Going Beyond the 9-1-1 Call - What BC Emergency Health Services is Doing to Improve Timely Access to Emergency Care

Healthc Q. 2017;20(3):72-77. doi: 10.12927/hcq.2017.25283.

Abstract

British Columbia Emergency Health Services (BCEHS) uses an internationally recognized Medical Priority Dispatch System to assign appropriate responses to 9-1-1 calls based on patients' clinical acuity. In 2015, 71% of Omega calls (classified as calls involving low acuity injuries) were assigned an ambulance. To better meet patients' needs, BCEHS collaborated with HealthLink BC's Nursing Services (HLBC NS) to audit over 2,000 calls. Based on the results, three Plan, Do, Study, Act (PDSA) cycles were implemented, yielding a 35% decrease in ambulances assigned and a 173% increase in referrals to HLBC NS to provide more suitable support. Ultimately, the interventions allowed these ambulances to be reallocated to more critical patients.

MeSH terms

  • Ambulances / statistics & numerical data
  • British Columbia
  • Emergency Medical Dispatcher / statistics & numerical data
  • Emergency Medical Service Communication Systems
  • Emergency Medical Services / organization & administration*
  • Emergency Medical Services / standards
  • Humans
  • Telenursing / statistics & numerical data*
  • Triage / methods*