Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders

<h3>Background</h3><p dir="ltr">The Ambulance Service in Qatar often receives 999 emergency calls that do not necessarily result in patient transportation to a medical facility. This study aimed to comprehensively examine the various elements affecting patient conveyance...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Hassan Farhat (9000509) (author)
مؤلفون آخرون: Guillaume Alinier (6952004) (author), Kawther El Aifa (14778517) (author), Ahmed Makhlouf (17632179) (author), Padarath Gangaram (14778514) (author), Cyrine Abid (18464455) (author), Ian Howland (18464452) (author), Ian Howard (2026753) (author), Nicholas Castle (6011018) (author), Loua Al-Shaikh (17300911) (author), Moncef Khadhraoui (14778526) (author), Imed Gargouri (14778529) (author), James Laughton (14778532) (author)
منشور في: 2024
الموضوعات:
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author Hassan Farhat (9000509)
author2 Guillaume Alinier (6952004)
Kawther El Aifa (14778517)
Ahmed Makhlouf (17632179)
Padarath Gangaram (14778514)
Cyrine Abid (18464455)
Ian Howland (18464452)
Ian Howard (2026753)
Nicholas Castle (6011018)
Loua Al-Shaikh (17300911)
Moncef Khadhraoui (14778526)
Imed Gargouri (14778529)
James Laughton (14778532)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_facet Hassan Farhat (9000509)
Guillaume Alinier (6952004)
Kawther El Aifa (14778517)
Ahmed Makhlouf (17632179)
Padarath Gangaram (14778514)
Cyrine Abid (18464455)
Ian Howland (18464452)
Ian Howard (2026753)
Nicholas Castle (6011018)
Loua Al-Shaikh (17300911)
Moncef Khadhraoui (14778526)
Imed Gargouri (14778529)
James Laughton (14778532)
author_role author
dc.creator.none.fl_str_mv Hassan Farhat (9000509)
Guillaume Alinier (6952004)
Kawther El Aifa (14778517)
Ahmed Makhlouf (17632179)
Padarath Gangaram (14778514)
Cyrine Abid (18464455)
Ian Howland (18464452)
Ian Howard (2026753)
Nicholas Castle (6011018)
Loua Al-Shaikh (17300911)
Moncef Khadhraoui (14778526)
Imed Gargouri (14778529)
James Laughton (14778532)
dc.date.none.fl_str_mv 2024-05-26T06:40:13Z
dc.identifier.none.fl_str_mv 10.57945/manara.25709373.v1
dc.relation.none.fl_str_mv https://figshare.com/articles/conference_contribution/Factors_Influencing_Patient_Conveyance_Decisions_by_Ambulance_Service_Responders/25709373
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Health sciences
Health services and systems
Transport to hospital
Conveyance decision
Pre-hospital
Epidemiological determinants
Healthcare quality
Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference
dc.title.none.fl_str_mv Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
dc.type.none.fl_str_mv Text
Conference contribution
info:eu-repo/semantics/publishedVersion
text
conference object
description <h3>Background</h3><p dir="ltr">The Ambulance Service in Qatar often receives 999 emergency calls that do not necessarily result in patient transportation to a medical facility. This study aimed to comprehensively examine the various elements affecting patient conveyance decisions in Qatar during 2023, focusing on socio-cultural influences, clinical uncertainties, and operational aspects.</p><h3>Methods</h3><p dir="ltr">A retrospective, quantitative analysis was conducted on a data set comprising 93,712 emergency calls made to the Hamad Medical Corporation Ambulance Service (HMCAS) 999 emergency medical dispatch centre from January to May 2023. "Handover", the outcome variable (patient transported or not), and other predictors like socio-demographics and clinical information were assessed. Analytical techniques were utilised, including heatmaps (aggregated tabular representation of transportation decision outcomes based on various factors) and scatter plots (graphical representation over time of various parameters).</p><h3>Results</h3><p dir="ltr">In this study, 23.95% (N=21,194) of the emergency calls did not result in patient transportation to a medical facility, whilst 76.05% (N=67,285) led to patient conveyance. Heatmaps (Figure 1) demonstrated significant differences in demographic variables between the transported and non-transported groups and the dispatch types. Scatter plots (Figure 2) showed that the median response time aligns with international benchmarks.</p><h3>Conclusion</h3><p dir="ltr">The study sheds light on the intricate variables affecting pre-hospital patient conveyance decisions in Qatar. Patterns such as male dominance and specific timing for EMS activities were noted, underlining the need for a comprehensive patient assessment that goes beyond medical histories. Additional investigations are needed to examine the duration spent with the patient until the ambulance becomes available for another 999 call. The findings prompt further analysis, research, and innovative approaches to enhance the standards of pre-hospital care delivery.</p>
