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Tiered regionalization of critically ill patients during out-of-hospital care: an impact analysis

PI:  Christopher W. Seymour

Co-Investigators:  Jeremy Kahn, Thomas Rea, Graham Nichol

Funding:  Society of Critical Care Medicine Vision Grant 
                  Medic One Foundation Grant

Regionalization of acutely ill, emergency care patients is recommended by the Institute of Medicine and multiple critical care societies. And yet, little is known about the most efficient, optimal strategy to provide the right critical care to the right patients at the right time. This project uses Monte Carlo simulation to explore allocation of critically ill patients within a cohort of 16 hospitals using triage by emergency medical services personnel. We will assess outcomes for patients, hospitals, and EMS agencies using a unique, linked database of EMS encounters and hospital discharge data.

Output:  PDF

Seymour CW, Alotaik O, Wallace DJ, Elhabashy AE, Chhatwal J, Rea TD, Angus DC, Nichol G, Kahn JM. County-Level Effects of Prehospital Regionalization of Critically Ill Patients: A Simulation Study. Crit Care Med. 2015 Jun 22. PMID: 26102251