Digital, Innovative, Sustainable, and Knowledge-based Acute Municipal Healthcare Services Illness and Trauma

Recruiting

• Conditions: Acute Disease; Multiple Chronic Conditions
• Interventions: Other: Receiving physician manned rapid response car services

• Registration Number: NCT05708768
• Lead Sponsor: Ostfold University College

Brief Summary

Through introducing physicians in front in the medical assessment and decision-making processes in acute and sub-acute illness in the municipalities, as well as including machine learning in analyzing prospective and retrospective data, the project will develop and implement innovative and knowledge-based digital diagnostic tools and decision-making support systems to be used in the municipalities. As such, the project will contribute to early identification of severe illness, prevent deterioration of disease, and facilitate early medical intervention.

Detailed Description

The overall objective of the project is to determine if and how innovative digital decision-making tools based on artificial intelligence (AI) can help to develop more accessible, efficient, cost-effective, and sustainable municipal healthcare services. More specifically, the project aims are:

* to explore different outcomes of a municipal rapid response car manned with dedicated physicians

* to compare outcomes from Norwegian and Swedish out-of-hospital EMS in acute illness

* to explore how decision-making tools based on AI can be used to optimize dispatch

* to explore how decision-making tools based on AI can assist dispatched personnel and in prehospital care

* to determine the quality and efficacy of the different systems explored through cost-analyses and exploration of stakeholders' experiences with the decision-making tools

Study Timeline

• Study Start: 2022-10-01
• Study First Submitted: 2023-01-23
• Study First Submitted QC: 2023-01-23
• Study First Posted: 2023-02-01
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-29
• Last Update Posted: 2024-07-30
• Primary Completion: 2025-01-01
• Study Completion: 2027-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

all patients receiving services from the physician manned rapid response car -

Exclusion Criteria

none

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Acutely ill persons in the municipality	Receiving physician manned rapid response car services	Patients recieving services from a rapid response vehicle manned with dedicated physicians from the municipality

Primary Outcome Measures

Name	Time	Method
At location	2 hours	Patients treated at location

Secondary Outcome Measures

Name	Time	Method
Transported	2 hours	Patients being transported for further diagnostics

Trial Locations

Locations (1)

Fredrikstad Casualty; 🇳🇴 Fredrikstad, Viken, Norway