Rachel O'Hara

Dec 30, 2024 | emj.bmj.com | Joanne Coster |Fiona Sampson |Rachel O'Hara |Jaqui Long

9% of ambulance clinicians felt that ED clinicians always listen and take the call seriously, always listen without interrupting and always make appropriate arrangements in the ED. There was little variation by role reported; however, student paramedics reported experiencing more interruptions on calls, while senior paramedics had the highest ratings for being listened to and taking the call seriously (see online supplemental table 4).

Dec 5, 2024 | emj.bmj.com | Joanne Coster |Fiona Sampson |Rachel O'Hara |Jaqui Long

Table 2 reports reasons for making a pre-alert call and factors impacting these decisions. Online supplemental tables 2 and 3 report pre-alert practice by ambulance service and clinician’s reasons for making pre-alert calls. Clinicians mostly reported making pre-alert calls to inform the ED of a deteriorating patient or to make space in the resuscitation.

Sep 27, 2024 | medrxiv.org | Fiona Sampson |Rachel O'Hara |Jaqui Long |Joanne Coster

The authors have declared no competing interest. This research was funded by the National Institute for Health and Care Research (NIHR HS&DR 131293). The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care. I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Aug 17, 2024 | emj.bmj.com | Rachel O'Hara |Fiona Sampson |Jaqui Long |Joanne Coster

pre-hospital carecritical care transportclinical managementWHAT IS ALREADY KNOWN ON THIS TOPICPre-alerts can facilitate earlier initiation of time-critical treatment, improved processes and better clinical outcomes for patients. There is some evidence of variation in pre-alert practice leading to overalerting and underalerting of patients with stroke and trauma. There is a lack of evidence exploring how pre-alert decisions are made and reasons for variation.