Questionnaire for Emergency Medical Services Professionals Baseline Study for HEARTS (Hospital Emergency Assistance and Response Tracking System) application in Addis Ababa, Ethiopia
Likert scale questions: Scale of 1 (worst) to 5 (best), please rate the current system for patients to access emergency medical services (EMS) in Addis Ababa, in terms of:
* Efficiency: how quickly a patient can get EMS after the onset of injury or illness?
1 - not able to access timely care
2
3
4
5 - care is always timely
* What is the average time patients wait to receive this service from the onset of injury or illness? (in hours, minutes)
Hours
Minutes
AM
PM
* How long on average does it take from picking up a patient until you reach the appropriate health facility? (hours, minutes)
Hours
Minutes
AM
PM
* How long on average do patients wait from the time of arrival at a health facility to the time they receive care? (hours, minutes)
Hours
Minutes
AM
PM
* What are the main barriers to receiving timely care? (check all that apply; rank in terms of biggest delay)
There is a delay in calling the dispatch center/EMS after the patient’s injury/illness
There is a delay from dispatch center to identify and reach the appropriate EMS
There is a delay from EMS notification to arrival at the patient’s location
There is a delay to get patient appropriate care at the scene and placed in transportation
There is a delay from patient pick-up at the scene to triage at the health facility
There is a delay from patient arrival at the facility until the patient receives care
* Accessibility: how often are patients able to access the health services and resources they need in an emergency medical situation?
1 - never able
2
3
4
5 - always able
* Resources: how often do you have the resources you need to care for your patients in transit to a health facility?
1 - never available
2
3
4
5 - always available
* Oxygen
1 - never available
2
3
4
5 - always available
* Medications
1 - never available
2
3
4
5 - always available
* Cardiac monitoring
1 - never available
2
3
4
5 - always available
* Breathing assist devices
1 - never available
2
3
4
5 - always available
* IV needles, catheters, tubing
1 - never available
2
3
4
5 - always available
* IV fluids
1 - never available
2
3
4
5 - always available
* Knowledge: I feel well trained and prepared to handle the patients in front of me.
1- Strongly disagree
2
3
4
5- Strongly agree
* Splints for fractures
1 - never available
2
3
4
5 - always available
* I would like more training on the following topics(check all that apply)
Initial management of trauma injuries
Cardiac conditions
Respiratory distress
Sepsis management
OB/pregnancy related issues
* How often do you have to take a patient to a different health facility after bringing them to the initial one? (how often is a patient referred to another facility?)
1- Patients never stay at the facility they are initially brought to (0% of time)
2
3
4
5- Patients always receive care at the facility they present to (100% of time)
* What is the average number of referrals made for a patient?
* How many facilities will they present to before receiving care?
After each ride can the EMS providers fill out a short survey?
* Patient diagnosis
Patient condition
Time points:
* Time of user request for ambulance
Hours
Minutes
AM
PM
* Time of EMS ride sent from dispatch center
Hours
Minutes
AM
PM
* EMS arrival at scene
Hours
Minutes
AM
PM
* EMS departure from scene
Hours
Minutes
AM
PM
* EMS arrival at health facility
Hours
Minutes
AM
PM
* Time of patient’s triage/evaluation at facility
Hours
Minutes
AM
PM
* Did they have all the resources they needed to care for this patient en route? If not, what was missing?
* Did the patient receive timely care once brought to the facility (time from presentation to triage)?
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