Understanding patient non-transport decision theories in the pre-hospital setting: a narrative review

ConclusionsThe issue of patient non-conveyance to hospitals continues to pose a crucial challenge to the seamless operation of emergency healthcare systems, warranting increased attention from various healthcare entities. To comprehend and pinpoint potential areas of improvement, a comprehensive analysis of pre-hospital non-transport events is imperative. A well-informed, strategic approach could prevent resource waste while ensuring patients receive the required and definitive care.Key messagesWhy is this topic important?Some studies have suggested that non-transport to hospitals following emergency calls is safe. However, it is a concerning issue for health systems. It is also considered a key performance metric for health systems.What does this review attempt to show?This review aimed to map the various factors discussed in the literature regarding the decisions not to transport patients following emergency calls in a pre-hospital setting.What are the key findings?The existing theories regarding non-transport to hospitals after the provision of emergency care in the pre-hospital setting were identified. Non-transport due to non-clinical decisions jeopardizes emergency care outcomes for paediatric and elderly patients in particular. Hence, further research is required to identify and control the factors governing these decisions.How is patient care impacted?The decisions regarding patient transport following emergency calls in a pre-hospital setting are crucial for patient ...
Source: International Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research