2025/12/01 by Emily Nehme, Karen Smith, Colin Jones +2 · 1 voice
Health Professions · Medicine · #Emergency and Acute Care Studies #Emergency medical services #MEDLINE #Patient Safety and Medication Errors #Patient care #Patient safety #Sepsis Diagnosis and Treatment
paper · pdf · doi:10.1111/1742-6723.70188
published in Emergency Medicine Australasia 37(6), e70188 (Wiley)
openalex publication_date 2025/12/01 · openalex created_date 2025/12/09 · openalex updated_date 2026/08/01
OBJECTIVE: To examine the impact of a revised ambulance clinical response model (CRM) on 24- and 72-h patient outcomes and triage accuracy. METHODS: Retrospective study of consecutive ambulance calls in Victoria, Australia between 01/01/2015 and 31/12/2018 linked with hospital and death records. Negative binomial interrupted time series analyses were used. RESULTS: Among callers referred away from emergency ambulance dispatch, the revised CRM was not associated with any change in mortality; although there was an increasing trend in recontacts. Among all callers, triage accuracy improved; however under-triage was more common. CONCLUSION: Ongoing CRM reforms should be informed by patient safety outcomes.