Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Matched Data and PreHospital Risk Management Sophie Clark The London Ambulance Service Patient Journey Through LAS Hear and Treat (4%) Data Collected on the Telephone See and Treat (30%) Data Collected by the Clinician on Scene Clinician gives data to hospital... No data available.... Risks of Limited Outcome Data • • • • • No integration between services No method of corroborating the accuracy of LAS findings No understanding of the outcomes of conveyed patients or the care provided at A&E Paramedics denied lessons about identifying and caring for the acutely unwell No method to track patients in high risk groups, such as patients who die in A&E. Lack of data = Unknown (unmitigated) Risks Cardiac Arrest Outcomes Patient Outcome Project = Responding Appropriately 43% of patients that are discharged from A&E are getting a response within 8 minutes. But 29% of patients who die in A&E do not get a response within 8 minutes. 11% of patients that will die in A&E are waiting over 30 minutes for an ambulance. Non-urgent patients are over triaged to the detriment of acutely unwell patients. Responding Appropriately To reduce the risk of acutely unwell patients waiting for an ambulance. Neck Alcohol Sepsis T2DM Muscle Inj Other Overdose NOF PD Respiratory Vertigo Wound Disorder Face Contusion /Bruise Head Nervous System Disorder C-Spine Sprain Leg Wound Mixed PE Renal Failure Dementia Colic SVT Asthma Constipation Left Before Being Seen ACS Urinary Tract Calculus UTI PulOedema Palpitations Urine Retention Osteoarthritis Arrhythmia Other BronchoPneumonia Headache ♯ Humerus Minor Head Injury Grand Mal Epilepsy Minor Head Inj Reflux GI Bleed Pneumonia Homeless Bowel Admittance Rate Leg Bruise Lower Back Pain Thorax Inj CCF Gastritis Vasovagal Syncope Other Bone Abdo Pain – Joint No Cause Disorder Infectious Stable Angina Trop Negative COPD Constochondritis Depression Gastro- Postural Hypotension Epistaxis Wound Face Chest Pain LRTI URTI Pseudo-Obstruction seizure Alcohol Intoxication TIA Viral Gastroenteritis Allergy Alcohol Dependence Alcohol Withdraw Migraine Knee Sprain Sciatica Pancreatitis Catheter Problem Stroke Shoulder enteritis BP BPR Dislocation Alcoholic Infection Labyrinthitis ACS Ankle Multiple Gastritis Headache Bruise Electrolyte Sprain Falls Foot Lumbar Disorder ♯ DVT Sprain Shoulder Epilepsy Tonsillitis Anaemia Schizophrenia Arm Wound Arthritis Results Only AF Hypo No Coma Cellulitis Acute Confusion Neck Alcohol Sepsis T2DM Muscle Inj Other Overdose NOF PD Respiratory Vertigo Wound Disorder Face Contusion /Bruise Head Nervous System Disorder C-Spine Sprain Leg Wound Mixed PE Renal Failure Dementia Colic SVT Asthma Constipation Left Before Being Seen ACS Urinary Tract Calculus UTI PulOedema Palpitations Urine Retention Osteoarthritis Arrhythmia Other BronchoPneumonia Headache ♯ Humerus Minor Head Injury Grand Mal Epilepsy Minor Head Inj Reflux GI Bleed Pneumonia Homeless Bowel Admittance Rate Leg Bruise Lower Back Pain Thorax Inj CCF Gastritis Vasovagal Syncope Other Bone Abdo Pain – Joint No Cause Disorder Infectious Stable Angina Trop Negative COPD Constochondritis Depression Gastro- Postural Hypotension Epistaxis Wound Face Chest Pain LRTI URTI Pseudo-Obstruction seizure Alcohol Intoxication TIA Viral Gastroenteritis Allergy Alcohol Dependence Alcohol Withdraw Migraine Knee Sprain Sciatica Pancreatitis Catheter Problem Stroke Shoulder enteritis BP BPR Dislocation Alcoholic Infection Labyrinthitis ACS Ankle Multiple Gastritis Headache Bruise Electrolyte Sprain Falls Foot Lumbar Disorder ♯ DVT Sprain Shoulder Epilepsy Tonsillitis Anaemia Schizophrenia Arm Wound Arthritis Results Only AF Hypo No Coma Cellulitis Acute Confusion Alcohol Intoxication Sepsis Left Before Being Seen Closed Fracture Neck of Femur Call Category Telephone Chief Complaint LAS Response time Conclusion • Linked data is not routine practice in LAS • This leads to a potential lack of integration and unmitigated risks. • Linked data can aid understanding and quantifying the risks. • Linked data can help safe decision-making at telephone triage and on scene. • Defining a safe service? • This is only the start….. Questions? Thank you for listening