Unselected (not selected by disease or demographic status) adult patients who called an ambulance and received a face-to-face response Not Applicable
Conditions
Interventions
Transported ambulance patients will have the prehospital care record linked to the ED record and a new binary variable will be created as to whether the level of care they received in ED justified the
Sponsors
Yorkshire Ambulance Service NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Cohort 1: 1. Age 18 years old or older 2. Transported to ED by Yorkshire Ambulance Service between 01/07/2019 and 29/02/2020 3. Have an ED Care record of the event 4. Assessed by a qualified ambulance clinician ((either paramedic (of any level) or technician grade II)) 5. Had an electronic patient care record completed 6. Transported to an ED between 01/07/2019 and 29/02/2020 7. Were handed over and booked in as a patient to the ED Cohort 2 1. Age 18 years or older 2. Assessed by a qualified ambulance clinician (either paramedic or technician grade II) 3. Had an electronic patient care record completed 4. Discharged on scene and not transported between 01/07/2019 and 29/02/2020
Exclusion criteria
Exclusion criteria: Cohort 1: 1. Patient cases where they were less than 18 years old at time of episode 2. Patient cases where they had five or more patient contacts within the data collection period Cohort 2: 1. Patient cases where they were less than 18 years old at time of episode 2. Patient cases where they had five or more patient contacts within the data collection period 3. Patient cases that were transported by the ambulance crew on scene
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| An avoidable attendance at ED, defined as first attendance with some recorded treatments or investigations, all of which may have reasonably been provided in a non-emergency care setting, followed by discharge home or to GP care. Measured by combining elements of routinely collected ED clinical data once a patient is discharged from ED. | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
England, United Kingdom
Outcome results
None listed