ArticleInternal and emergency medicine2026
Patient safety in non-conveyance within prehospital emergency medical services: a register-based study.
Article in Internal and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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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.
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Who cites it
3 citing papers in PubMed.
- The impact of community paramedicine service on prehospital time intervals in rural Norway: a quasi-experimental study.BMC 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
- Patient flow and safety after implementing a community paramedicine service: a quasi-experimental study.BMJ open · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study investigated the patient safety of prehospital Emergency Medical Service (EMS) non-conveyance decisions by examining EMS reassessments on-scene, hospital admission, and mortality within 48 h among non-conveyed patients. Secondarily, we described proportions of patients within each dispatch code needing reassessment and hospital admission and explored predictors of these outcomes.
methodsThis register-based study included all EMS assignments in the Central Denmark Region from January 1st, 2022, to December 31st, 2023, resulting in EMS-initiated non-conveyance. We estimated the proportion of patients reassessed on-scene by EMS providers, admitted to hospital or deceased within 48 h. Predictors of reassessment and hospital admission were explored using regression models.
resultsDuring the 2-year period, 17.402 patients were non-conveyed. Among these, 4.70% (95% CI: 4.40-5.03%) were reassessed by EMS providers, 4.92% (95% CI: 4.60-5.25%) were admitted to the hospital within 48 h, and 14 patients died within 48 h (0.08%, 95% CI: 0.04-0.13%). Patients with 'ear, nose and throat' complaints had a high risk of needing EMS reassessment (17.6%, 95% CI: 11.5-25.2%) and hospital admission (16.0%, 95% CI: 10.2-23.5%). Furthermore, the risk was high in patients with 'seizures', 'non-traumatic bleeding' and 'psychiatry/suicidal ideation'. Male sex, older age, and abnormal vital signs were identified as predictors.
conclusionsWithin 48 h, mortality was low and few non-conveyed patients were reassessed by the EMS and admitted to the hospital. This suggests that non-conveyance is generally a safe practice. However, caution is needed when considering males, older patients, those with specific complaints, and abnormal vital signs.
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