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ABILITY OF THE MEDICAL PRIORITY DISPATCH SYSTEM PROTOCOL TO PREDICT THE ACUITY OF "UNKNOWN PROBLEM" DISPATCH RESPONSE LEVELS

ABSTRACT

Objective. To determine if Medical Priority Dispatch System's (MPDS's) Protocol 32-Unknown Problem interrogation-based differential dispatch coding distinguishes the acuity of patients as found at the scene by responders, when little (if any) clinical information is known. Methods. "Unknown problem" situations (i.e., all cases not fitting into any other chief complaint group) constitute 5-8% of all calls to dispatch centers. From the total patient encounters (n = 599,107) in the aggregate data of one year (September 2005 to August 2006), we examined 3,947 (0.7%) encounters initially coded as "unknown problem" by the London Ambulance Service Communications Center for the scene ...

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