Understanding Non-Transport Decision Theories in the Pre-hospital Setting: A Comprehensive Narrative Review-Reference-Cited by-同舟云学术

Understanding Non-Transport Decision Theories in the Pre-hospital Setting: A Comprehensive Narrative Review

Published:2023-06-05 Issue: Volume: Page:
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Author:

Farhat Hassan¹,Laughton James¹,Aifa Kawther El¹,Nashwan Abdulqadir²,Gangaram Padarath¹,Khadhraoui Moncef³,Gargouri Imed³,Alinier Guillaume¹

Affiliation:

1. Hamad Medical Corporation Ambulance Service

2. Hamad Medical Corporation

3. University of Sfax

Abstract

Abstract Background: Pre-hospital emergency calls do not always result in the patient being transported to the hospital. Such decisions can jeopardize healthcare outcomes and lead to wasting resources. Objectives and Methods: The purpose of this review was to summarize the various theories reported in the literature regarding patient non-conveyance to healthcare facilities in the pre-hospital emergency setting. Studies published between January 2012 and August 2022 were identified from PubMed and Google Scholar. These studies were subsequently screened using the AL-Rayyan® software. Results and Discussion: Twenty-nine articles that summarized patient non-transport theories were identified. Patient non-transport is a crucial health issue. The factors related to the non-transport were: patient-initiated refusals (PIR), clinical-initiated decisions (CID), and dispatcher-initiated decisions (DID). Conclusions: Patient non-transport to hospitals remains a serious challenge for emergency care systems. Hence, it requires greater attention from different healthcare systems. Further analysis is necessary to understand pre-hospital non-transport events and identify improvement areas. This approach helps prevent the wastage of resources while ensuring that patients receive the appropriate and definitive care they require.

Publisher

Research Square Platform LLC

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