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Physician Engagement in EMS Transport Refusal Rates

ConditionRefusal of Transport
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWake Forest University Health Sciences

About this trial

The primary goal of this study is to find out if patients who speak with an EMS physician over the phone are less likely to refuse care compare to patients who do not speak with an EMS physician.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Patients <18 years old.

Patient refuses to speak with online medical control EMS Physicians. MEDIC or patient requests to have primary care physician.

Lack of clinical capacity.

Incarcerated population.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Physician Consultation

    Behavioral

    Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Physician Consultation, direct communication between the patient and a designated physician by phone will be implemented when a patient refuses transport in cases where the EMS clinician feels that physician consultation is warranted for further guidance. The physician will attempt to address patient concerns and provide additional medical advice.

  • Standard of Care

    Behavioral

    Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Standard of Care, physician intervention will not be provided. For safety reasons, if physicians or EMS MEDIC clinicians feel that speaking with the patient is important to provide additional clinical benefit, they may do so without hesitation and can override the designated intervention month.

Treatment groups

250 Participants
are divided into 2 treatment groups
Group A: Physician ConsultationExperimental treatment 1 intervention
Group B: Standard of CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of Patients Transported

Number of patients who agreed to be transported by EMS

Time frame
Day 1

Secondary outcomes

1

Number of Patients Admitted to Hospital

Number of patients admitted to hospital after being transported by EMS

Time frame
Day 1
2

Number of Patients Discharged from Emergency Department

Number of patients discharged from Emergency Department after being transported by EMS

Time frame
Day 1
3

Duration of EMS Interaction

Length of time from EMS arrival to the end of the patient interaction in minutes and seconds

Time frame
Day 1
4

Number of EMS Same-Day Return

Number of times EMS is called again to attend to a patient who earlier refused transport

Time frame
Hour 24 Post Initial Call

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Wake Forest University Health Sciences

Lead sponsor

Source ClinicalTrials.gov
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