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| 2. |
- Andersson, Nicolina, et al.
(författare)
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"Behåll akutläkarna på SUS"
- 2011
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Ingår i: Sydsvenskan. - 1104-0068. ; , s. 5-5
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 3. |
- Bookman, ID, et al.
(författare)
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A case of platydeoxia?
- 2006
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Ingår i: New England Journal of Medicine. - 0028-4793. ; 354:16, s. 1759-1760
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Dryver, Eric, et al.
(författare)
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Checklistor och »crowdsourcing« för ökad patientsäkerhet på akutmottagningen
- 2014
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Ingår i: Läkartidningen. - 0023-7205. ; 111:11, s. 493-494
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Checklists make it easier for the emergency physician. This is the idea behind a website launched this month. The site will contain suggestions for checklists on what information which should be obtained for the assessment of the patient at the emergency department. All emergency staff are invited to participate in the development of the project.
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| 5. |
- Dryver, Eric, et al.
(författare)
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Clinical use of an emergency manual by resuscitation teams and impact on performance in the emergency department : A prospective mixed-methods study protocol
- 2023
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Ingår i: BMJ Open. - 2044-6055. ; 13:10
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Simulation-based studies indicate that crisis checklist use improves management of patients with critical conditions in the emergency department (ED). An interview-based study suggests that use of an emergency manual (EM) - a collection of crisis checklists - improves management of clinical perioperative crises. There is a need for in-depth prospective studies of EM use during clinical practice, evaluating when and how EMs are used and impact on patient management. Methods and analysis This 6-month long study prospectively evaluates a digital EM during management of priority 1 patients in the Skåne University Hospital at Lund's ED. Resuscitation teams are encouraged to use the EM after a management plan has been derived ( € Do-Confirm'). The documenting nurse activates and reads from the EM, and checklists are displayed on a large screen visible to all team members. Whether the EM is activated, and which sections are displayed, are automatically recorded. Interventions performed thanks to Do-Confirm EM use are registered by the nurse. Fifty cases featuring such interventions are reviewed by specialists in emergency medicine blinded to whether the interventions were performed prior to or after EM use. All interventions are graded as indicated, of neutral relevance or not indicated. The primary outcome measures are the proportions of interventions performed thanks to Do-Confirm EM use graded as indicated, of neutral relevance, and not indicated. A secondary outcome measure is the team's subjective evaluation of the EM's value on a Likert scale of 1-6. Team members can report events related to EM use, and information from these events is extracted through structured interviews. Ethics and dissemination The study is approved by the Swedish Ethical Review Authority (Dnr 2022-01896-01). Results will be published in a peer-reviewed journal and abstracts submitted to national and international conferences to disseminate our findings. Trial registration number NCT05649891.
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| 8. |
- Dryver, Eric, et al.
(författare)
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Impediments to and impact of checklists on performance of emergency interventions in primary care : an in situ simulation-based randomized controlled trial
- 2021
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 39:4, s. 438-447
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Medical crises occur rather seldom in the primary care setting, but when they do, initial management impacts on morbidity and mortality. Factors that impede the performance of emergency interventions in primary care have not been studied through in-situ simulation. Checklists reportedly improve crisis management. Design: This randomized controlled trial evaluated emergency intervention performance during two scenarios (hypoglycemia-coma and anaphylaxis-cardiac arrest) simulated at primary care centers, and whether checklist access improved performance. Setting: Twenty-two primary care centers in Southern Sweden participated in the study. Subjects: A total of 347 personnel performed 100 simulations, 45 with and 55 without checklist access. Main outcome measures: Time and impediments to performance of five emergency interventions in each scenario. Results: On 28 of the 37 occasions when the adrenalin auto-injector was employed, the administration technique was incorrect. In 9 of 49 scenarios, teams had trouble locating the 30% glucose solution. Median time to supplemental oxygen administration during the first scenario was 186 s compared with 96 s during the second scenario (p < 0.001). Checklist access had no significant impact on time to performance of emergency interventions, aside from shorter time to adequate glucose or glucagon administration (median times 632 s with, 756 s without checklist access; p = 0.03). Conclusion: Unfamiliarity with local emergency equipment impedes the performance of emergency interventions during crises simulated in the primary care setting. Simply providing checklist access does not improve the performance of emergency interventions.KEY POINTS Little is known about the factors that affect the performance of emergency interventions in the primary care setting. Unfamiliarity with local emergency equipment impedes the performance of emergency interventions during crises simulated in the primary care setting. Simply providing crisis checklist access does not improve the performance of emergency interventions in the primary care setting.
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| 9. |
- Dryver, Eric, et al.
(författare)
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Medical crisis checklists in the emergency department : a simulation-based multi-institutional randomised controlled trial
- 2021
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Ingår i: BMJ Quality and Safety. - : BMJ. - 2044-5415 .- 2044-5423. ; 30:9, s. 697-705
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Tidskriftsartikel (refereegranskat)abstract
- Background: Studies carried out in simulated environments suggest that checklists improve the management of surgical and intensive care crises. Whether checklists improve the management of medical crises simulated in actual emergency departments (EDs) is unknown. Methods: Eight crises (anaphylactic shock, life-threatening asthma exacerbation, haemorrhagic shock from upper gastrointestinal bleeding, septic shock, calcium channel blocker poisoning, tricyclic antidepressant poisoning, status epilepticus, increased intracranial pressure) were simulated twice (once with and once without checklist access) in each of four EDs - of which two belong to an academic centre - and managed by resuscitation teams during their clinical shifts. A checklist for each crisis listing emergency interventions was derived from current authoritative sources. Checklists were displayed on a screen visible to all team members. Crisis and checklist access were allocated according to permuted block randomisation. No team member managed the same crisis more than once. The primary outcome measure was the percentage of indicated emergency interventions performed. Results: A total of 138 participants composing 41 resuscitation teams performed 76 simulations (38 with and 38 without checklist access) including 631 interventions. Median percentage of interventions performed was 38.8% (95% CI 35% to 46%) without checklist access and 85.7% (95% CI 80% to 88%) with checklist access (p=7.5×10-8). The benefit of checklist access was similar in the four EDs and independent of senior physician and senior nurse experience, type of crisis and use of usual cognitive aids. On a Likert scale of 1-6, most participants agreed (gave a score of 5 or 6) with the statement 'I would use the checklist if I got a similar case in reality'. Conclusion: In this multi-institution study, checklists markedly improved local resuscitation teams' management of medical crises simulated in situ, and most personnel reported that they would use the checklists if they had a similar case in reality.
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