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Related Experiment Videos

Actual vs perceived EMS response time

A L Harvey1, W C Gerard, G F Rice

  • 1Department of Emergency Medicine, Richland Memorial Hospital, Columbia, South Carolina, USA. allison.harvey@rmh.edu

Prehospital Emergency Care
|January 28, 1999
PubMed
Summary
This summary is machine-generated.

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Patients often overestimate ambulance response times but underestimate time spent on scene and time to definitive care. Despite perceived inaccuracies, actual emergency medical services (EMS) response times frequently align with patient expectations.

Area of Science:

  • Emergency Medicine
  • Health Services Research
  • Quality Improvement

Background:

  • Accurate assessment of emergency medical services (EMS) performance is crucial for quality assurance.
  • Patient perception of response times may differ significantly from objective measurements, impacting satisfaction and trust.

Purpose of the Study:

  • To compare patient perceptions of ambulance response times with actual dispatch data.
  • To identify discrepancies in perceived versus actual scene times and times to definitive care.
  • To inform EMS quality assurance and management strategies.

Main Methods:

  • A convenience sample of urban emergency department (ED) patients transported by EMS were surveyed.
  • Patients answered questions regarding perceived response time, scene time, time to definitive care, and expectations.

Related Experiment Videos

  • Perceived times were compared to actual EMS dispatch data using multivariate analysis of variance (MANOVA).
  • Main Results:

    • Significant differences (p < 0.0001) were found between perceived and actual times for all measured intervals.
    • Patients generally overestimated ambulance response times (12.4 min perceived vs. 9.1 min actual).
    • Patients underestimated on-scene times (9.1 min perceived vs. 12.4 min actual) and time to definitive care (29.4 min perceived vs. 35.0 min actual).

    Conclusions:

    • Patient estimations of time intervals related to EMS encounters are frequently inaccurate.
    • While response times are typically overestimated, scene and definitive care times are underestimated.
    • Actual EMS response times often meet patient expectations, even if patients do not perceive this alignment.