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Decision support sy...
Decision support system in prehospital care: a randomized controlled simulation study
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- Hagiwara, Magnus (author)
- Högskolan i Borås,Jönköping University,HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås
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- Sjöqvist, Bengt-Arne, 1952 (author)
- Chalmers tekniska högskola,Chalmers University of Technology,Department of Signals and Systems, Chalmers University of Technology, Gothenburg,
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- Lundberg, Lars (author)
- Högskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås
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- Suserud, Björn-Ove (author)
- Högskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås
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- Henricson, Maria, 1972- (author)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT
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- Jonsson, Anders (author)
- Högskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås
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Jönköping University HHJ Kvalitetsförbättring och ledarskap inom hälsa och välfärd (creator_code:org_t)
- Elsevier BV, 2013
- 2013
- English.
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In: American Journal of Emergency Medicine. - : Elsevier BV. - 0735-6757 .- 1532-8171. ; 31:1, s. 145-153
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Abstract
Subject headings
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- Introduction: Prehospital emergency medicine is a challenging discipline characterized by a high level of acuity, a lack of clinical information and a wide range of clinical conditions. These factors contribute to the fact that prehospital emergency medicine is a high-risk discipline in terms of medical errors. Prehospital use of Computerized Decision Support System (CDSS) may be a way to increase patient safety but very few studies evaluate the effect in prehospital care. The aim of the present study is to evaluate a CDSS. Methods: In this non-blind block randomized, controlled trial, 60 ambulance nurses participated, randomized into 2 groups. To compensate for an expected learning effect the groups was further divided in two groups, one started with case A and the other group started with case B. The intervention group had access to and treated the two simulated patient cases with the aid of a CDSS. The control group treated the same cases with the aid of a regional guideline in paper format. The performance that was measured was compliance with regional prehospital guidelines and On Scene Time (OST). Results: There was no significant difference in the two group's characteristics. The intervention group had a higher compliance in the both cases, 80% vs. 60% (p<0.001) but the control group was complete the cases in the half of the time compare to the intervention group (p<0.001). Conclusion: The results indicate that this CDSS increases the ambulance nurses' compliance with regional prehospital guidelines but at the expense of an increase in OST.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- NATURVETENSKAP -- Data- och informationsvetenskap -- Systemvetenskap, informationssystem och informatik (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Information Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Annan klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Other Clinical Medicine (hsv//eng)
Keyword
- controlled-trial
- patient safety
- adherence
- recommendations
- myocardial-infarction
- management
- guidelines
- aid
Publication and Content Type
- art (subject category)
- ref (subject category)
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