911 Nurse Triage Line Randomized Controlled Trial

About a quarter of the District’s 911 medical responses are to events that don’t require emergency services and can be treated in primary and urgent care clinics. These events often end up crowding the emergency room and can increase ambulance response times. To address this problem, nurses were placed directly in the 911 call center. The goal was to make sure all callers in need of an ambulance received one, and those who don’t, can speak with the nurse and arrange transportation to primary or urgent care without an ambulance. Through a randomized control trial, we tested whether the program decreased emergency department use, decreased ambulance use, or increased use of primary care services.

Results showed that nurse placement in the 911 call center successfully reduced strain on the District’s emergency services. The program is now standard practice in DC and operates 24 hours a day.

FINAL REPORT: https://rdcu.be/dISZm (Publisher's correction: https://rdcu.be/dL5K8 )
CODE: https://github.com/thelabdc/FEMS-911NurseTriageLine-Public

关于该区域911医疗响应的四分之一，针对的事件并不需要紧急医疗服务，可在初级和紧急护理诊所得到处理。这些事件往往导致急诊室拥挤，并可能增加救护车的响应时间。为解决这一问题，护士被直接安置在911呼叫中心。目标确保所有需要救护车的呼叫者都能得到，而对于那些不需要救护车的呼叫者，他们可以与护士交谈，安排无需救护车的交通工具前往初级或紧急护理。通过随机对照试验，我们测试了该计划是否减少了急诊室的使用，减少了救护车的使用，或增加了初级护理服务的使用。结果显示，在911呼叫中心设置护士成功减轻了该区域紧急服务的压力。该计划现已成为华盛顿特区的标准实践，全天24小时运行。

最终报告：https://rdcu.be/dISZm（出版商更正：https://rdcu.be/dL5K8）

代码：https://github.com/thelabdc/FEMS-911NurseTriageLine-Public”
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