The Role of Direct Physician Engagement in EMS Transport Refusal Rates: A Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Number of Patients Transported
研究概览
简要总结
The primary goal of this study is to find out if patients who speak with an EMS physician over the phone are less likely to refuse care compare to patients who do not speak with an EMS physician.
详细描述
This study aims to assess the impact of direct physician communication on patients' decisions to refuse EMS transport. The research approach is designed to measure the influence of physician interaction on patient transport decisions in a prospective model. By conducting this research, the study team hopes to provide evidence-based recommendations for EMS protocols regarding patient engagement and refusal management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients ≥18 years old in care of Mecklenburg EMS (MEDIC) on an emergency basis (911 call) who wish to refuse transportation to the hospital in whom MEDIC has, via existing processes and decision-making, engaged online medical control EMS Physicians for further guidance
排除标准
- •Patients <18 years old.
- •Patient refuses to speak with online medical control EMS Physicians. MEDIC or patient requests to have primary care physician.
- •Lack of clinical capacity.
- •Incarcerated population.
研究组 & 干预措施
Standard of Care
Refusal-of-care consultation not provided to patient
干预措施: Standard of Care (Behavioral)
Physician Consultation
Mecklenburg EMS agency (MEDIC) crew chiefs (EMTs and/or paramedics) may decide, based on patient circumstances, to consult OMC for patients wishing to refuse care.
干预措施: Physician Consultation (Behavioral)
结局指标
主要结局
Number of Patients Transported
时间窗: Day 1
Number of patients who agreed to be transported by EMS
次要结局
- Number of Patients Admitted to Hospital(Day 1)
- Number of Patients Discharged from Emergency Department(Day 1)
- Duration of EMS Interaction(Day 1)
- Number of EMS Same-Day Return(Hour 24 Post Initial Call)