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Ambulance diversion is not associated with low acuity patients attending Perth metropolitan emergency departments.
Emerg Med Australas. 2005 Feb; 17(1):11-5.EM

Abstract

OBJECTIVE

To examine the relationship between ambulance diversion and low acuity patient (LAP) attendances to EDs.

METHODS

Comparison of LAP attendance rates at inner metropolitan EDs and outer metropolitan EDs using a previously validated methodology.

RESULTS

The percentage of LAP attendances was lower at inner metropolitan EDs (11.4%, 95% CI 11.3-11.6) compared to outer metropolitan hospitals (22.9%, 95% CI 22.6-23.2, P < 0.001). The proportion of LAP attendances was slightly higher at both inner and outer metropolitan hospitals after-hours compared to working hours. Average daily LAP attendances per inner metropolitan hospital (13.4 attendances, 95% CI 13.2-13.6) which averaged 89.2 min of diversion daily (95% CI 88.7-89.7) were lower than at outer metropolitan hospitals (19.3 attendances, 95% CI 19.0-19.6, P < 0.001), which averaged 12.4 min of diversion daily (95% CI 12.1-12.5, P < 0.001).

CONCLUSIONS

Inner metropolitan hospitals experience low LAP attendance rates. Attempts to further reduce LAP attendance rates at Perth inner metropolitan hospitals have limited scope to reduce ambulance diversion.

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Authors+Show Affiliations

Sprivulis P
Acute Demand Management Unit, Department of Health, Western Australia, Australia. peter.sprivulis@health.wa.gov.au
Grainger S
No affiliation info available
Nagree Y
No affiliation info available

MeSH

AdultAmbulancesChildEmergency Service, HospitalHospitals, UrbanHumansPatient TransferRetrospective StudiesSuburban Health ServicesTriageWestern Australia

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15675899

Citation

Sprivulis, Peter, et al. "Ambulance Diversion Is Not Associated With Low Acuity Patients Attending Perth Metropolitan Emergency Departments." Emergency Medicine Australasia : EMA, vol. 17, no. 1, 2005, pp. 11-5.
Sprivulis P, Grainger S, Nagree Y. Ambulance diversion is not associated with low acuity patients attending Perth metropolitan emergency departments. Emerg Med Australas. 2005;17(1):11-5.
Sprivulis, P., Grainger, S., & Nagree, Y. (2005). Ambulance diversion is not associated with low acuity patients attending Perth metropolitan emergency departments. Emergency Medicine Australasia : EMA, 17(1), 11-5.
Sprivulis P, Grainger S, Nagree Y. Ambulance Diversion Is Not Associated With Low Acuity Patients Attending Perth Metropolitan Emergency Departments. Emerg Med Australas. 2005;17(1):11-5. PubMed PMID: 15675899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ambulance diversion is not associated with low acuity patients attending Perth metropolitan emergency departments. AU - Sprivulis,Peter, AU - Grainger,Stephen, AU - Nagree,Yusuf, PY - 2005/1/29/pubmed PY - 2005/6/9/medline PY - 2005/1/29/entrez SP - 11 EP - 5 JF - Emergency medicine Australasia : EMA JO - Emerg Med Australas VL - 17 IS - 1 N2 - OBJECTIVE: To examine the relationship between ambulance diversion and low acuity patient (LAP) attendances to EDs. METHODS: Comparison of LAP attendance rates at inner metropolitan EDs and outer metropolitan EDs using a previously validated methodology. RESULTS: The percentage of LAP attendances was lower at inner metropolitan EDs (11.4%, 95% CI 11.3-11.6) compared to outer metropolitan hospitals (22.9%, 95% CI 22.6-23.2, P < 0.001). The proportion of LAP attendances was slightly higher at both inner and outer metropolitan hospitals after-hours compared to working hours. Average daily LAP attendances per inner metropolitan hospital (13.4 attendances, 95% CI 13.2-13.6) which averaged 89.2 min of diversion daily (95% CI 88.7-89.7) were lower than at outer metropolitan hospitals (19.3 attendances, 95% CI 19.0-19.6, P < 0.001), which averaged 12.4 min of diversion daily (95% CI 12.1-12.5, P < 0.001). CONCLUSIONS: Inner metropolitan hospitals experience low LAP attendance rates. Attempts to further reduce LAP attendance rates at Perth inner metropolitan hospitals have limited scope to reduce ambulance diversion. SN - 1742-6731 UR - https://www.unboundmedicine.com/medline/citation/15675899/Ambulance_diversion_is_not_associated_with_low_acuity_patients_attending_Perth_metropolitan_emergency_departments_ L2 - https://doi.org/10.1111/j.1742-6723.2005.00686.x DB - PRIME DP - Unbound Medicine ER -