Work

Revising the Ambulance Clinical Response Model in Victoria, Australia: The Impact on Patient Safety

Year: 2025

Type: article

Abstract: 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.

Source: Emergency Medicine Australasia

DOI: 10.1111/1742-6723.70188

Authors: Emily Nehme, Karen Smith, Colin Jones, Peter Cameron, Ziad Nehme

Institutions: Ambulance Victoria, Monash University

Language: English

Topic: Emergency and Acute Care Studies

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

Funders: National Heart Foundation of Australia, Department of Health, State Government of Victoria, Medical Research Council, National Health and Medical Research Council