scholarly journals Medical dispatchers’ perception of the interaction with the caller during emergency calls - a qualitative study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Thea Palsgaard Møller ◽  
Hejdi Gamst Jensen ◽  
Søren Viereck ◽  
Freddy Lippert ◽  
Doris Østergaaard
Keyword(s):  
Public Awareness ◽  
Emergency Call ◽  
Awareness Campaigns ◽  
Emergency Calls ◽  
Modifiable Factors ◽  
Qualitative Interview Study ◽  
Call Process ◽  
Complex Procedure ◽  
Call Handling ◽  
Emergency Medical Dispatchers

Abstract Background Medical dispatching is a highly complex procedure and has an impact upon patient outcome. It includes call-taking and triage, prioritization of resources and the provision of guidance and instructions to callers. Whilst emergency medical dispatchers play a key role in the process, their perception of the process is rarely reported. We explored medical dispatchers’ perception of the interaction with the caller during emergency calls. Secondly, we aimed to develop a model for emergency call handling based on these findings. Methods To provide an in-depth understanding of the dispatching process, an explorative qualitative interview study was designed. A grounded theory design and thematic analysis were applied. Results A total of 5 paramedics and 6 registered nurses were interviewed. The emerging themes derived from dispatchers’ perception of the emergency call process were related to both the callers and the medical dispatchers themselves, from which four and three themes were identified, respectively. Dispatchers reported that for callers, the motive for calling, the situation, the perception and presentation of the problem was influencing factors. For the dispatchers the expertise, teamwork and organization influenced the process. Based on the medical dispatchers´ perception, a model of the workflow and interaction between the caller and the dispatcher was developed based on themes related to the caller and the dispatcher. Conclusions According to medical dispatchers, the callers seem to lack knowledge about best utilization of the emergency number and the medical dispatching process, which can be improved by public awareness campaigns and incorporating information into first aid courses. For medical dispatchers the most potent modifiable factors were based upon the continuous professional development of the medical dispatchers and the system that supports them. The model of call handling underlines the complexity of medical dispatching that embraces the context of the call beyond clinical presentation of the problem.

scholarly journals Operating an eHealth System for Prehospital and Emergency Health Care Support in Light of Covid-19

2021 ◽  
Vol 3 ◽  
Author(s):  
Efthyvoulos Kyriacou ◽  
Zinonas Antoniou ◽  
George Hadjichristofi ◽  
Prokopios Fragkos ◽  
Chris Kronis ◽  
...  
Keyword(s):  
Electronic System ◽  
Emergency Call ◽  
Call Centre ◽  
Emergency Calls ◽  
Ambulance Dispatch ◽  
Reference Hospital ◽  
Call Handling ◽  
Critical Patients ◽  
One Year ◽  
The Impact

Introduction: The support of prehospital and emergency call handling and the impact of Covid-19 is discussed throughout this study. The initial purpose was to create an electronic system (eEmergency system) in order to support, improve, and help the procedure of handling emergency calls. This system was expanded to facilitate needed operation changes for Covid-19.Materials and Methods: An effort to reform the procedures followed for emergency call handling and Ambulance dispatch started on the Island of Cyprus in 2016; along that direction, a central call centre was created. The electronic system presented in this work was designed for this call centre and the new organization of the ambulance services. The main features are the support for ambulance fleet handling, the support for emergency call evaluation and triage procedure, and the improvement of communication between the call centre and the ambulance vehicles. This system started regular operation at the end of 2018. One year later, when Covid-19 period started, we expanded it with the addition of several new features in order to support the handling of patients infected with the new virus.Results: This system has handled 112,414 cases during the last 25 months out of which 4,254 were Covid-19 cases. These cases include the transfer of patients from their house to the reference hospital, or the transfer of critical patients from the reference hospital to another hospital with an intensive care unit or transfer of patients from one hospital to another one for other reasons, like the number of admissions.Conclusion: The main purpose of this study was to create an electronic system (eEmergency system) in order to support, improve, and help the procedure of handling emergency calls. The main components and the architecture of this system are outlined in this paper. This system is being successfully used for 25 months and has been a useful tool from the beginning of the pandemic period of Covid-19.

Environmental Degradation in the Ikorodu Sub-Urban Lagos - Lagoon Coastal Environment, Nigeria

2018 ◽  
Vol 10 (1) ◽  
pp. 16-33 ◽  
Author(s):  
Shakirudeen Odunuga ◽  
Samuel Udofia ◽  
Opeyemi Esther Osho ◽  
Olubunmi Adegun
Keyword(s):  
Anthropogenic Activities ◽  
Public Awareness ◽  
Biodiversity Loss ◽  
Policy Formulation ◽  
Coastal Environment ◽  
Resource Exploitation ◽  
Average Growth ◽  
Awareness Campaigns ◽  
The Government ◽  
State Of The Environment

Introduction:Human activities exert great pressures on the environment which in turn cause environmental stresses of various intensities depending on the factors involved and the sensitivity of the receiving environment.Objective:This study examines the effects of anthropogenic activities along the sub-urban lagoon fragile coastal ecosystem using DPSIR framework.Results:The results show that the study area has undergone a tremendous change between 1964 and 2015 with the built up area increasing to about 1,080 ha (17.87%) in 2015 from 224 ha (1.32%) in 1964 at an average growth rate of 16.78ha per annum. The nature of the degradation includes an increasing fragility of the ecosystem through the emergence and expansion of wetlands, flooding and erosion as well as a reduction in the benefits from the ecosystem services. Population growth, between 2006 and 2015 for Ikorodu LGA, estimated at 8.84% per annum serves as the most important driving force in reducing the quality of the environment. This is in addition to Pressures emanating from anthropogenic activities. The state of the environment shows continuous resource exploitation (fishing and sand mining) with the impacts of the pressures coming from water pollution, bank erosion, biodiversity loss and flooding. Although there has been a strong policy formulation response from the government, weak implementation is a major challenge.Recommendation:The study recommends public awareness campaigns and the implementation of existing policies to ensure a sustainable sub-urban lagoon coastal environment..

Advance care planning: the future

2020 ◽  
pp. bmjspcare-2020-002304
Author(s):  
Judith Rietjens ◽  
Ida Korfage ◽  
Mark Taubert
Keyword(s):  
Advance Care Planning ◽  
Public Awareness ◽  
Care Planning ◽  
Decisional Capacity ◽  
Best Interest ◽  
Awareness Campaigns ◽  
People With Dementia ◽  
Future Care ◽  
Advance Care ◽  
Improve Patient

ObjectivesThere is increased global focus on advance care planning (ACP) with attention from policymakers, more education programmes, laws and public awareness campaigns.MethodsWe provide a summary of the evidence about what ACP is, and how it should be conducted. We also address its barriers and facilitators and discuss current and future models of ACP, including a wider look at how to best integrate those who have diminished decisional capacity.ResultsDifferent models are analysed, including new work in Wales (future care planning which includes best interest decision-making for those without decisional capacity), Asia and in people with dementia.ConclusionsACP practices are evolving. While ACP is a joint responsibility of patients, relatives and healthcare professionals, more clarity on how to apply best ACP practices to include people with diminished capacity will further improve patient-centred care.

Sentiments expressed in YouTube public awareness campaigns: stroke

2021 ◽  
Vol 51 (6) ◽  
pp. 971-974
Author(s):  
Thanh G. Phan ◽  
Richard Beare ◽  
Velandai Srikanth ◽  
Henry Ma
Keyword(s):  
Public Awareness ◽  
Awareness Campaigns

Use of medical emergency call data as a marker of quality of emergency department care in the post-National Emergency Access Target era

2018 ◽  
Vol 42 (5) ◽  
pp. 607
Author(s):  
Lorraine Westacott ◽  
Judy Graves ◽  
Mohsina Khatun ◽  
John Burke
Keyword(s):  
Emergency Department ◽  
Patient Safety ◽  
Quality Of Care ◽  
Emergency Admission ◽  
Emergency Call ◽  
Medical Emergency ◽  
Negative Consequences ◽  
Model Of Care ◽  
Emergency Calls

Objectives Any new model of care should always be accompanied by rigorous monitoring to ensure that there are no negative consequences, especially any that impact upon patient safety. In 2013, ‘THERMoSTAT’ (Two- Hour Evaluation and Referral Model for Shorter Turnaround Times), an emergency department model of care developed by Royal Brisbane and Women’s Hospital staff was launched to gain efficiencies and improve hospital National Emergency Access Target (NEAT) compliance. The aim of this study was to trial the use of medical emergency call data as a novel marker of the quality of care delivered by our emergency department. Methods Incidence of medical emergency calls for hospital emergency admission patients for the 2 years pre- and 1 year post-THERMoSTAT were compared after standardising for overall hospital activity. Results During the study period, hospital activity increased 10%, and the emergency department experienced a total of 222 645 presentations, 68 000 (30.5%) of which converted into an admission. THERMoSTAT improved NEAT compliance by 17% (from 57.7% to 74.9%) with no change in any patient-safety indicators. A total of 8432 medical emergency calls were made on 5930 patients, 2831 of whom were emergency admissions. After adjusting for hospital activity, there was no change in the average number of patients per week who triggered a medical emergency call after the introduction of THERMoSTAT. These results were reproduced when data was analysed for: total number of inpatients triggering calls; emergency admission patients; and emergency admission patients within the first 24 h or first 4 h of admission. Conclusions This is the first report to investigate the correlation between inpatient medical emergency call incidence and emergency department model of care. Medical emergency call data showed significant promise as a measure of morbidity and as a more direct, objective, simple, quantitative and meaningful measure of patient safety. What is known about the topic? It is well established that extended emergency department lengths of stay are associated with poorer patient outcomes. The corollary of this is not always true however; shorter emergency department length of stay does not automatically translate into better care. Although the underlying philosophy of NEAT is to enhance patient care, there is a risk of negative consequences if NEAT is seen as an end in itself. Many of the commonly used emergency department key performance indicators focus on the timeliness of care and there is a scarcity of easily quantifiable markers that reliably reflect the quality of that care. What does this paper add? This study builds on the concept of medical emergency call incidence as a marker of safety and quality. It explores the utility of using the number of medical emergency calls made in the first few hours of an emergency admission as an indicator of the quality of care delivered by the emergency department. This is significant because it introduces a measure that has a focus that embraces more than the timeliness of care only. What are the implications for practitioners? If medical emergency call incidence in early emergency admissions can be proven to accurately reflect emergency department quality of care then it would provide an easily monitored, objective, quantitative and prompt measure that evaluates dimensions other than timeliness.

scholarly journals Addressing the diverging public and physician perceptions on the topic of antibiotic resistance

2016 ◽  
Vol 85 (1) ◽  
pp. 29-31
Author(s):  
Hong Yu (Andrew) Su ◽  
Matt Douglas-Vail
Keyword(s):  
Health Promotion ◽  
Antibiotic Resistance ◽  
Bacterial Infections ◽  
Public Awareness ◽  
Resistant Bacteria ◽  
Physician Perceptions ◽  
Awareness Campaigns ◽  
The Face

Antibiotics are a powerful tool in fighting bacterial infections but with overuse and misuse, resistance is emerging at an alarming rate. To better understand the root causes of resistance, studying the perceptions of both physicians and the general populace may prove beneficial from a health promotion standpoint. Research reveals that diverging views of these 2 groups remain significant, which proves concerning especially in the face of increasingly resistant bacteria and associated mortality. The issue at large, therefore, requires a better understandifrom both parties with regard to antibiotic guidelines, prescription habits and public awareness campaigns.

scholarly journals Promoting early diagnosis and recovering from the COVID-19 pandemic in lung cancer through public awareness campaigns: learning from patient and public insight work

2021 ◽  
Vol 8 (1) ◽  
pp. e001120
Author(s):  
Matthew Evison ◽  
Sarah Taylor ◽  
Seamus Grundy ◽  
Anna Perkins ◽  
Michael Peake
Keyword(s):  
Lung Cancer ◽  
Early Diagnosis ◽  
Late Stage ◽  
Healthcare Professionals ◽  
Public Awareness ◽  
The Public ◽  
Awareness Campaigns ◽  
The North ◽  
The Common ◽  
Diagnosis Of Lung Cancer

COVID-19 has had a devastating impact on outcomes in lung cancer leading to later stage presentation, less curative treatment and higher mortality. This has amplified the existing problem of late-stage presentation in lung cancer and is a call to arms for a multifaceted strategy to address this, including public awareness campaigns to promote healthcare review in patients with persistent chest symptoms. We report the learning from patient and public insight work from across the North of England exploring the barriers to seeking healthcare review with persistent chest symptoms. Members of the public described how a lack of importance is placed on the common symptoms of lung cancer and a feeling of being unworthy of review by healthcare professionals. They would feel motivated to seek review by dispelling the nihilism of lung cancer and would be able to take action more easily by removing the logistical hassle in the process. We propose a four-pillar framework (validation–endorsement–motivation–action) for developing the content of any public awareness campaigns promoting early diagnosis of lung cancer based on the findings of this comprehensive insight work. All providers and commissioners must work together to overcome the perceived and real barriers to patients with persistent chest symptoms.

