Evidence map›Paper›PMID 37821810›Full record

ReviewInternational journal of emergency medicine2023

Understanding patient non-transport decision theories in the pre-hospital setting: a narrative review.

Hassan Farhat, Kawther El Aifa, Guillaume Alinier, Abdulqadir Nashwan, Padarath Gangaram, Moncef Khadhraoui, Loua Al-Shaikh, Imed Gargouri, James Laughton

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in International journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hassan FarhatHamad Medical Corporation Ambulance Service, Doha, Qatar.
Kawther El AifaHamad Medical Corporation Ambulance Service, Doha, Qatar.
Guillaume AlinierHamad Medical Corporation Ambulance Service, Doha, Qatar. G.Alinier@herts.ac.uk.
Abdulqadir NashwanDepartment of Nursing, Hamad Medical Corporation, Doha, Qatar.
Padarath GangaramHamad Medical Corporation Ambulance Service, Doha, Qatar.
Moncef KhadhraouiHigher Institute of Biotechnology, University of Sfax, Sfax, Tunisia.
Loua Al-ShaikhHamad Medical Corporation Ambulance Service, Doha, Qatar.
Imed GargouriFaculty of Medicine, University of Sfax, Sfax, Tunisia.
James LaughtonHamad Medical Corporation Ambulance Service, Doha, Qatar.

Funding

University of Hertfordshire Was not provided yet
6 · The paper itself

Abstract

backgroundIn pre-hospital emergency care, decisions regarding patient non-conveyance emerged as significant determinants of healthcare outcomes and resource utilization. These complex decisions became integral to the progress of emergency medical services, thus warranting an evolving exploration within the medical discourse. OBJECTIVES AND

methodsThis narrative review aimed to synthesize and critically evaluate various theoretical stances on patient non-conveyance in the pre-hospital emergency. The focus on studies published between January 2012 and August 2022 was intentional to capture contemporary practices and insights. PubMed and Google Scholar served as the primary databases for the investigation, while the AL-Rayyan® software facilitated a thorough screening process. RESULTS AND DISCUSSION: Twenty-nine studies-encompassing articles, books, and theses-were discovered through our search, each presenting unique perspectives on patient non-transport, thus highlighting its criticality as a healthcare concern. Predominant factors influencing non-transport decisions were classified into patient-initiated refusals (PIR), clinician-initiated decisions (CID), and dispatcher-initiated decisions (DID).

conclusionsThe issue of patient non-conveyance to hospitals continues to pose a crucial challenge to the seamless operation of emergency healthcare systems, warranting increased attention from various healthcare entities. To comprehend and pinpoint potential areas of improvement, a comprehensive analysis of pre-hospital non-transport events is imperative. A well-informed, strategic approach could prevent resource waste while ensuring patients receive the required and definitive care. KEY MESSAGES: Why is this topic important? Some studies have suggested that non-transport to hospitals following emergency calls is safe. However, it is a concerning issue for health systems. It is also considered a key performance metric for health systems. What does this review attempt to show? This review aimed to map the various factors discussed in the literature regarding the decisions not to transport patients following emergency calls in a pre-hospital setting. What are the key findings? The existing theories regarding non-transport to hospitals after the provision of emergency care in the pre-hospital setting were identified. Non-transport due to non-clinical decisions jeopardizes emergency care outcomes for paediatric and elderly patients in particular. Hence, further research is required to identify and control the factors governing these decisions. How is patient care impacted? The decisions regarding patient transport following emergency calls in a pre-hospital setting are crucial for patient outcomes. They could impact the pre-hospital emergency care outcomes as well as patient safety. They can also affect the emergency services resources' ability to respond to other critical emergencies.

Indexed as

Ambulance serviceNon-conveyanceNon-transportPrehospital careTransport refusal

Identifiers

PMID37821810
PMCPMC10566180

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.