eu_rights_str_mv openAccess
id Manara2_5d285dd9ef4b70aa92e211c124bb6844
identifier_str_mv 10.57945/manara.25709373.v1
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25709373
publishDate 2024
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Factors Influencing Patient Conveyance Decisions by Ambulance Service RespondersHassan Farhat (9000509)Guillaume Alinier (6952004)Kawther El Aifa (14778517)Ahmed Makhlouf (17632179)Padarath Gangaram (14778514)Cyrine Abid (18464455)Ian Howland (18464452)Ian Howard (2026753)Nicholas Castle (6011018)Loua Al-Shaikh (17300911)Moncef Khadhraoui (14778526)Imed Gargouri (14778529)James Laughton (14778532)Biomedical and clinical sciencesClinical sciencesHealth sciencesHealth services and systemsTransport to hospitalConveyance decisionPre-hospitalEpidemiological determinantsHealthcare qualityQatar Health Congress 2023 and the 3rd Qatar Public Health Conference<h3>Background</h3><p dir="ltr">The Ambulance Service in Qatar often receives 999 emergency calls that do not necessarily result in patient transportation to a medical facility. This study aimed to comprehensively examine the various elements affecting patient conveyance decisions in Qatar during 2023, focusing on socio-cultural influences, clinical uncertainties, and operational aspects.</p><h3>Methods</h3><p dir="ltr">A retrospective, quantitative analysis was conducted on a data set comprising 93,712 emergency calls made to the Hamad Medical Corporation Ambulance Service (HMCAS) 999 emergency medical dispatch centre from January to May 2023. "Handover", the outcome variable (patient transported or not), and other predictors like socio-demographics and clinical information were assessed. Analytical techniques were utilised, including heatmaps (aggregated tabular representation of transportation decision outcomes based on various factors) and scatter plots (graphical representation over time of various parameters).</p><h3>Results</h3><p dir="ltr">In this study, 23.95% (N=21,194) of the emergency calls did not result in patient transportation to a medical facility, whilst 76.05% (N=67,285) led to patient conveyance. Heatmaps (Figure 1) demonstrated significant differences in demographic variables between the transported and non-transported groups and the dispatch types. Scatter plots (Figure 2) showed that the median response time aligns with international benchmarks.</p><h3>Conclusion</h3><p dir="ltr">The study sheds light on the intricate variables affecting pre-hospital patient conveyance decisions in Qatar. Patterns such as male dominance and specific timing for EMS activities were noted, underlining the need for a comprehensive patient assessment that goes beyond medical histories. Additional investigations are needed to examine the duration spent with the patient until the ambulance becomes available for another 999 call. The findings prompt further analysis, research, and innovative approaches to enhance the standards of pre-hospital care delivery.</p>2024-05-26T06:40:13ZTextConference contributioninfo:eu-repo/semantics/publishedVersiontextconference object10.57945/manara.25709373.v1https://figshare.com/articles/conference_contribution/Factors_Influencing_Patient_Conveyance_Decisions_by_Ambulance_Service_Responders/25709373CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257093732024-05-26T06:40:13Z
spellingShingle Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
Hassan Farhat (9000509)
Biomedical and clinical sciences
Clinical sciences
Health sciences
Health services and systems
Transport to hospital
Conveyance decision
Pre-hospital
Epidemiological determinants
Healthcare quality
Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference
status_str publishedVersion
title Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
title_full Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
title_fullStr Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
title_full_unstemmed Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
title_short Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
title_sort Factors Influencing Patient Conveyance Decisions by Ambulance Service Responders
topic Biomedical and clinical sciences
Clinical sciences
Health sciences
Health services and systems
Transport to hospital
Conveyance decision
Pre-hospital
Epidemiological determinants
Healthcare quality
Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference