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Original Research

Emergency Medical Services Clinicians’ Perspectives on Pediatric Non-Transport

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Pages 993-1003 | Received 24 Jun 2022, Accepted 25 Jul 2022, Published online: 29 Aug 2022

References

  • Ward C, Zhang A, Brown K, Simpson J, Chamberlain J. National characteristics of non-transported children by Emergency Medical Services (EMS) in the United States. Prehosp Emerg Care. 2022;26(4):537–46. doi:10.1080/10903127.2021.1985666.
  • Kannikeswaran N, Mahajan PV, Dunne RB, Compton S, Knazik SR. Epidemiology of pediatric transports and non-transports in an urban emergency medical services system. Prehosp Emerg Care. 2007;11(4):403–7. doi:10.1080/10903120701536677.
  • Ramgopal S, Owusu-Ansah S, Martin-Gill C. Factors associated with pediatric nontransport in a large emergency medical services system. Acad Emerg Med. 2018;25(12):1433–41. doi:10.1111/acem.13652.
  • Gerlacher GR, Sirbaugh PE, Macias CG. Prehospital evaluation of non-transported pediatric patients by a large emergency medical services system. Pediatr Emerg Care. 2001;17(6):421–4. doi:10.1097/00006565-200112000-00005.
  • Millin MG, Brown LH, Schwartz B. EMS provider determinations of necessity for transport and reimbursement for EMS response, medical care, and transport: combined resource document for the National Association of EMS Physicians position statements. Prehosp Emerg Care. 2011;15(4):562–9. doi:10.3109/10903127.2011.598625.
  • Knapp BJ, Kerns BL, Riley I, Powers J. EMS-initiated refusal of transport: the current state of affairs. J Emerg Med. 2009;36(2):157–61. doi:10.1016/j.jemermed.2007.06.028.
  • Jaslow D, Barbera JA, Johnson E, Moore W. EMS-initiated refusal and alternative methods of transport. Prehosp Emerg Care. 1998;2(1):18–22. doi:10.1080/10903129808958834.
  • Munjal K, Carr B. Realigning reimbursement policy and financial incentives to support patient-centered out-of-hospital care. JAMA. 2013;309(7):667–8. doi:10.1001/jama.2012.211273.
  • Goldman S, Doetzer G, Parekh A, Carr B, Alley D. Right care, right place, right time: the CMS innovation center launches the emergency triage, treat, and transport model. Ann Emerg Med. 2020;75(5):609–11. doi:10.1016/j.annemergmed.2019.09.006.
  • Bigham BL, Aufderheide TP, Davis DP, Powell J, Donn S, Suffoletto B, Nafziger S, Stouffer J, Morrison LJ, ROC Investigators. Knowledge translation in emergency medical services: a qualitative survey of barriers to guideline implementation. Resuscitation. 2010;81(7):836–40. doi:10.1016/j.resuscitation.2010.03.012.
  • Sofaer S. Qualitative research methods. Int J Qual Health Care. 2002;14(4):329–36. doi:10.1093/intqhc/14.4.329.
  • Liamputtong P, Ezzy D. Qualitative research methods. 2nd ed. South Melbourne, Victoria (Australia) & New York (USA): Oxford University Press; 2005.
  • Morgan DL. Focus groups as qualitative research. 2nd ed. Morgan DL, editor. Thousand Oaks (CA): Sage Publications; 1997.
  • Pope C, Mays N. Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995;311(6996):42–5. doi:10.1136/bmj.311.6996.42.
  • Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995;311(7000):299–302. doi:10.1136/bmj.311.7000.299.
  • Lindau H, Ramos-Gomez F, Garza J, Finlayson T, Pareja M, Liu J, Gansky S. Unexpected benefits of and lessons learned from shifting to virtual focus group discussions in the BEECON trial. BMC Res Notes. 2022;15(1):90. doi:10.1186/s13104-022-05950-3.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. doi:10.1093/intqhc/mzm042.
  • Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: a systematic review of empirical tests. Soc Sci Med. 2022;292:114523. doi:10.1016/j.socscimed.2021.114523.
  • Guest G, Namey E, McKenna K. How many focus groups are enough? Building an evidence base for nonprobability sample sizes. Field Methods. 2017;29(1):3–22. doi:10.1177/1525822X16639015.
  • Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health. 2015;42(5):533–44. doi:10.1007/s10488-013-0528-y.
