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A randomized controlled trial evaluating the effects of nurse-led triage of 911 calls

Kevin H. Wilson (), Rebecca A. Johnson, Chrysanthi Hatzimasoura, Robert P. Holman, Ryan T. Moore and David Yokum
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Kevin H. Wilson: The Lab @ DC
Rebecca A. Johnson: The Lab @ DC
Chrysanthi Hatzimasoura: The Lab @ DC
Robert P. Holman: Fire and Emergency Medical Services
Ryan T. Moore: The Lab @ DC
David Yokum: The Lab @ DC

Nature Human Behaviour, 2024, vol. 8, issue 7, 1276-1284

Abstract: Abstract To better connect non-emergent 911 callers to appropriate care, Washington, DC, routed low-acuity callers to nurses. Nurses could provide non-emergent transportation to a health centre, recommend self-care or return callers to the traditional 911 system. Over about one year, 6,053 callers were randomized (1:1) to receive a business-as-usual response (ncontrol = 3,023) or further triage (ntreatment = 3,030). We report on seven of nine outcomes, which were pre-registered ( https://osf.io/xderw ). The proportion of calls resulting in an ambulance dispatch dropped from 97% to 56% (β = −1.216 (−1.324, −1.108), P

Date: 2024
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DOI: 10.1038/s41562-024-01889-6

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