Clinical Decision Support, Clinical Practice Guidelines, Emergency Medical Services
Conditions
Keywords
Clinical Decision Support, Clinical Practice Guidelines, Emergency Medical Services
Brief summary
The ProDEms-trial focuses on nurses and ambulance drivers working in prehospital care, taking care on the one hand of patients suffering from time-sensitive critical conditions like STEMI, acute stroke or severe traumatic brain injury, and on the other hand of patients whose lives are not in immediate danger but suffer from acute exacerbation of chronic conditions or suffer from acute pain. In the current study the investigators will use a multistage approach to test the hypothesis whether the use of a CDSS in prehospital emergency care will: 1. Improve protocol adherence, 2. Reduce emergency department length of stay, 3. Improves diagnostic accuracy; without impeding the workflow of the prehospital team or impairing patient safety.
Interventions
PROCEDUREClinical Decision Support Tool for Prehospital Care
A clinical decision support system (CDSS) is a health information technology system that is designed to assist physicians and other health professionals with clinical decision-making tasks. A working definition of the Centre for Health Evidence: Clinical Decision Support systems link health observations with health knowledge to influence health choices by clinicians for improved health care.
Sponsors
KU Leuven
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
1 Years to 112 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients who receive treatment from the Paramedic Intervention Team (PIT) in the prehospital Emergency Medical Services (EMS) area of the University Hospitals, Leuven.
Exclusion criteria
* Patient-related interventions not dispatched by the Emergency Medical Dispatch center (EMD) * Patient related interventions during transport between two healthcare facilities or in mass casualty situations.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment protocol adherence | Up to 12 months | Measured by comparing the prescribed actions to be taken following the selected standing order (-s) or procedures, with the actual action (-s) taken. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of Stay in the ED | Up to 12 months | Measured as the duration between the times the patient is assigned with a unique EAD number in the emergency department and the disposition decision is marked in the Electronic Patient Record (EPR), indicating that the patient is ready to be discharged from the ED. |
| Prehospital Patient Time Interval | Up to 12 months | Measured as the duration between the arrival time at the scene and and arrival time at the ED. |
| Consistency in reported diagnose and the choice of PIT standing order (-s) or procedure (-s) | Up to 12 months | Measured by comparing the selected standing order (-s) or protocol (-s) and the reported diagnose (-s). |
| Alignment between diagnostic accuracy and interventions taken. | Up to 12 months | Measures by comparing the use of available scales and the corresponding prescribed action (-s) to be taken following the standing orders. |
Countries
Belgium
Outcome results
None listed