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14 papers 25 to 100 followers
By Richard Gough Paramedic tutor, Post Qualification Manager
Gerard J FitzGerald
No abstract text is available yet for this article.
September 21, 2015: Medical Journal of Australia
Joseph Doyle, John Graves, Jonathan Gruber, Samuel Kleiner
Medicare spending exceeds 4% of GDP in the US each year, and there are concerns that moral hazard problems have led to overspending. This paper considers whether hospitals that treat patients more aggressively and receive higher payments from Medicare improve health outcomes for their patients. An innovation is a new lens to compare hospital performance for emergency patients: plausibly exogenous variation in ambulance-company assignment among patients who live near one another. Using Medicare data from 2002-2010, we show that ambulance company assignment importantly affects hospital choice for patients in the same ZIP code...
February 1, 2015: Journal of Political Economy
Jone Vencloviene, Ruta M Babarskiene, Paulius Dobozinskas, Gintare Sakalyte, Kristina Lopatiene, Nerijus Mikelionis
We hypothesized that weather and space weather conditions were associated with the exacerbation of essential hypertension. The study was conducted during 2009-2010 in the city of Kaunas, Lithuania. We analyzed 13,475 cards from emergency ambulance calls (EACs), in which the conditions for the emergency calls were made coded I.10-I.15. The Kaunas Weather Station provided daily records of air temperature (T), wind speed (WS), relative humidity, and barometric pressure (BP). We evaluated the associations between daily weather variables and daily number of EACs by applying a multivariate Poisson regression...
March 2015: International Journal of Environmental Research and Public Health
Ian Wilmer, Graham Chalk, Gareth Edward Davies, Anne Elizabeth Weaver, David John Lockey
OBJECTIVE: The identification of serious injury is critical to the tasking of air ambulances. London's Air Ambulance (LAA) is dispatched by a flight paramedic based on mechanism of injury (MOI), paramedical interrogation of caller (INT) or land ambulance crew request (REQ).This study aimed to demonstrate which of the dispatch methods was most effective (in accuracy and time) in identifying patients with serious injury. METHODS: A retrospective review of 3 years of data (to December 2010) was undertaken...
October 2015: Emergency Medicine Journal: EMJ
Robin W M Vernooij, Andrea Juliana Sanabria, Ivan Solà, Pablo Alonso-Coello, Laura Martínez García
BACKGROUND: Updating clinical practice guidelines (CPGs) is a crucial process for maintaining the validity of recommendations. Methodological handbooks should provide guidance on both developing and updating CPGs. However, little is known about the updating guidance provided by these handbooks. METHODS: We conducted a systematic review to identify and describe the updating guidance provided by CPG methodological handbooks and included handbooks that provide updating guidance for CPGs...
January 2, 2014: Implementation Science: IS
Rachel O'Hara, Maxine Johnson, A Niroshan Siriwardena, Andrew Weyman, Janette Turner, Deborah Shaw, Peter Mortimer, Chris Newman, Enid Hirst, Matthew Storey, Suzanne Mason, Tom Quinn, Jane Shewan
OBJECTIVES: Paramedics routinely make critical decisions about the most appropriate care to deliver in a complex system characterized by significant variation in patient case-mix, care pathways and linked service providers. There has been little research carried out in the ambulance service to identify areas of risk associated with decisions about patient care. The aim of this study was to explore systemic influences on decision making by paramedics relating to care transitions to identify potential risk factors...
January 2015: Journal of Health Services Research & Policy
Zosia Kmietowicz
No abstract text is available yet for this article.
December 3, 2014: BMJ: British Medical Journal
Mohsen Adib-Hajbaghery, Javad Zohrehea
No abstract text is available yet for this article.
December 2013: Nursing and Midwifery Studies
Krishna D Rao, Elizabeth Stierman, Aarushi Bhatnagar, Garima Gupta, Abdul Gaffar
BACKGROUND: Attracting physicians to rural areas has been a long-standing challenge in India. Government efforts to address the shortage of rural physicians include posting non-physician clinicians (NPCs) at primary health centers (PHCs) in select areas. Performance assessments of NPCs have typically focused on the technical quality of their care with little attention to the perspectives of patients. This study investigates patient views of physicians (Medical Officers) and NPCs in terms of patient satisfaction, perceived quality, and provider trust...
November 2013: Global Health, Science and Practice
Sunil Dasan, Poonam Gohil, Victoria Cornelius, Cath Taylor
OBJECTIVE: To estimate prevalence and explore potential causes and consequences of compassion satisfaction and compassion fatigue in UK emergency medicine consultants. METHODS: A sequential mixed-methods design. Cross-sectional e-survey to all UK NHS emergency medicine consultants (n=1317) including Professional Quality of Life (ProQOL) (compassion satisfaction/fatigue), followed by interviews with consultants scoring above (n=6) and below (n=6) predefined ProQOL thresholds...
August 2015: Emergency Medicine Journal: EMJ
Valérie Pittet, Bernard Burnand, Bertrand Yersin, Pierre-Nicolas Carron
BACKGROUND: The number of requests to pre-hospital emergency medical services (PEMS) has increased in Europe over the last 20 years, but epidemiology of PEMS interventions has little be investigated. The aim of this analysis was to describe time trends of PEMS activity in a region of western Switzerland. METHODS: Use of data routinely and prospectively collected for PEMS intervention in the Canton of Vaud, Switzerland, from 2001 to 2010. This Swiss Canton comprises approximately 10% of the whole Swiss population...
2014: BMC Health Services Research
Shane Clarke, Rachel Bradley, Bethany Simmonds, Chris Salisbury, Jonathan Benger, Elsa Marques, Rosemary Greenwood, Lee Shepstone, Maria Robinson, John Appleby-Fleming, Rachael Gooberman-Hill
INTRODUCTION: Currently identification, and therefore, management of patients at risk of osteoporotic fracture in the UK is suboptimal. As the majority of patients who fracture have fallen, it follows that people who fall can usefully be targeted in any programme that aims to reduce osteoporotic fracture. Targeting vulnerable patients who are likely to benefit from intervention may help shift the management of fracture prevention into primary care, away from emergency departments. Paramedics who attend to patients who have fallen may be well placed to assess future fracture risk, using the Fracture Risk Assessment Tool (FRAX) and communicate that information directly to general practitioners (GPs)...
September 3, 2014: BMJ Open
Kate Wood, Robert Crouch, Emma Rowland, Catherine Pope
BACKGROUND: Clinical handover plays a vital role in patient care and has been investigated in hospital settings, but less attention has been paid to the interface between prehospital and hospital settings. This paper reviews the published research on these handovers. METHODS: A computerised literature search was conducted for papers published between 2000 and 2013 using combinations of terms: 'handover', 'handoff', 'prehospital', 'ambulance', 'paramedic' and 'emergency' and citation searching...
July 2015: Emergency Medicine Journal: EMJ
David Lim, Stephen Bartlett, Peter Horrocks, Courtenay Grant-Wakefield, Jodie Kelly, Vivienne Tippett
BACKGROUND: Paramedic education has evolved in recent times from vocational post-employment to tertiary pre-employment supplemented by clinical placement. Simulation is advocated as a means of transferring learned skills to clinical practice. Sole reliance of simulation learning using mannequin-based models may not be sufficient to prepare students for variance in human anatomy. In 2012, we trialled the use of fresh frozen human cadavers to supplement undergraduate paramedic procedural skill training...
2014: BMC Medical Education
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