,b  

^a Mecklenburg EMS Agency   (United States)

^b CAROLINAS MEDICAL CENTER   (United States)

^c Baylor Health ^*  (United States)

Author keywords

9 1 1 systems; ambulance diversion; EMD; emergency medical dispatch; emergency medical services; EMS; hospital overcrowding; turnaround times

Indexed keywords

AMBULANCE; ARTICLE; CONFIDENCE INTERVAL; COOPERATION; EMERGENCY HEALTH SERVICE; HEALTH CARE DELIVERY; HUMAN; RETROSPECTIVE STUDY; STATISTICAL MODEL; STATISTICS; TIME; UNITED STATES;

AMBULANCES; CONFIDENCE INTERVALS; COOPERATIVE BEHAVIOR; EMERGENCY MEDICAL SERVICE COMMUNICATION SYSTEMS; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES ACCESSIBILITY; HUMANS; LINEAR MODELS; NORTH CAROLINA; RETROSPECTIVE STUDIES; TEXAS; TIME;

EID: 79957629069     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2011.561412     Document Type: Article

References (15)

1. Fitch J. Does UHU accuratelymeasure workload? Management Focus. 2005;20(3):1-2.
2. Cobb LA, Alvarez H 3rd, Kopass MK. A rapid response system for out-of-hospital cardiac emergencies. Med Clin North Am. 1976;60:283-93.
3. McManus WF, Tresch DD, Darin JC. An effective prehospital emergency system. J Trauma. 1977;17:304-10. (Pubitemid 8110853)
4. Eisenberg M, Bergner L, Hallstrom A. Paramedic programs and out-of-hospital cardiac arrest: I. Factors associated with successful resuscitation. Am J Public Health. 1979;69:30-8. (Pubitemid 9123205)
5. Spaite DW, Valenzuela TD, Meislin HW, Criss EA, Hinsberg P. Prospective validation of a new model for evaluating emergency medical services systems by in-field observation of specific time intervals in prehospital care. Ann Emerg Med. 1993;22:638-45. (Pubitemid 23103862)
6. White RD Vukov LF, Bugliosi TF. Early defibrillation by police: initial experience with measurement of critical time intervals and patient outcome. Ann Emerg Med. 1995;23:1009-13. (Pubitemid 24149365)
7. Curka PA, Pepe PE, Ginger VF, Sherrard RC, Ivy MV, Zachariah BS. Emergency medical services priority dispatch. Ann Emerg Med. 1993;22:1688-95. (Pubitemid 23319835)
8. Stout J, Pepe PE, Mosesso VN Jr. All-advanced life support vs tiered-response ambulance systems. Prehosp Emerg Care. 2000;4:1-6. (Pubitemid 30043898)
9. Eckstein M, Isaacs SM, Slovis CM, et al. Facilitating EMS turnaround intervals at hospitals in the face of receiving facility overcrowding. Prehosp Emerg Care. 2005;9:267-75. (Pubitemid 43205567)
10. Maio RF. EMS systems: opening the "black box." Ann Emerg Med. 1993;22:730-1. (Pubitemid 23103879)
11. Cone DC, Davidson SJ, Nguyen Q. A time-motion study of the emergency medical services turnaround interval. Ann Emerg Med. 1998;31:241-6. (Pubitemid 28079699)
12. Spaite D, Benoit R, Brown D, et al. Uniform prehospital data elements and definitions: a report from the uniform prehospital emergency medical services data conference. Ann Emerg Med. 1995;25:525-34.
13. Eckstein M, Chan LS. The effect of emergency department crowding on paramedic ambulance availability. Ann Emerg Med. 2004;43:100-5. (Pubitemid 38049534)
14. Carter AJ, Grierson R. The impact of ambulance diversion on EMS resource availability. Prehosp Emerg Care. 2007;11:421-6. (Pubitemid 47509264)
15. National Academies of Emergency Dispatch Web site. Available at: www.emergencydispatch.org. Accessed November 1, 2010.