Impact of in-Station Medication Automated Dispensing Systems on Prehospital Pain Medication Administration

Autor: Joshua B, Gaither, Amber D, Rice, Isrealia, Jado, Smita, Armstrong, Samuel E, Packard, John, Clark, Scott, Draper, Mike, Duncan, Brad, Bradley, Daniel W, Spaite
Rok vydání: 2022
Předmět:
Zdroj: Prehospital Emergency Care. 27:350-355
ISSN: 1545-0066
1090-3127
DOI: 10.1080/10903127.2022.2045405
Popis: Medication automatic dispensing systems (ADS) have been implemented in many settings, including fire-based EMS stations. The aim of this study was to evaluate the impact of in-station ADSs on controlled substance administration rates and EMS response intervals.This study was a retrospective review of data from a single fire-based EMS agency. Medication administration rates and EMS response intervals were compared before ADS implementation (P1; 6/1/15 to 5/31/16) and after ADS implementation (P3; 6/1/17-5/31/19). Cases with missing data and during a one-year implementation period were excluded.4045 cases were identified in P1 and 8168 in P3. The odds of morphine or versed administration increased following ADS implementation: OR = 1.77 (95% CI: 1.53, 2.03) and OR = 1.53 (95%CI: 1.18, 2.00) respectively. There were statistically, but likely not operationally significant increases in median response interval and transport interval from P1 to P3 of 14 seconds, (p 0.001) and 39 seconds (p 0.001) respectively. Time at hospital for all calls decreased by more than 11 minutes for all transports, from a median of 34 minutes (IQR; 23.7, 45.5) to 22.7 minutes (IQR:18.5, 27.6) in P3, p 0.001 and by 27.9 minutes for calls in which a controlled substance was given: P1 = 50.6 minutes (IQR: 34.6, 63.2), P3 = 22.7 minutes (IQR: 18.3, 27.4), p 0.001.In this system, medication ADS implementation was associated with an increase in the rates of controlled substance administration and a decrease in the time units were at hospitals.
Databáze: OpenAIRE
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