The Association Between Clinician Dispatch and Tasking Efficacy in Prehospital Critical Care: A Retrospective Cohort Study.
Accurate tasking of physician-staffed prehospital critical care (PHCC) is crucial to best use this resource; however, there is mixed evidence regarding the efficacy of clinician-led dispatch. Retrospective cohort study of taskings for the emergency medical retrieval service, an air medical PHCC serv...
| Publicado en: | Air Medical Journal Vol. 44; no. 3; pp. 225 - 228 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185391342&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185391342 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1067991X DNP jtl: Air Medical Journal issn: 1067991X maglogo: N pubinfo: dt: May2025 vid: 44 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 185391342 185391342 185391342 10.1016/j.amj.2025.02.009 185391342 ppf: 225 ppct: 3 formats: tig: atl: The Association Between Clinician Dispatch and Tasking Efficacy in Prehospital Critical Care: A Retrospective Cohort Study. aug: au: McHenry, Ryan D. Mayhew, Robin Esposito, Martin Parke, Tim affil: ScotSTAR, Scottish Ambulance Service, Paisley, United Kingdom sug: subj: Emergency Medical Service Communication Systems Critical Care Physicians, Emergency Prehospital Care Task Performance and Analysis Human Retrospective Design Record Review Prospective Studies Regression Descriptive Statistics Confidence Intervals Time Emergency Medical Services ab: Accurate tasking of physician-staffed prehospital critical care (PHCC) is crucial to best use this resource; however, there is mixed evidence regarding the efficacy of clinician-led dispatch. Retrospective cohort study of taskings for the emergency medical retrieval service, an air medical PHCC service in Scotland, between April 1, 2022 and October 31, 2022. The primary exposure was 1 of the following 3 dispatcher groups: PHCC clinicians, paramedics without PHCC designation, and nonclinical dispatchers. The number and characteristics of taskings were determined for each dispatch shift. Multivariable Poisson regression, including potential confounders, was used to determine the association between tasking group and count outcomes, multivariable linear regression–assessed associations with tasking time. In multivariable modeling, compared with nonclinical dispatch, PHCC clinicians dispatched the service 27.3% (95% confidence interval [CI] 3.5%-57.2%) more often, resulting in 28.6% (95% CI 0.0%-66.1%) more patient encounters. PHCC clinician call time was 18.6% (95% CI 4.7%-30.5%) shorter than nonclinical dispatchers. PHCC dispatch by PHCC clinicians is associated with higher numbers of dispatches and patient contacts and shorter call times. PHCC clinician dispatch has the potential to improve service tasking. Future research should consider not only the clinical status of dispatcher but also familiarity with PHCC. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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