Impact of in-Station Medication Automated Dispensing Systems on Prehospital Pain Medication Administration
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Final Accepted Manuscript
Author
Gaither, Joshua B.Rice, Amber D.
Jado, Isrealia
Armstrong, Smita
Packard, Samuel E.
Clark, John
Draper, Scott
Duncan, Mike
Bradley, Brad
Spaite, Daniel W.
Affiliation
Department of Emergency Medicine, College of Medicine-Tucson, The University of ArizonaIssue Date
2022-04-15
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Informa UK LimitedCitation
Gaither, J. B., Rice, A. D., Jado, I., Armstrong, S., Packard, S. E., Clark, J., Draper, S., Duncan, M., Bradley, B., & Spaite, D. W. (2022). Impact of in-Station Medication Automated Dispensing Systems on Prehospital Pain Medication Administration. Prehospital Emergency Care.Journal
Prehospital Emergency CareRights
© 2022 National Association of EMS Physicians.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Introduction: 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. Methods: 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. Results: 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. Conclusion: 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.Note
12 month embargo; published online: 15 April 2022ISSN
1090-3127EISSN
1545-0066Version
Final accepted manuscriptae974a485f413a2113503eed53cd6c53
10.1080/10903127.2022.2045405