Efficacy of a Clinical Decision Support System in Prehospital Care: Single Blind, Randomized Clinical Trial.
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- KU Leuven
- 试验地点
- 1
- 主要终点
- Treatment protocol adherence
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 1 Year 至 112 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients who receive treatment from the Paramedic Intervention Team (PIT) in the prehospital Emergency Medical Services (EMS) area of the University Hospitals, Leuven.
排除标准
- •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.
研究组 & 干预措施
CDSS1
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.
干预措施: Clinical Decision Support Tool for Prehospital Care (Procedure)
CDSS2
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.
干预措施: Clinical Decision Support Tool for Prehospital Care (Procedure)
Booklet
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.
干预措施: Clinical Decision Support Tool for Prehospital Care (Procedure)
结局指标
主要结局
Treatment protocol adherence
时间窗: 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.
次要结局
- Consistency in reported diagnose and the choice of PIT standing order (-s) or procedure (-s)(Up to 12 months)
- Alignment between diagnostic accuracy and interventions taken.(Up to 12 months)
- Length of Stay in the ED(Up to 12 months)
- Prehospital Patient Time Interval(Up to 12 months)
研究者
Olivier Hoogmartens
Head of the Academic Center for General Practice
KU Leuven