1887
Volume 2022, Issue 2
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Non-transported calls refer to calls received by dispatchers, ambulances dispatched, and the patient not being transported to any health facility. There is a need to analyze and scrutinize the number of such calls and the monetary cost associated with them as it will help to build an effective system to prevent wastage of money and time. The main objective of this study is to determine the cost and time lost due to the use of resources higher than required in non-emergency situations, and then a comparison is being made to determine the acceptable cost if the appropriate resources are used for such cases. Incidence of non-transported Emergency Medical Services (EMS) calls and the financial and time burdens in Jubail, classified non-urgent from 2017 to 2019, have wasted EMS resources. This information can be useful to improve EMS operations and allocate resources to control inappropriate usage. A retrospective cross-sectional study was conducted to assess non-emergency EMS calls in Jubail, Saudi Arabia. Study data were obtained from the Royal Commission Health Services Program- Jubail (RCHSP-J) key performance indicator (KPIs) system from 2017 to 2019. Descriptive statistical measures (sum, mean, and percentage), and comparison methods were obtained. The cost from 2017 to 2019 for the non-emergency calls by using the advanced life support ambulance (ALS) was 2,051,651 USD while the cost of emergency calls was 546,037 USD only. On the other hand, the time for the non-emergency calls was 6870 hours (78%) and the emergency calls were only 1769 hours (22%). In systems with limited resources and poor regulation; the non-emergency calls having higher costs and time more than emergency calls from 2017 to 2019, might have caused a delay in providing care for the more serious cases. This involves a significant financial waste that could have been planned to make the system work more efficiently avoiding massive waste of resources.

Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2022.10
2022-01-30
2024-11-15
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2022/2/jemtac.2022.10.html?itemId=/content/journals/10.5339/jemtac.2022.10&mimeType=html&fmt=ahah

References

  1. AlShammari T, Jennings P, Williams B. Evolution of emergency medical services in Saudi Arabia, Journal of Emergency Medicine, Trauma & Acute Care 2017::4 http://dx.doi.org/10.5339/jemtac.2017.4.
    [Google Scholar]
  2. Tahir MN, Akbar AH, Kayani A, et al 605 Non-emergency calls at an emergency setting: mass awareness needed Injury Prevention 2016; 22:A217.
  3. Fischer AJ, O'Halloran P, Littlejohns P, Kennedy A, Butson G. Ambulance economics. J Public Health Med. 2000 Sep; 22:(3):413–21. doi:10.1093/pubmed/22.3.413.
    [Google Scholar]
  4. Villarreal, B., Garza-Reyes, J.A., Granda, E., Lankenau, S., Montalvo, A., Bastidas, A.C. (2017), “Lean Emergency Medical Operations”, Proceedings of the 2017 International Symposium on Industrial Engineering and Operations Management (IEOM), Bristol, UK, July 24–25, pp. 766–774.
    [Google Scholar]
  5. Gardner GJ. The use and abuse of the emergency ambulance service: some of the factors affecting the decision whether to call an emergency ambulance. Arch Emerg Med. 1990 Jun; 7:(2):81–9. doi:10.1136/emj.7.2.81.
    [Google Scholar]
  6. Palazzo FF, Warner OJ, Harron M, Sadana A. Misuse of the London ambulance service: How much and why? J Accid Emerg Med. 1998 Nov; 15:(6):368–70. doi:10.1136/emj.15.6.368.
    [Google Scholar]
  7. Chen JC, Bullard MJ, Liaw SJ. Ambulance use, misuse, and unmet needs in a developing emergency medical services system. Eur J Emerg Med. 1996 Jun; 3:(2):73–8. doi:10.1097/00063110-199606000-00003.
    [Google Scholar]
  8. Hipskind JE, Gren JM, Barr DJ. Patients who refuse transportation by ambulance: a case series. Prehosp Disaster Med. 1997Oct-Dec; 12:(4):278–83.
    [Google Scholar]
  9. Department of Health Statistical Bulletin. Ambulance Services 1998–9. Bulletin 1999/16. London: Department of Health, 1999.
  10. Victor CR, Peacock JL, Chazot C, Walsh S, Holmes D. Who calls 999 and why? A survey of the emergency workload of the London Ambulance Service. J Accid Emerg Med. 1999 May; 16:(3):174–8. doi:10.1136/emj.16.3.174.
    [Google Scholar]
  11. J.J. Clawson and K.B. Dern Coeur, Principles of Emergency Medical Dispatch, Priority Press, Longmeadow, Mass, USA, 3rd edition, 2004.
    [Google Scholar]
  12. Reducing Non-Emergency Dells to 9-1-1: an Assessment of… (n.d.). Retrieved from https://www.ncjrs.gov/pdffiles/calls911.pdf .
  13. Phillips SE, Gaskin PS, Byer D, Cadogan WL, Brathwaite A, Nielsen AL. The Barbados emergency ambulance service: high frequency of nontransported calls. Emerg Med Int. 2012;2012:659392. https://doi.org/10.1155/2012/659392.
    [Google Scholar]
  14. Snooks H, Wrigley H, George S, Thomas E, Smith H, Glasper A. Appropriateness of use of emergency ambulances. J Accid Emerg Med. 1998 Jul; 15:(4):212–5. doi:10.1136/emj.15.4.212.
    [Google Scholar]
  15. [Google Scholar]
  16. Palazzo FF, Warner OJ, Harron M, Sadana A. Misuse of the London ambulance service: How much and why? J Accid Emerg Med. 1998 Nov; 15:(6):368–70. doi:10.1136/emj.15.6.368.
    [Google Scholar]
  17. Snooks HA, Dale J, Hartley-Sharpe C, Halter M. On-scene alternatives for emergency ambulance crews attending patients who do not need to travel to the accident and emergency department: a review of the literature. Emerg Med J. 2004 Mar; 21:(2):212–5. doi:10.1136/emj.2003.005199.
    [Google Scholar]
  18. Alrazeeni D, Sheikh S, Mobrad A, Ghamdi M, Abdulqader N, Al-Gabgab M, et al. Epidemiology of non-transported emergency medical Services calls in Saudi Arabia. Saudi Medical Journal. 2016;37:575–78. doi:10.15537/smj.2016.5.13872.
    [Google Scholar]
/content/journals/10.5339/jemtac.2022.10
Loading
/content/journals/10.5339/jemtac.2022.10
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): costemergency medical servicesnon-emergency callstime and waste management
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error