Safety INdEx of Prehospital On Scene Triage (SINEPOST) study: the development and validation of a risk prediction model to support ambulance clinical transport decisions on-scene


999 calls to the ambulance service and subsequent transfers to the emergency department (ED) is placing strain on each service. Some patients conveyed by ambulance do not require the level of care provided in the ED and could have been left at home or referred elsewhere. However, paramedics can find it challenging to identify these patients accurately.

This project aims to develop a tool to support the decision-making of ambulance paramedics to help them decide the likely outcome of an ED transport. Initial analysis and modelling work will be undertaken using linked routine datasets to identify key factors determining a patient’s outcome from transport to hospital. This will assist in making a more appropriate decision to convey a patient and reduce the strain on emergency services.

Trial Registration. This study was retrospectively registered with the ISRCTN: 12121281 ( Peer Review reports (



Sub-theme: Reducing avoidable ambulance journeys to hospital


Team Contact:

Clinical Reserch Fellow

Other projects

What happened to my patient? A novel automated patient follow-up system for A&E Clinician’s Reflections

The purpose of this study was to create and assess a novel automated system providing A&E clinicians working at the Northern General Hospital (NGH), Sheffield with patient follow-up information. The...

A pilot study exploring the impact of self-rostering on junior doctor wellbeing in a tertiary adult emergency department

Research has shown emergency medicine has the highest burnout levels of any specialty and burnout and poor wellbeing have been linked to absenteeism and rota gaps. The implementation of self-rostering,...

Using a Delphi study to define avoidable emergency department attendances in young adult patients

Some emergency department (ED) visits are for care that, although urgent, could be managed by a GP. We need clarity about what these ‘avoidable attendances’ (AAs) are and how to...

Do you have a research idea or want to learn more about our work and how it could be implemented in your area?