scholarly journals Appraisal of the Level of Coordination among Solid Waste Management Agencies in Zaria Urban Area, Kaduna–Nigeria

2020 ◽  
Vol 5 (9) ◽  
pp. 797-804
Author(s):  
Tpl. Lawal Kabir Tunau ◽  
Tpl. Moses Zira Wanda
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Urban Area ◽  
Information Exchange ◽  
Solid Waste Management ◽  
Public Awareness ◽  
Likert Scale ◽  
Ordinal Scale ◽  
Agency Relationship ◽  
Awareness Campaigns

The paper is aimed at determining the level of coordination that exists among the different agencies that are involved in solid waste management in Zaria Urban area. Structured questionnaire and literature review were used to obtain data and information on the roles and responsibilities of agencies involved in solid waste management as well as the nature of inter-agency relationship in the study area. Purposive sampling technique was used to select 13 representatives of the Solid Waste Management agencies. Methods of data analysis employed for the research were the descriptive statistics (frequency analysis, percentage distribution, mean scores, grand mean scores and content analysis) for both government agencies and formal private waste collectors. The two points ordinal scale 1 representing yes and 2 representing no was employed for obtaining information on inter-agency relationships while the multiple options likert scale format was used for obtaining information on the level of coordination that exists among the different agencies, using such indicators as collaboration, consultation and information exchange. The multiple options likert scale questions type was also used to obtain information on effects of absence of a well-coordinated solid waste management system within the study area. The results of the analysis of the indicators of coordination using the two points ordinal scale on inter-agency relationship and other indicators, that is collaboration, consultation and information exchange also signified inefficient coordination among the agencies. The paper recommended among others that, there is need to prepare a well-coordinated and common solid waste management plan for common implementation by all stakeholders, which will guide policy formulation and coordinate all urban solid waste management issues within the urban area and also information exchange should be improved by providing effective means of communication among the institutions in the areas of public awareness campaigns, regularity of accessibility of the institutions to up to date information from other institutions

scholarly journals Defending Comprehensive Tobacco Control Policy Implementation in Nepal From Tobacco Industry Interference (2011–2018)

2020 ◽  
Vol 22 (12) ◽  
pp. 2203-2212 ◽  
Author(s):  
Dharma N Bhatta ◽  
Eric Crosbie ◽  
Stella A Bialous ◽  
Stanton Glantz
Keyword(s):  
Tobacco Control ◽  
Tobacco Industry ◽  
Public Awareness ◽  
Control Policy ◽  
Control Law ◽  
Middle Income ◽  
Middle Income Countries ◽  
Awareness Campaigns ◽  
The Law ◽  
Low And Middle Income

Abstract Introduction Nepal passed a comprehensive tobacco control law in 2011. Tobacco control advocates successfully countered tobacco industry (TI) interference to force implementation of law. Aims and Methods Policy documents, news stories, and key informant interviews were triangulated and interpreted using the Policy Dystopia Model (PDM). Results The TI tried to block and weaken the law after Parliament passed it. Tobacco control advocates used litigation to force implementation of the law while the TI used litigation in an effort to block implementation. The TI argued that tobacco was socially and economically important, and used front groups to weaken the law. Tobacco control advocates mobilized the media, launched public awareness campaigns, educated the legislature, utilized lawsuits, and monitored TI activities to successfully counter TI opposition. Conclusions Both tobacco control advocates and the industry used the discursive and instrumental strategies described in the PDM. The model was helpful for understanding TI activities in Nepal and could be applied to other low- and middle-income countries. Civil society, with the help of international health groups, should continue to track TI interference and learn the lessons from other countries to proactively to counter it. Implications The PDM provides an effective framework to understand battles over implementation of a strong tobacco control law in Nepal, a low- and middle-income country. The TI applied discursive and instrumental strategies in Nepal in its efforts to weaken and delay the implementation of the law at every stage of implementation. It is important to continuously monitor TI activities and learn lessons from other countries, as the industry often employ the same strategies globally. Tobacco control advocates utilized domestic litigation, media advocacy, and engaged with legislators, politicians, and other stakeholders to implement a strong tobacco control law. Other low- and middle-income countries can adapt these lessons from Nepal to achieve effective implementation of their laws.

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