Table 2 Instrument to compare the pre-hospital assessment with the final hospital assessment
From: Patient safety and patient assessment in pre-hospital care: a study protocol
A | A defined final diagnosis classified as life threatening. Example: myocardial infarction |
1) | The field diagnosis is in agreement with the final diagnosis. Example: suspected myocardial infarction or unstable angina pectoris |
2) | The field diagnosis is not in agreement with the final diagnosis. Example: pneumonia |
3) | Typical symptoms related to the final diagnosis are described. Example: chest discomfort |
4) | Atypical symptoms related to the final diagnosis are described. Example: dyspnoea |
5) | More unusual symptoms related to the final diagnosis are described. Example: abdominal pain |
6) | Field assessment as a non-specified organ system. Example: circulation |
B | A defined final diagnosis classified as not life threatening. Example: bronchitis |
1) | The field diagnosis is in agreement with the final diagnosis. Example: pneumonia |
2) | The field diagnosis is not in agreement with the final diagnosis. Example: congestive heart failure |
3) | Typical symptoms related to the final diagnosis are described. Example: fever and coughing |
4) | Atypical symptoms related to the final diagnosis are described. Example: dyspnoea |
5) | More unusual symptoms related to the final diagnosis are described. Example: vertigo |
6) | Field assessment as a non-specified organ system. Example: airways |
C | The final diagnosis is expressed as a symptom. Example: dyspnoea |
1) | The field diagnosis is in agreement with the final symptom. Example: congestive heart failure |
2) | The field diagnosis is not in agreement with the symptom. Example: stroke |
3) | Field symptoms and final symptoms are in agreement. Example: breathing problem |
4) | Field symptoms and final symptoms are not in agreement Example: chest discomfort |
5) | Field assessment as a non-specified organ system. Example: circulation |
D | The final diagnosis is expressed as a non-specific assessment. Example: psychiatric insufficiencies |
1) | The field diagnosis is in agreement with the symptom. Example: psychosis |
2) | The field diagnosis is not in agreement with the symptom. Example: stroke |
3) | Field symptoms are in agreement with final assessment. Example: anxiety |
4) | Field symptoms and final assessment are not in agreement. Example: chest discomfort |
5) | Field assessment presented as a non-specified organ system. Example: nervous conditions |
E | The patient is transported to a level of care other than the hospital and no final diagnosis is available. |
1) | Patient refereed to primary care |
2) | Patient stayed at home or at a nursing home with extended home care |
3) | Patient stayed on scene with self-care advice |