EMS World

FEB 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | FEBRUARY 2019 37 One clear issue is patient outcomes, which are af fected by communication and satisfaction. Shared decision-making should improve this. Paramedics can learn how to arrive at mutually beneficial plans with patients. SDM leads to both patients and paramedics being better informed. While not intended for time- sensitive situations, SDM could reduce liabilit y per taining to nonurgent patients who refuse transpor t. In combination with a communit y paramedic system, it may help EMS reduce the misuse of 9-1-1 systems. REFERENCES 1. Légaré F, Thompson-Leduc P. Twelve myths about shared decision making. Patient Educ Couns, 2014; 96(3): 281–6. 2. Quaschning K, Körner M, Wir tz M. Analyzing the ef fec ts of shared decision-making, empathy and team interac tion on patient satisfac tion and treatment acceptance in medical rehabilitation using a struc tural equation modeling approach. Patient Educ Couns, 2013; 91(2): 167–75. 3. Hawley ST, Morris AM. Cultural challenges to engaging patients in shared decision making. Patient Educ Couns, 2017; 100(1): 18–24. 4. Veatch RM. Models for Ethical Medicine in a Revolutionar y Age. Hastings Cent Rep, 1972; 2(3): 5. 5. Depar tment of Health and Human Ser vices, National Commission for the Protec tion of Human Subjec ts of Biomedical and Behavioral Research. The Belmont Repor t, www.hhs.gov/ohrp/ regulations-and-polic y/belmont-repor t /read-the-belmont-repor t /index.html. 6. Stiggelbout AM, Pieterse AH, De Haes JC JM. Shared decision making: Concepts, evidence, and prac tice. Patient Educ Couns, 2015; 98(10): 1,172–9. 7. President 's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Making Health Care Decisions: The Ethical and Legal Implications of Informed Consent in the Patient-Prac titioner Relationship. Washington, D.C.: U.S. Government Printing Of fi ce, 1982. 8. Oshima Lee E, Emanuel EJ. Shared decision making to improve care and reduce costs. N Engl J Med, 2013; 368(1): 6 –8. 9. Whitney SN, McGuire AL, McCullough LB. A t ypology of shared decision making, informed consent, and simple consent. Ann Intern Med, 2004; 140(1): 54–9. 10. Dunn T. Evaluating Patients ' Decision-Making Capacit y. EMS World, https://emsworld.com/ node/207308. 11. Williams JG, Bachman MW, Lyons MD, et al. Improving decisions about transpor t to the emergenc y depar tment for assisted living residents who fall. Ann Intern Med, 2018; 168(3): 179–86. 12. Munjal KG, Shastr y S, Loo GT, et al. Patient perspec tives on EMS alternate destination models. Prehospital Emerg Care, 2016; 20(6): 705–11. ABOUT THE AUTHOR Aaron Florin, MSHS, NRP, SPO, has 16 years of prehospital experience with a growing interest in healthcare policy. He currently works for Allina Health EMS in Minnesota as a paramedic and fi eld training offi cer. MORE ONLINE! How Care Collaboration Is Improving Patient Outcomes emsworld.com/article/12313365 Experience a better response time! Moore Medical is now McKesson Medical-Surgical! Get the products, services, tools and solutions you need to provide quality patient care for your emergency medical business. Access over 250,000 products with next day delivery nationwide. Visit us at mms.mckesson.com or call 800.234.1464 for more information. © 2018 McKesson Medical-Surgical Inc. All rights reserved. 2018-1051 • EMS Supplies • Medical Equipment • Pharmaceuticals • Inventory Management

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