Table 2

Themes and examples from longest calls (quartile 4) illustrating the caller not conforming to the requirements of the standardised emergency protocol

ThemeCategoryFrequencyExample
Irrelevant detail n=47Patient name9
  • Caller (asking colleague): “Who is it?”

  • Operator: “Emergency, which site?”

  • Caller: “(asking colleague Who)…(pause 00:00:00–00:00:05)…I'm calling from ward X, we have got an emergency, one moment, trying to find out who it is…pause…Mr. ****…”

  • Operator: “Yeah but what kind of an emergency?”

  • Caller: “but…one moment (pause 00:00:00–00:00:06) Mr ****”

  • Operator: “I don't need patients name, is it a cardiac arrest or medical emergency?”

  • Caller: “…Cardiac arrest, yeah…”

  • Operator: “So you have a cardiac arrest, ward X hospital A. Thank you.”

  • Call duration: 40 s

Clinical condition35
Incident description3
Speech n=20Accent4
  • Operator, “Emergency, which site?”

  • Caller: “Arrest in endoscopy, outside. Porter just say that.”

  • Operator: “Cardiac arrest in endoscopy, is that what you are saying?”

  • Caller: “Yes.”

  • Call duration: 22 s

Fast talking6
Hesitancy10
Incorrect terminology (n=14)14
  • Operator: “Emergency, which site?”

  • Caller: “Hospital A, ward X.”

  • Operator: “What is happening?”

  • Caller: “Arrest, peri-arrest.”

  • Operator: “Do I have to say peri-arrest?”

  • Caller: “Oh no it's a cardiac arrest.”

  • Operator: “Hospital A, cardiac arrest, ward X.”

  • Caller: “Thank you, bye.”

  • Call duration: 21 s

Location of emergency n=22Difficulty describing location in non-clinical area12
  • Operator: “Emergency, which site?”

  • Caller: “err…Hospital A.”

  • Operator: “What is the matter?”

  • Caller: “A man has fallen over outside of our Ward X.”

  • Operator: “So is it a medical emergency?”

  • Caller: “Yeah.”

  • Operator: “Outside ward X.”

  • Caller: “Yes, by X X.”

  • Operator: “Outside by? So is it outside the doors?”

  • Caller: “I can see him through the windows, there are some people with him, erm but he needs an ambulance. I don't know any other details.”

  • Operator: “Ok, medical emergency so its outside the doors by ward X, shall I say that?”

  • Caller: “No, it's just by X X.”

  • Operator: “Ok, by X X, thank you.”

  • Call duration: 42 s

Unnecessary repetition of location10
Uncertainty about nature of emergency n=14Retrieve nature of emergency from source provider5
  • Operator: “Emergency, which site?”

  • Caller: “Hello, ward XX, Hospital A please.”

  • Operator: “What have you got?”

  • Caller: “I think it is a cardiac arrest.”

  • Operator: “You think or is it a cardiac arrest?”

  • Caller: “Hold on 1 min, 1 min (00:00:11 – 00:00:25)…hello?…yes it is a cardiac arrest.”

  • Operator: “Cardiac arrest, thank you.”

  • Call duration: 31 s

Unsure about nature of emergency9