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Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.

Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi: 10.1186/s12873-022-00630-8

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May 25, 2022
Johansson H, Lundgren K, Hagiwara MA. BMC Emerg Med. 2022;22(1):79.

Emergency medical services (EMS) clinicians must decide whether to transport patients to hospitals for emergency care, what level of emergency care they require, or to treat the patient at home and not transport to hospital. This analysis focused on patient safety incidents in Swedish prehospital care that occurred after 2015, following implementation of a protocol allowing EMS clinicians to triage patients to see-and-treat (non-conveyance) or see-and-convey elsewhere. Qualitative analysis of incident reports revealed three themes: assessment of patients, guidelines, and environment and organization. EMS clinicians deviated from the protocol in 34% of cases, putting patients at risk of inappropriate triage to see-and-treat.

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Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi: 10.1186/s12873-022-00630-8