Study does not focus on specific diagnoses
Conditions
Interventions
Group 1: EMS patients with acute care needs will be assessed using SmED and redirected to ambulatory care via IVENA eHealth or eTS.
Sponsors
Bayerisches Staatsministerium des Innern, für Sport und Integration
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All persons for whom the responsible paramedic on site excluded an emergency in accordance with the State Rescue Service Act and declared the EMS operation to be terminated.
Exclusion criteria
Exclusion criteria: - Underage patients - Emergencies - Pregnant woman - Limited or absent ability to give informed consent - Lack of competency in german language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Proportion of patients, who are referred to ambulatory care | — |
Secondary
| Measure | Time frame |
|---|---|
| - Health care processes of referred patients • Proportion of people, who are transported to a emergency department after SmED assessment • Proportion of patients, who are admitted from cooperation practices (CP) or on-call practice to an ED • Proportion of patients, who are referred from CP to another specialty • Reasons for admission from a CP to a ED or referral from a CP to another specialty - Demographic and medical characteristics of referred patients • Age groups • Gender • Symptoms • Main and additional complaints - Reasons for ED utilisation and satisfaction with the redirection offering from the patients' perspective - Feasibility and acceptance of redirection offering from EMS staff perspective - Course of time • Duration after the EMS operation until the CP or on-call practice appointment • Total duration of EMS operations with SmED utilitation • Time intervals in emergency care (prehospital time interval, on-scene interval, handover interval and instauration of standby duty) for EMS operations with SmED utilitation • Duration after the arrival of the evaluating EMS until the start of SmED - Proportion of emergency medical physician involvement in operations with SmED utilitation - Proportion of different keyword combinations in operations with SmED utilitation - Patient safety • Proportion of patients for whom a new EMS operation is triggered within 72 hours after SmED assessment and redirection to ambulatory care • Proportion of patients for whom a new EMS operation is triggered within 72 hours after SmED assessment and refusal of the redirection offer • Specialist assessment of the reasons for a new EMS operation and the medical deployment documentation with regard to the potential risk by the initial decision | — |
Countries
Germany
Contacts
Public ContactChristian Pfeiffer
Kassenärztliche Vereinigung Bayerns
Outcome results
None listed