  • Gausche-Hill M, Krug S, Wright J. Emergency Medical Services (EMS) 2050: a vision for the future of pediatric prehospital care. Prehosp Emerg Care. 2021;25(1):91–4. doi:10.1080/10903127.2020.1734123.
  • Seale C. Ensuring rigour in qualitative research. Eur J Public Health. 1997;7(4):379–84. doi:10.1093/eurpub/7.4.379.
  • Popay J, Rogers A, Williams G. Rationale and standards for the systematic review of qualitative literature in health services research. Qual Health Res. 1998;8(3):341–51. doi:10.1177/104973239800800305.
  • Rivard MK, Cash RE, Mercer CB, Chrzan K, Panchal AR. Demography of the national emergency medical services workforce: a description of those providing patient care in the prehospital setting. Prehosp Emerg Care. 2021;25(2):213–20. doi:10.1080/10903127.2020.1737282.
  • Phillips JS. Paramedics’ perceptions and experiences of NHS 111 in the south west of England. J Paramed Pract. 2020;12(6):227–34. doi:10.12968/jpar.2020.12.6.227.
  • Dejean D, Giacomini M, Welsford M, Schwartz L, Decicca P. Inappropriate ambulance use: a qualitative study of paramedics’ views. Healthc Policy. 2016;11(3):67–79. doi:10.12927/hcpol.2016.24535.
  • Prener C, Lincoln AK. Emergency medical services and “psych calls”: examining the work of urban EMS providers. Am J Orthopsychiatry. 2015;85(6):612–9. doi:10.1037/ort0000077.
  • Cannuscio CC, Davis AL, Kermis AD, Khan Y, Dupuis R, Taylor JA. A strained 9-1-1 system and threats to public health. J Community Health. 2016;41(3):658–66. doi:10.1007/s10900-015-0142-x.
  • Camasso-Richardson K, Wilde JA, Petrack EM. Medically unnecessary pediatric ambulance transports: a medical taxi service? Acad Emerg Med. 1997;4(12):1137–41. doi:10.1111/j.1553-2712.1997.tb03696.x.
  • Patterson PD, Baxley EG, Probst JC, Hussey JR, Moore CG. Medically unnecessary emergency medical services (EMS) transports among children ages 0 to 17 years. Matern Child Health J. 2006;10(6):527–36. doi:10.1007/s10995-006-0127-6.
  • Gregory EF, Chamberlain JM, Teach SJ, Engstrom R, Mathison DJ. Geographic variation in the use of low-acuity pediatric emergency medical services. Pediatr Emerg Care. 2017;33(2):73–9. doi:10.1097/PEC.0000000000000581.
  • Diekema DS, Beccaro D, Cummings MA, Quan PL. Physician parents and utilization of a pediatric emergency department. Pediatr Emerg Care. 1996;12(6):400–3.
  • Giusto J, Anton M, Gaiazov S, Huddleston K, Levy S, Fuller A, Hourigan S, Niederhuber J, Hwang V. Maternal confidence and emergency department utilization among infants. Pediatr Emerg Care. 2021;37(5):260–4. doi:10.1097/PEC.0000000000002419.
  • O’Malley AS. After-hours access to primary care practices linked with lower emergency department use and less unmet medical need. Health Aff (Millwood). 2013;32(1):175–83. doi:10.1377/hlthaff.2012.0494.
  • Pehlivanturk-Kizilkan M, Ozsezen B, Batu ED. Factors affecting nonurgent pediatric emergency department visits and parental emergency overestimation. Pediatr Emer Care. 2022;38(6):264–8. doi:10.1097/PEC.0000000000002723.
  • Sojar S, Gjelsvik A, Tsao HS, Amanullah S. Do unmet health needs drive pediatric emergency department utilization?: a population-based assessment. Pediatr Emerg Care. 2022;38(2):e569–e574. doi:10.1097/PEC.0000000000002319.
  • Ebben RHA, Vloet LCM, Speijers RF, Tönjes NW, Loef J, Pelgrim T, Hoogeveen M, Berben SAA. A patient-safety and professional perspective on non-conveyance in ambulance care: a systematic review. Scand J Trauma Resusc Emerg Med. 2017;25(1):71. doi:10.1186/s13049-017-0409-6.
  • Oosterwold J, Sagel D, Berben S, Roodbol P, Broekhuis M. Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review. BMJ Open. 2018;8(8):e021732. doi:10.1136/bmjopen-2018-021732.
  • Porter A, Snooks H, Youren A, Gaze S, Whitfield R, Rapport F, Woollard M. ‘Should I stay or should I go?’ Deciding whether to go to hospital after a 999 call. J Health Serv Res Policy. 2007;12(1_suppl):32–8. doi:10.1258/135581907780318392.
  • Sporer KA. 911 patient redirection. Prehosp Disaster Med. 2017;32(6):589–92. doi:10.1017/S1049023X17006999.
