Decision support system in prehospital care: a randomized controlled simulation study

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Hagiwara, MagnusHögskolan i Borås,Jönköping University,HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås (author)

Decision support system in prehospital care: a randomized controlled simulation study

Article/chapterEnglish2013

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Elsevier BV,2013

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LIBRIS-ID:oai:research.chalmers.se:99f46c65-8eb3-4b5e-a3f3-a57b8651379d
https://research.chalmers.se/publication/172814URI
https://doi.org/10.1016/j.ajem.2012.06.030DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-17142URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-1341URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Notes

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 and genre

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
controlled-trial
patient safety
adherence
recommendations
myocardial-infarction
management
guidelines
aid

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Sjöqvist, Bengt-Arne,1952Chalmers tekniska högskola,Chalmers University of Technology,Department of Signals and Systems, Chalmers University of Technology, Gothenburg,(Swepub:cth)bensjo (author)
Lundberg, LarsHögskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås(Swepub:hb)lalu (author)
Suserud, Björn-OveHögskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås(Swepub:hb)bos (author)
Henricson, Maria,1972-Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT(Swepub:hj)henr (author)
Jonsson, AndersHögskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård,University of Borås(Swepub:hb)ajo (author)
Jönköping UniversityHHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd (creator_code:org_t)

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In:American Journal of Emergency Medicine: Elsevier BV31:1, s. 145-1530735-67571532-8171

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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