Professional Development in Emergency Medical Services
- Conditions
- Clinical Practice GuidelinesEmergency Medical ServicesClinical Decision Support
- Interventions
- Procedure: Clinical Decision Support Tool for Prehospital Care
- Registration Number
- NCT02365792
- Lead Sponsor
- KU Leuven
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Patients who receive treatment from the Paramedic Intervention Team (PIT) in the prehospital Emergency Medical Services (EMS) area of the University Hospitals, Leuven.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description CDSS1 Clinical Decision Support Tool for Prehospital Care The CDSS1 will provide decision support according to existing protocols for clinical procedures and medical treatment, mainly starting from specific symptoms or diagnostic related patients groups. The symptom oriented approach is categorised in a specific list of predetermined conditions. CDSS2 Clinical Decision Support Tool for Prehospital Care The CDSS2 will provide decision support according to existing protocols for clinical procedures and medical treatment, mainly starting from specific symptoms or diagnostic related patients groups. The symptom oriented approach is categorised in a specific list of predetermined conditions. Booklet Clinical Decision Support Tool for Prehospital Care The control group will provide prehospital patient care with usual decision support: a pocket-size booklet, backed by a mobile phone through which the PIT can get in contact with an Emergency Physician.
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method 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.
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.
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.
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).
Trial Locations
- Locations (1)
Academic Center for General Practice
🇧🇪Leuven, Vlaams-Brabant, Belgium