What influences ambulance clinician decisions to pre-alert Emergency Departments: a qualitative exploration of decision-making in three UK Ambulance Services

Rachel O’Hara, Fiona Sampson, Jaqui Long, Joanne Coster, Richard Pilbery
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Abstract

Background Ambulance clinicians use pre-alerts to inform receiving hospitals of the imminent arrival of a time-critical patient considered to require immediate attention, enabling the receiving Emergency Department or other clinical area to prepare. Pre-alerts are key to ensuring immediate access to appropriate care, but unnecessary pre-alerts can divert resources from other patients and fuel ‘pre-alert fatigue’ amongst ED staff. This research aims to provide a better understanding of pre-alert decision-making practice.
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是什么影响了救护车临床医生向急诊科发出预先警报的决定:对英国三家救护车服务机构决策的定性研究
背景 救护车临床医生使用预先警报通知接收医院有一名时间紧迫的病人即将到达,需要立即救治,以便接收医院的急诊科或其他临床区域做好准备。预先警报是确保立即获得适当护理的关键,但不必要的预先警报会占用其他病人的资源,并加剧急诊科工作人员的 "预先警报疲劳"。这项研究旨在更好地了解预警前的决策实践。
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