Currently, an EMS crew are called to a patient. Assess and treat the patient and convey the patient to the emergency department. Once the patient is handled over the EMS crew are unlikely to know the outcome of that patient unless they follow it up personally.
The EMS crew will not know whether their assessment, treatment and working diagnosis was correct and I would be interested to know if there was any work out there studying feedback models between the ED and the EMS crews and the impact this has on the quality of the clinical decision-making process, how patients are triaged and whether this influences things like overcrowding in the ED?
Thank you
Hi both,
some work going on in Wales involving linked routine data. Will keep you posted.
Until healthcare records become linked, this will be a challenge. For now, we depend upon clinician commitment to communicate outcomes and are currently setting up a feedback system but only for stroke/TIA.
We don't have institutionalised feed back systems over here (flanders, Belgium). It all depends on goodwill of ED teams to inform ambulance personnel on their next visit. Sometimes ambulance teams do inform actively about outcomes if interested.
Hi to all,
As i experience it here ( Wallonia, Belgium ;) ).
We only give or receive feedback when it's really bad.
Otherwise we do not really exchange.
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