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Patient trust and patient safety for low-priority patients: A randomized controlled trial pilot study in the prehospital chain of care
University of Borås, PreHospen – Centre for Prehospital Research, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Sweden.
University of Borås, PreHospen – Centre for Prehospital Research, Sweden.
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2019 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, article id 100778Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Patients who call for an ambulance but only have primary care needs do not always get appropriate care. The starting point in this study is that such patients should be assigned to as basic of care as possible, while maintaining high levels of patient trust and patient safety.

Aim: To evaluate patient trust and patient safety among low-priority ambulance patients referred to care at either the Community Health Centre (CHC) or the Emergency Department (ED).

Methods: This randomized controlled trial pilot study compared the level of patient trust and patient safety among low-priority ambulance patients who were randomized into two groups: CHC (n = 105) or ED (n = 83).

Results: There was a high level of trust in the care received, regardless of whether the patient received care at CHC or ED. Overall 31% fulfilled one or more of the given criteria for potentially jeopardizing patient safety.

Conclusion: Patient selection for the trial indicated a potential limit in patient safety. There was a high level of trust in the care received regardless of whether the patient received care. The accuracy of patient selection for the new care model needs to be further improved with the intention to enhance patient safety even further. 

Place, publisher, year, edition, pages
Elsevier, 2019. article id 100778
Keywords [en]
Ambulance care, Appropriate delivery of health care, Community Health Centre, Emergency Department, Low-priority patients, Patient safety, Patient trust, adult, ambulance, article, clinical evaluation, controlled study, drug safety, emergency care, emergency ward, female, health care delivery, health center, human, major clinical study, male, patient selection, pilot study, randomized controlled trial, trust
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-45442DOI: 10.1016/j.ienj.2019.06.001PubMedID: 31331836Scopus ID: 2-s2.0-85069562756OAI: oai:DiVA.org:hj-45442DiVA, id: diva2:1340469
Available from: 2019-08-05 Created: 2019-08-05 Last updated: 2019-08-05

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