  • Halter M, Vernon S, Snooks H, Porter A, Close J, Moore F, Porsz S. Complexity of the decision-making process of ambulance staff for assessment and referral of older people who have fallen: a qualitative study. Emerg Med J. 2011;28(1):44–50. doi:10.1136/emj.2009.079566.
  • Snooks HA, Kearsley N, Dale J, Halter M, Redhead J, Foster J. Gaps between policy, protocols and practice: a qualitative study of the views and practice of emergency ambulance staff concerning the care of patients with non-urgent needs. Qual Saf Health Care. 2005;14(4):251–7. doi:10.1136/qshc.2004.012195.
  • Shaw D, Dyas JV, Middlemass J, Spaight A, Briggs M, Christopher S, Siriwardena AN. Are they really refusing to travel? A qualitative study of prehospital records. BMC Emerg Med. 2006;6(1):8. doi:10.1186/1471-227X-6-8.
  • Vilke GM, Sardar W, Fisher R, Dunford JD, Chan TC. Follow-up of elderly patients who refuse transport after accessing 9-1-1. Prehosp Emerg Care. 2002;6(4):391–5. doi:10.1080/10903120290938003.
  • Kahalé J, Osmond MH, Nesbitt L, Stiell IG. What are the characteristics and outcomes of nontransported pediatric patients? Prehosp Emerg Care. 2006;10(1):28–34. doi:10.1080/10903120500373322.
  • Carey JM, Studnek JR, Browne LR, Ostermayer DG, Grawey T, Schroter S, Lerner EB, Shah MI. Paramedic-identified enablers of and barriers to pediatric seizure management: a multicenter, qualitative study. Prehosp Emerg Care. 2019;23(6):870–81. doi:10.1080/10903127.2019.1595234.
  • Murphy A, Barrett M, Cronin J, McCoy S, Larkin P, Brenner M, Wakai A, O'Sullivan R. A qualitative study of the barriers to prehospital management of acute pain in children. Emerg Med J. 2014;31(6):493–8. doi:10.1136/emermed-2012-202166.
  • Boyle TP, Liu J, Dyer KS, Nadkarni VM, Camargo CA, Feldman JA. Pilot paramedic survey of benefits, risks, and strategies for pediatric prehospital telemedicine. Pediatr Emerg Care. 2021;37(12):e1499–502. doi:10.1097/PEC.0000000000002099
  • Langabeer J, Gonzalez M, Alqusairi D, Champagne-Langabeer T, Jackson A, Mikhail J, Persse D. Telehealth-enabled emergency medical services program reduces ambulance transport to urban emergency departments. WestJEM. 2016;17(6):713–20. doi:10.5811/westjem.2016.8.30660.
  • Rai B, Tennyson J, Marshall RT. Retrospective analysis of emergency medical services (EMS) physician medical control calls. West J Emerg Med. 2020;21(3):665–70. doi:10.5811/westjem.2020.1.44943.
  • Burstein JL, Hollander JE, Delagi R, Gold M, Henry MC, Alicandro JM. Refusal of out-of-hospital medical care: effect of medical-control physician assertiveness on transport rate. Acad Emerg Med. 1998;5(1):4–8. doi:10.1111/j.1553-2712.1998.tb02566.x.
  • Cone DC, Kim DT, Davidson SJ. Patient-initiated refusals of prehospital care: ambulance call report documentation, patient outcome, and online medical command. Prehosp Disaster Med. 1995;10(1):3–9. doi:10.1017/S1049023X0004156X.
  • Mann NC, Kane L, Dai M, Jacobson K. Description of the 2012 NEMSIS public-release research dataset. Prehosp Emerg Care. 2015;19(2):232–40. doi:10.3109/10903127.2014.959219.
  • Yeung T, Shannon B, Perillo S, Nehme Z, Jennings P, Olaussen A. Review article: outcomes of patients who are not transported following ambulance attendance: a systematic review and meta‐analysis. Emerg Med Australas. 2019;31(3):321–31. doi:10.1111/1742-6723.13288.
  • Haines CJ, Lutes RE, Blaser M, Christopher NC. Paramedic initiated non-transport of pediatric patients. Prehosp Emergy Care. 2006;10(2):213–9. doi:10.1080/10903120500541308.
  • Harrison NE, Ehrman RR, Curtin A, Gorelick D, Hill AB, Brennan E, Dunne R. Factors associated with voluntary refusal of emergency medical system transport for emergency care in Detroit during the early phase of the COVID-19 pandemic. JAMA Netw Open. 2021;4(8):e2120728. doi:10.1001/jamanetworkopen.2021.20728.
  • Siman-Tov M, Strugo R, Podolsky T, Blushtein O. An assessment of treatment, transport, and refusal incidence in a National EMS’s routine work during COVID-19. Am J Emerg Med. 2021;44:45–9. doi:10.1016/j.ajem.2021.01.051.

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