Decision-making processes when paramedics refer low acuity patients away from hospital: a scoping review
Journal Title: Irish Journal of Paramedicine - Year 2016, Vol 1, Issue 1
Abstract
Background Paramedic practice faces increasing service demand with decision-making and referral pathways needing to change. Patients with low acuity clinical presentations do not necessarily require ambulance transport to an emergency department, and previous studies show alternative referral pathways can be effective, safe and efficient. With limited previous research, decision-making processes within the context of referring low acuity patients, need to be further examined. Objectives To examine the literature related to paramedic decision-making when referring low acuity patients to alternative care services, instead of transporting to hospital. Methods In this scoping review, the literature between 2005 and 2015 of service providers was examined. Key search terms were developed to search four databases and Internet search engines. Results Four studies were specifically related to decision-making. A further nine studies on the broader topic of paramedics referring low acuity patients to alternative medical services were included in this review. Conclusions Key factors including clinical experience, education, protocol use, referral processes, and holistic healthcare approaches all influence decision-making of paramedics when referring low acuity patients away from hospital. Further research into these factors is required to understand how they influence and interact with each other.
Authors and Affiliations
Kelly Sheffield
Keywords
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- EP ID EP202193
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Decision-making processes when paramedics refer low acuity patients away from hospital: a scoping review
Background Paramedic practice faces increasing service demand with decision-making and referral pathways needing to change. Patients with low acuity clinical presentations do not necessarily require ambulance transport t...
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