Table 3 Assessment of the need of a diagnosis feedback system in the EMS
Survey participants N = 428 | |
|---|---|
Based on your subjective assessment: In how many cases does your suspected diagnosis align with the hospital’s definitive final diagnosis? N (%) | |
≤ 50% | 27 (6.3) |
50–59% | 43 (10.0) |
60–69% | 49 (11.4) |
70–79% | 117 (27.3) |
80–89% | 121 (28.3) |
≥ 90% | 60 (14.0) |
Not answered | 11 (2.6) |
The following three questions were only displayed if participants rated the information on the hospital’s final diagnosis as helpful for their daily work in EMS | N = 405 (100%) |
I would like to know the hospital’s final diagnosis in order to… Multiple choice, number of answers (% participants) | n = 403 (99.5%) |
1778 responses 4.4 MRF/P | |
...become more confident in my assessment of the suspected diagnosis | 332 (82.4) |
...self-evaluate | 357 (88.6) |
...learn for future calls | 382 (94.8) |
...feel validated in my work | 175 (43.4) |
...gain more motivation for my work because my suspected diagnosis was correct | 204 (50.6) |
...better process the calls | 153 (38.0) |
...have fewer concerns about possible mistakes after the call | 168 (41.7) |
...other reasons | 7 (1.7) |
For which calls would feedback on the diagnosis be important to you? Multiple choice, number of answers (% participants) | n = 399 (98.5%) |
894 responses 2.2 MRF/P | |
For calls without an emergency physician | 328 (82.2) |
For calls with an emergency physician | 292 (73.2) |
For calls with a tele-emergency physician | 175 (43.9) |
For specific (suspected) diagnoses: ___ | 64 (16.0) |
For other calls: ____ | 35 (8.8) |
How soon after a call should diagnostic feedback be provided at the latest? N (%) | N = 403 (99.5%) |
As soon as possible | 317 (78.7) |
Within two weeks | 69 (17.1) |
Within one month | 13 (3.2) |
Within three months | 0 (0) |
Within six months | 0 (0) |
Within one year | 0 (0) |
Other time frame | 4 (1.0) |
Which professional groups, in your opinion, would benefit from feedback on the diagnosis? Multiple choice, number of answers (% participants) | n = 427 (99.8%) |
675 responses 1.6 MRF/P | |
None | 4 (0.9) |
All of the mentioned professional groups | 335 (78.5) |
Emergency physician | 73 (17.1) |
Tele-emergency physician | 40 (9.4) |
Paramedic | 82 (19.2) |
Advanced Emergency Medical Technician (AEMT) | 68 (15.9) |
Emergency Medical Technician (EMT) | 54 (12.6) |
Emergency Medical Responder (EMR) | 7 (1.6) |
Other role | 12 (2.8) |
What additional information on the course of treatment would be helpful as feedback after a call for your daily work in EMS? Multiple choice, number of answers (% participants) | n = 425 (99.3%) |
863 responses 2.0 MRF/P | |
None | 40 (9.4) |
Secondary diagnoses from the hospital | 270 (63.5) |
Inpatient admission (yes/no) | 197 (46.4) |
Inpatient stay longer than 24 h (yes/no) | 100 (23.5) |
Duration of inpatient stay in days | 59 (13.9) |
Discharge summary including all findings (lab, radiology, etc.) | 162 (38.1) |
Other information | 35 (8.2) |