System-related influences on assigning patients to emergency care practitioners

The deployment of advanced paramedics in ambulance services in the UK has been reviewed in the last few years. This study examined the role played by a computerised dispatch system (AMPDS – Advanced Medical Priority Dispatch System) which was reported to be not predictive in terms of selecting suita...

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Main Authors:	Abd Hamid, Harris Shah, Waterson, Patrick
Format:	Conference or Workshop Item
Language:	English
Published:	UniMap 2011
Subjects:	BF636 Applied psychology
Online Access:	http://irep.iium.edu.my/8805/ http://irep.iium.edu.my/8805/1/4-System-related_influences_on_assigning_patients_to_emergen.pdf

id	iium-8805
recordtype	eprints
spelling	iium-88052011-12-28T04:21:43Z http://irep.iium.edu.my/8805/ System-related influences on assigning patients to emergency care practitioners Abd Hamid, Harris Shah Waterson, Patrick BF636 Applied psychology The deployment of advanced paramedics in ambulance services in the UK has been reviewed in the last few years. This study examined the role played by a computerised dispatch system (AMPDS – Advanced Medical Priority Dispatch System) which was reported to be not predictive in terms of selecting suitable patients to assign to emergency care practitioners (ECPs). The aim of this paper is to further examine the AMPDS data in order to understand influences on ECPs deployment and the resulting patient outcomes in an Ambulance Services NHS (National Health Service) Trust. AMPDS data for cases where ECPs were dispatched during a six-month period was extracted. The data was analysed using SPSS 12.0 to examine the number and types of cases across different time frames. In order to understand the factors related to ECP deployment and decisions to transport patients, semi-structured interviews were conducted with seventeen ECPs and three ambulance control room staff. The interviews were transcribed and analysed using emergent themes analysis with NVivo7. Results: There was an increase in the number of cases assigned to ECPs in the months covered by the data set. There are differences of the rate of patient transport among the Primary Care Trusts (PCT) within the Ambulance Services which are not due to fluctuations in workload across days of the week. The interviews help to explain the variations by identifying wider systemic influences. Themes derived from the interviews are patient’s social needs, geographical factor, technical factor, information factor, and connectivity to care pathways. Conclusions: The variations in the deployment of ECPs within the Ambulance Services can be partly attributed to wider systemic influences. Designing a paramedic role for pre-hospital care in the community should take into accounts the factors that influence their decisions regarding patient’s care pathway. UniMap 2011 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/8805/1/4-System-related_influences_on_assigning_patients_to_emergen.pdf Abd Hamid, Harris Shah and Waterson, Patrick (2011) System-related influences on assigning patients to emergency care practitioners. In: Asia Pacific Symposium on Advancements in Ergonomics and Safety, 5 - 6 December 2011, Kangar, Perlis.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	BF636 Applied psychology
spellingShingle	BF636 Applied psychology Abd Hamid, Harris Shah Waterson, Patrick System-related influences on assigning patients to emergency care practitioners
description	The deployment of advanced paramedics in ambulance services in the UK has been reviewed in the last few years. This study examined the role played by a computerised dispatch system (AMPDS – Advanced Medical Priority Dispatch System) which was reported to be not predictive in terms of selecting suitable patients to assign to emergency care practitioners (ECPs). The aim of this paper is to further examine the AMPDS data in order to understand influences on ECPs deployment and the resulting patient outcomes in an Ambulance Services NHS (National Health Service) Trust. AMPDS data for cases where ECPs were dispatched during a six-month period was extracted. The data was analysed using SPSS 12.0 to examine the number and types of cases across different time frames. In order to understand the factors related to ECP deployment and decisions to transport patients, semi-structured interviews were conducted with seventeen ECPs and three ambulance control room staff. The interviews were transcribed and analysed using emergent themes analysis with NVivo7. Results: There was an increase in the number of cases assigned to ECPs in the months covered by the data set. There are differences of the rate of patient transport among the Primary Care Trusts (PCT) within the Ambulance Services which are not due to fluctuations in workload across days of the week. The interviews help to explain the variations by identifying wider systemic influences. Themes derived from the interviews are patient’s social needs, geographical factor, technical factor, information factor, and connectivity to care pathways. Conclusions: The variations in the deployment of ECPs within the Ambulance Services can be partly attributed to wider systemic influences. Designing a paramedic role for pre-hospital care in the community should take into accounts the factors that influence their decisions regarding patient’s care pathway.
format	Conference or Workshop Item
author	Abd Hamid, Harris Shah Waterson, Patrick
author_facet	Abd Hamid, Harris Shah Waterson, Patrick
author_sort	Abd Hamid, Harris Shah
title	System-related influences on assigning patients to emergency care practitioners
title_short	System-related influences on assigning patients to emergency care practitioners
title_full	System-related influences on assigning patients to emergency care practitioners
title_fullStr	System-related influences on assigning patients to emergency care practitioners
title_full_unstemmed	System-related influences on assigning patients to emergency care practitioners
title_sort	system-related influences on assigning patients to emergency care practitioners
publisher	UniMap
publishDate	2011
url	http://irep.iium.edu.my/8805/ http://irep.iium.edu.my/8805/1/4-System-related_influences_on_assigning_patients_to_emergen.pdf
first_indexed	2023-09-18T20:18:38Z
last_indexed	2023-09-18T20:18:38Z
_version_	1777407957454028800

System-related influences on assigning patients to emergency care practitioners

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