Implementation Strategy From Research to Routine Care of a Comprehensive Prehospital Telemedicine System and Pre-post Analysis of Systemic Effects
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 51,649
- 主要终点
- Change in usage of physician staffed EMS units
研究概览
简要总结
In two research projects a comprehensive prehospital telemedicine system was developed and general feasibility as well as impact on guideline adherence were evaluated. These results allowed stepwise implementation into medical routine care.
All steps and milestones from the research idea to implementation were analyzed and evaluated descriptively in this study. Using a pre-post intervention analysis the systemic effects of the implementation on change in emergency medical resource utilization were analyzed.
详细描述
In two interdisciplinary research projects a comprehensive prehospital telemedicine system was developed and general feasibility as well as impact on guideline adherence were evaluated. Feasibility and general safety were demonstrated. These results allowed stepwise implementation into medical routine care during a one year phase. During implementation positive effects on guideline adherence were found. Despite positive results there are many barriers that prevent implementation of research projects into routine medical care. Therefore, the current study evaluated and interpreted all steps and milestones from the research idea to implementation and evaluated them descriptively. Using a pre-post intervention analysis the systemic effects of the implementation on change in emergency medical resource utilization were analyzed. Resource utilization of physician staffed emergency medical service units was compared between a pre-implementation period (12 months, April 2013 - March 2014) and a post-implementation period (12 months, April 2015 - March 2016). During the pre-implementation period only standard care was available.
Inclusion criteria: All emergency medical service (EMS) missions in both periods.
Data sources: Electronic health records of the EMS missions (data pseudonymity) and database of the regional EMS dispatch center.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients treated by emergency medical service during the pre- and post-implementation period.
- •Post-implementation period: Patients had to give verbal consent prior to teleconsultation.
排除标准
- •Pre-implementation period: none Post-implementation period: Patients who refused teleconsultation.
结局指标
主要结局
Change in usage of physician staffed EMS units
时间窗: Comparison between 1 year pre-implementation and 1 year post-implementation period.
Change in usage of physician staffed EMS units (ground based and helicopter based). Comparison between the pre- and post-implementation period.
次要结局
- Usage of telemedical support in the post-implementation period(Through study completion in the post-implementation period (1 year))
- Provided medications during teleconsultation(Through study completion in the post-implementation period (1 year))
研究者
Dr. med. Sebastian Bergrath
Senior Physician
RWTH Aachen University