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Reliability of a Swedish pre-hospital dispatch system in prioritizing patients
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Emergency Department, County Hospital, SE-831 83 Östersund, Sweden.
Ambulance Department, County Hospital, SE-831 83 Östersund, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
2013 (English)In: International Emergency Nursing, ISSN 1755-599X, Vol. 21, no 2, 143-149 p.Article in journal (Refereed) Published
Abstract [en]

The need of emergency help often begins with a call to a dispatch center. The operator uses a medical index to prioritize dispatches. Since the resources of ambulances are limited, it is important that the priority grading decided by the operator at the dispatch center is as adequate as possible. In the county of Jamtland in Sweden, a system for triage named METTS-A (Medical Emergency Triage and Treatment System-A) has been in use since 2009, when the patient is coded according to priority level. The aim of this study was to analyse the sensitivity and specificity of the priority grading made by the dispatch center in comparison with the METTS-A priority assessed by the ambulance nurse. Statistics from a data-base in northern Sweden were analyzed. The material covered every ambulance that was dispatched, 6986 times during the period of data collecting. The results show a high sensitivity but low specificity in the dispatch system. The results also indicate that over prioritization exists since most of the patients with a high acute need of an ambulance are correctly identified, while many patients without that need are also given a high priority ambulance service. Therefore the conclusions were that both over- and under prioritizations were made. © 2011 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2013. Vol. 21, no 2, 143-149 p.
Keyword [en]
Ambulance calls, Emergency care, Pre-hospital
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-15755DOI: 10.1016/j.ienj.2011.11.006ISI: 000319032400011Scopus ID: 2-s2.0-84876789260OAI: oai:DiVA.org:miun-15755DiVA: diva2:481127
Available from: 2012-01-20 Created: 2012-01-20 Last updated: 2013-07-03Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
  • rtf