ArticleBMC emergency medicine2021
EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety?
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Scoping review on alternative care options for patients calling the ambulance.BMC emergency medicine · 2026Pooled it
- Machine learning assisted differentiation of low acuity patients at dispatch: The MADLAD randomized controlled trial.PLoS medicine · 2026Trial
- Treatment variability among low-acuity EMS patients in a university hospital ED: a retrospective registry study from Southwest Finland.BMC emergency medicine · 2026Article
- "I just needed help": a qualitative study of patients' experiences with a single responder ambulance.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Patient safety and predictors for subsequent healthcare contact after self-care referral from Swedish ambulance services: a retrospective cohort study.BMC emergency medicine · 2026Article
- Utilisation of a GP-staffed emergency response unit: an observational study from Norway.BJGP open · 2026Article
- Patient safety in non-conveyance within prehospital emergency medical services: a register-based study.Internal and emergency medicine · 2026Article
- Missed opportunities of feedback for emergency ambulance staff: a mixed-methods diary study.British paramedic journal · 2025Article
- Article
- An analysis of characteristics and associated factors for re-contacts after EMS non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Exploring care pathways of patients conveyed by emergency medical services (EMS) through electronic health records.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- An analysis of ambulance re-contacts after non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Treat and release: an observational study of non-conveyed high-acuity dispatches in a Danish emergency medical system.Internal and emergency medicine · 2024Observational
- The rate and predictors of violence against EMS personnel.BMC emergency medicine · 2024Article
- Prevalence, predictors and outcomes of self-reported feedback for EMS professionals: a mixed-methods diary study.BMC emergency medicine · 2024Observational
- Procedural sedation by advanced practice providers in the emergency medical service in the Netherlands: a retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Factors influencing non-conveyance care encounters in the ambulance service, registered nurses experiences - a qualitative study.BMC nursing · 2024Article
- Patient experience of non-conveyance in the EMS of Southwest Finland: a descriptive survey study.BMC emergency medicine · 2024Article
- Newly employed nurses' transition into their new role in the ambulance service- a qualitative study.BMC nursing · 2024Article
- Nurses' experience regarding patient safety in mobile pre-hospital care.Revista brasileira de enfermagem · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe safety of the Emergency Medical Service's (EMS's) non-conveyance decision was evaluated by EMS re-contacts, primary health care or emergency department (ED) visits, and hospitalization within 48 h. The secondary outcome was 28-day mortality.
methodsThis cohort study used prospectively collected data on non-conveyed EMS patients from three different regions in Finland between June 1 and November 30, 2018. The Adjusted International Classification of Primary Care (ICPC2) as the reason for care was compared to hospital discharge diagnoses (ICD10). Multivariable logistic regressions were used to determine factors that were independently associated with adverse outcomes. Results are presented with adjusted odds ratios (aORs) together with 95% confidence intervals (CIs). Data regarding deceased patients were reviewed by the study group.
resultsOf the non-conveyed EMS patients (n = 11,861), 6.3% re-contacted the EMS, 8.3% attended a primary health care facility, 4.2% went to the ED, 1.6% were hospitalized, and 0.1% died 0-24 h after the EMS mission. The 0-24 h adverse event rate was higher than 24-48 h. After non-conveyance, 32 (0.3%) patients were admitted to an intensive care unit within 24 h. Primary non-urgent EMS mission (aOR 1.49; 95% CI 1.25 to 1.77), EMS arrival at night (aOR 1.82; 95% CI 1.58 to 2.09), ALS unit type vs BLS (aOR 1.43; 95% CI 1.16 to 1.77), rural area (aOR 1.74; 95% CI 1.51 to 1.99), and older patient age (aOR 1.41; 95% CI 1.20 to 1.66) were associated with subsequent primary health care visits (0-24 h).
conclusionsFour in five non-conveyed patients did not have any re-contact in follow-up period. EMS non-conveyance seems to be a relatively safe method of focusing ED resources and avoiding ED crowding.
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