What TRIage model is safest and most effective for the Management of 999 callers with suspected COVID-19? A linked outcome study (TRIM)

PROJECT TITLE WHAT TRIAGE MODEL IS SAFEST AND MOST EFFECTIVE FOR THE MANAGEMENT OF 999 CALLERS WITH SUSPECTED COVID-19? A LINKED OUTCOME STUDY (TRIM)
Funding body Medical Research Council (DHSC/UKRI COVID-19 Rapid Response Initiative)
Total funding £358,400
Team
  • Prof Alan Watkins, Swansea University
  • Dr Mike Brady, Welsh Ambulance Service NHS Trust
  • Dr Edward Duncan, University of Stirling
  • Dr Bridie Evans, Swansea University
  • Theresa Foster, East of England Ambulance Service NHS Trust
  • Professor Ronan Lyons, Swansea University and Public Health Wales
  • Dr Alison Porter, Swansea University
  • Professor Tom Quinn, Kingston University and St George’s, University of London
  • Professor Niro Siriwardena, Lincoln University and East Midlands Ambulance Service
  • Professor Helen Snooks, Swansea University
  • Mr Robert Spaight, East Midlands Ambulance Service NHS Trust
Team/consortium
  • Swansea University
  • Public Health Wales
  • University of Stirling
  • Kingston University and St George’s, University of London
  • University of Lincoln
  • Welsh Ambulance Service NHS Trust
  • East of England Ambulance Service NHS Trust
  • East Midlands Ambulance Service NHS Trust, UK
Overarching aim The aim of this study is to evaluate models used to triage and manage emergency ambulance service care for patients with COVID-19 who call 999 in England, Wales and Scotland.
Objectives
  1. To categorise models of triage used in emergency ambulance services during the 2020 COVID-19 pandemic
  2. To compare processes and outcomes of care between models identified using linked anonymised data.
  3. To identify adverse incidents and cases missed or undertriaged.
  4. To understand experiences and concerns of clinical and managerial staff about implementation of triage protocols in call centre and on-scene.
Methods Mixed methods study.
Outcomes This study will provide evidence about the comparative effectiveness and safety of triage models in place; implementation concerns and policy guidance for use during any waves of loosening and tightening of the social lockdown in the current pandemic, as well as future pandemics.
Outputs Peer reviewed publications and conference presentations and recommendations for EMS service delivery.
Impact The study will provide information for ambulance services, hospitals and policy makers on the effectiveness and safety of prehospital triage models.

 

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