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An Empirical Analysis of the Effect of Ambulance Offload Delay on the Efficiency of the Ambulance System
by
Jensen, Jan L.
, Carter, Alix J. E.
, Zhong, Xiang
, Hawco, Terence
, Goldstein, Judah
, Li, Mengyu
, Vanberkel, Peter
in
ambulance availability
/ ambulance offload delay
/ ambulance turnaround time
/ Business metrics
/ Design
/ Emergency medical care
/ emergency medical services
/ Emergency services
/ Geographic information systems
/ Health services
/ Patients
/ Regions
/ response time
2026
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An Empirical Analysis of the Effect of Ambulance Offload Delay on the Efficiency of the Ambulance System
by
Jensen, Jan L.
, Carter, Alix J. E.
, Zhong, Xiang
, Hawco, Terence
, Goldstein, Judah
, Li, Mengyu
, Vanberkel, Peter
in
ambulance availability
/ ambulance offload delay
/ ambulance turnaround time
/ Business metrics
/ Design
/ Emergency medical care
/ emergency medical services
/ Emergency services
/ Geographic information systems
/ Health services
/ Patients
/ Regions
/ response time
2026
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Do you wish to request the book?
An Empirical Analysis of the Effect of Ambulance Offload Delay on the Efficiency of the Ambulance System
by
Jensen, Jan L.
, Carter, Alix J. E.
, Zhong, Xiang
, Hawco, Terence
, Goldstein, Judah
, Li, Mengyu
, Vanberkel, Peter
in
ambulance availability
/ ambulance offload delay
/ ambulance turnaround time
/ Business metrics
/ Design
/ Emergency medical care
/ emergency medical services
/ Emergency services
/ Geographic information systems
/ Health services
/ Patients
/ Regions
/ response time
2026
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An Empirical Analysis of the Effect of Ambulance Offload Delay on the Efficiency of the Ambulance System
Journal Article
An Empirical Analysis of the Effect of Ambulance Offload Delay on the Efficiency of the Ambulance System
2026
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Overview
Ambulance offload delay (AOD) occurs when incoming ambulance patients cannot be transferred promptly from paramedics to emergency department (ED) staff, usually due to ED and hospital congestion. This study empirically examines how AOD affects ambulance system efficiency in Nova Scotia, Canada. Using 12 months of call data from an integrated provincial EMS system and the electronic patient care reporting system, the analysis quantifies AOD impacts on the number of ambulances at EDs, turnaround time, total call time, response time, and ambulance availability across all regions. Findings show that AOD in the Central Region negatively affects all performance measures locally and in adjacent regions, prolonging turnaround and total call times, lengthening response times, and reducing ambulance availability where resources are shared. These results highlight the scale of AOD’s system-wide impact and provide a generalizable methodological framework that other EMS operators can adapt to assess and manage AOD in their specific operational contexts, recognizing that region-specific factors significantly influence outcomes.
Publisher
MDPI AG
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