From: Are they really refusing to travel? A qualitative study of prehospital records
Reasons given by clinicians/crew Themes (n = 220) | Quotations recorded on the AS34 |
---|---|
Non injury/minor injury 120 (54.5%) | 'Fall – no injury' 'Minor injuries only' 'RTA – no injuries' |
Patient responded to treatment/recovered/significantly improved 54 (24.5%) | 'Condition improved after treatment' 'Baby delivered, no need for transportation' |
For assessment by other clinician (usually doctor) 2 (0.9%) | 'Examined by out of hours doctor' |
No medical emergency/social problem/inappropriate call out 12 (5.5%) | 'No medical emergency (4 th visit in last 20 hours)' 'Faint – couldn't get through to Out of hours [OOH] doctor so called ambulance' 'Not appropriate as social problem' 'No reason for call-out' 'Can't cope – wants to go but only if wife can go as well' |
Explicitly recorded refused to travel against advice 32 (14.5%) | 'Refused against strongest advice and concerns' 'Refused transport four times' 'Refused – pain in lumbar region following RTA' 'Refused – liased with out of hours GP' |