https://doi.org/10.4081/ecj.2010.1.23

How public ambulance arrivals impact on Emergency Department workload and resource use

Vol 6, No 1 (2010)
Submitted: 17 February 2013
Accepted: 17 February 2013
Published: 13 March 2010
public ambulance, Emergency Department
Abstract Views: 1184
PDF: 1922
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Authors

Enrico Ferri
lucia.zoppi@pagepress.org
Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Laura Magrini
Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Marco Alfano
Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Michele Del Parco
Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Salvatore Di Somma
Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy, .
Objectives: To examine patient’s characteristics associated with ED arrival mode, and to determine EMS impact on ED clinical resource use, workload and crowding. Methods: This is a retrospective study of patients seen at Sant’Andrea Hospital ED. Comparison focused on visit characteristics, and on resource use. Results: The use of EMS ambulance confirms association to older age, higher rate of hospital admission, longer length of stay, and severity of injury. Moreover our data show that ambulance referred patients are triaged into a higher acuity category and have a greater intensive care unit admission. Conclusion: Ambulance arrivals have a significant impact on ED resource use, workload and crowding.

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Enrico Ferri, Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Laura Magrini, Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Marco Alfano, Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Michele Del Parco, Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy
Salvatore Di Somma, Department of Emergency Medicine, A.O. Sant’Andrea, La Sapienza University of Rome, Rome, Italy

How to Cite

Ferri, E., Magrini, L., Alfano, M., Del Parco, M., & Di Somma, S. (2010). How public ambulance arrivals impact on Emergency Department workload and resource use. Emergency Care Journal, 6(1), 23–33. https://doi.org/10.4081/ecj.2010.1.23

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