According to official reports, too many ambulance patients are taken directly to the emergency department (ED) and too many on a flat back.
Four in five ambulance patients are taken directly to the ED, compared to half of the UK’s highest performing ambulance services, reports the HealthServiceExecutive Panel.
This suggests that emergency physicians are “more likely to bring patients directly to the ED” rather than first assessing the patient to determine the most appropriate care route.
According to the report, fewer patients will be taken to the hospital in an ambulance trolley bed. Many patients are “suitable to sit” when they are taken to the ED. Avoiding the use of trolleys for these patients can “speed up investigations and facilitate discharge assessment”.
According to the report, delays in delivery of care for patients arriving at the hospital by ambulance are primarily a symptom of pressure on the system, but not all delays in delivery are due to capacity issues.
The report states that ED and ambulance staff need to prioritize the risk to patients waiting in the ambulance when they arrive at the hospital.
The majority of patients arriving at ED by ambulance add that they will be taken to a trolley bed. This may be clinically appropriate, but “while everyone presenting an ambulance trolley waits for a transfer of care, or actually requires a transfer to a hospital trolley within the department, the trolley. You don’t have to stay in. “
The report points out the “worried” tendency of patients who arrive at the ED by ambulance but do not have access to the department. After that, the rescuer needs to take care of the patient behind the ambulance “for a considerable period of time”.
“These situations raise considerable concerns about patient safety. It also means that patients have limited access to toilet facilities, heat, food and water. This practice also raises concerns during the acute phase. It is deteriorating the relationship between hospital staff and frontline crew members. “
Dr. ED, who was interviewed for the report, expressed concern about the obstruction caused by the patient’s “sudden influx.” Patients are often subject to home visits early in the day and are taken to the hospital by ambulance in the afternoon.
Internal HSE records show that the time it takes to deliver a patient from ambulance service to the ED continues to deteriorate, affecting their ability to answer 999 calls.
The time to take over increased from 44 minutes in July 2021 to 65 minutes in September 2021 to 58 minutes in February last year.
https://www.irishtimes.com/news/health/four-in-five-ambulance-patients-brought-directly-to-ed-report-finds-1.4885187?localLinksEnabled=false Report found that 4 out of 5 ambulance patients were brought directly to ED