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Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers

1
Cooper Medical School of Rowan University, 401 South Broadway, Camden, NJ 08103, USA
2
Crozer-Keystone Health System, 1 Medical Center Blvd, Upland, PA 19013, USA
*
Author to whom correspondence should be addressed.
Healthcare 2019, 7(1), 24; https://doi.org/10.3390/healthcare7010024
Received: 12 January 2019 / Revised: 29 January 2019 / Accepted: 1 February 2019 / Published: 2 February 2019
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PDF [180 KB, uploaded 2 February 2019]

Abstract

Widespread use of Emergency Medicine Services (EMS) for non-emergency care has increased recently, causing overcrowding of the Emergency Department (ED). The increased availability of urgent care centers (UCCs), with their ability to see large numbers of unscheduled patients with more acute presentations, may offer a viable option for many EMS systems to divert non-emergent cases. Using a survey-based study combined with retrospective chart review, EMS provider ability to determine patient suitability for diversion to UCCs was assessed. Results indicated a rate of inappropriate diversion of 11.6%. UCCs may be an alternative option for EMS transport, however strict protocols with medical direction are needed. View Full-Text
Keywords: emergency medical services; urgent care; diversion; crowding emergency medical services; urgent care; diversion; crowding
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Carroll, G.; Levy, K.; Pescatore, R.; Hong, R. Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers. Healthcare 2019, 7, 24.

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