Decision-support tool in prehospital care: A systematic review of randomized trials

Prehospital and Disaster Medicine

Volumn 26, Issue 5, 2011, Pages 319-329

  Hagiwara, Magnus ^a   Henricson, Maria ^b   Jonsson, Anders ^a   Suserud, Björn Ove ^a  

^a UNIVERSITY OF BORÅS   (Sweden)

^b JÖNKÖPING UNIVERSITY   (Sweden)

Author keywords

emergency medical services; emergency medical technician; prehospital care; Prehospital decision support tool

Indexed keywords

DECISION SUPPORT SYSTEM; EMERGENCY HEALTH SERVICE; HUMAN; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW;

DECISION SUPPORT TECHNIQUES; HUMANS; RANDOMIZED CONTROLLED TRIALS AS TOPIC; TRIAGE;

EID: 84860580332     PISSN: 1049023X     EISSN: 19451938     Source Type: Journal    
DOI: 10.1017/S1049023X11006534     Document Type: Article

References (64)

1. Shaban R, Wyatt Smith CM, Cumming J: Uncertainty, error and risk in human clinical judgment: Introductory theoretical frameworks in paramedic practice. Journal of Emergency Primary Health Care 2004;2(1-2).
2. Brazier H, Murphy AW, Lynch C, Bury G: Searching for the evidence in prehospital care: A review of randomised controlled trials. On behalf of the Ambulance Response Time Sub-Group of the National Ambulance Advisory Committee. J Accid Emerg Med 1999;16(1):18-23.
3. Gunnarsson BM, Warrén Stomberg M: Factors inf luencing decision making among ambulance nurses in emergency care situations. Int Emerg Nurs 2009;17(2):83-89.
4. Wireklint Sundström B: Förberedd pa att vara oförberedd : En fenomenologisk studie av vardande bedömning och dess lärande i ambulanssjukvard. 2005, Växjö: Växjö University Press.
5. Cooper S, Jr, Grant J: New and emerging roles in out of hospital emergency care: A review of the international literature. Int Emerg Nurs 2009;17(2):90-98.
6. Schmidt T, Atcherson K, Federiuk C, et al: Evaluation of protocols allowing emergency medical technicians to determine need for treatment and transport. Acad Emerg Med 2000;7(6):663-669.
7. Brown LH, Hubble MW, Cone DC, et al: Paramedic determinations of medical necessity: A meta-analysis. Prehosp Emerg Care 2009;13(4):516-527.
8. Rotter T, Kinsman L, James EL, et al: Clinical pathways: Effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database of Systematic Reviews, DOI: 10.1002/14651858.CD006632.pub2.
9. Snooks H, Evans A, Wells B, et al: What are the highest priorities for research in pre-hospital care? Results of a review and Delphi consultation exercise. Journal of Emergency Primary Health Care 2008;6(4):20.
10. Garg AX, Adhikari NK, McDonald H, et al: Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. JAMA 2005;293(10):1223-1238.
11. Kawamoto K, Houlihan CA, Balas EA, Lobach DR: Improving clinical practice using clinical decision support systems: A systematic review of trials to identify features critical to success. BMJ 2005;330(7494):765-768.
12. Tan KRF, Dear P, Newell Simon J: Clinical decision support systems for neonatal care. Cochrane Database of Systematic Reviews, DOI: 10.1002/14651858. CD004211.pub2.
13. Sintchenko V, Magrabi F, Tipper S: Are we measuring the right end-points? Variables that affect the impact of computerised decision support on patient outcomes: A systematic review. Medical Informatics & the Internet in Medicine 2007;32(3):225-240.
14. Shojania Kaveh G, Jennings A, Mayhew A, et al: The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database of Systematic Reviews DOI: 10.1002/14651858.CD001096.pub2; 2009.
15. Deeks J, Dinnes J, D'Amico R, et al: Evaluating non-randomised intervention studies. Health Technology Assessment 2003;7(27):1-173.
16. Scottish Intercollegiate Guidelines Network 2010 3/08/09.
17. Shukla VK, et al: Systematic review of quality assessment instruments for randomized control trials: Selection of SIGN50 methodological checklist [abstract]. XV Cochrane Colloquium; 2007 October 23-27; Sao Paulo, Brazil, 101.
18. Wyatt J, Spiegelhalter D: Field trials of medical decision-aids: Potential problems and solutions. in Proceedings/The Annual Symposium On Computer Application [Sic] In Medical Care. Symposium On Computer Applications In Medical Care. 1991.
19. Perreault LMJ: A pragmatic framework for understanding clinical decision support. Journal of Healthcare Information Management 1999;13(2):15-21.
20. Peterson ED, Roe MT, Mulgund J, et al: Association between hospital process performance and outcomes among patients with acute coronary syndromes. JAMA 2006;295(16):1912-1920.
21. De Luca A, Toni D, Lauria L, et al: (2009) An emergency clinical pathway for stroke patients-Results of a cluster randomised trial. BMC Health Services Research 2009;9(14).
22. Woollard M, Hayward AJ, Taylor NC: Limited benefits of ambulance telemetry in delivering early thrombolysis: A randomised controlled trial. Emerg Med J 2005;22(3):209-215.
23. Bray JE, Martin J, Cooper G, et al: An interventional study to improve paramedic diagnosis of stroke. Prehosp Emerg Care 2005;9(3):297-302.
24. Cayten CG, Oler J, Staroscik R, et al: Clinical algorithms for prehospital cardiac care. Medical Care 1983;21(2):147-156.
25. Ortolani P, Marzocchi A, Marrozzini C, et al: Usefulness of prehospital triage in patients with cardiogenic shock complicating ST-elevation myocardial infarction treated with primary percutaneous coronary intervention. Am J Cardiol 2007;100(5):787-792.
26. Davis DP, Graydon C, Stein R, et al: The positive predictive value of paramedic versus emergency physician interpretation of the prehospital 12-lead electrocardiogram. Prehosp Emerg Care 2007;11(4):399-402.
27. Dhruva VN, Abdelhadi SI, Anis A, et al: ST-segment analysis using wireless technology in acute myocardial infarction (STAT-MI) trial. J Am Coll Cardiol 2007;50(6):509-513.
28. Watts D, Hanf ling D, Waller M, et al: An evaluation of the use of guidelines in prehospital management of brain injury. Prehospital Emergency Care 2004;8(3): 254-261.
29. Gladstone DJ, Rodan LH, Sahlas DJ, et al: A citywide prehospital protocol increases access to stroke thrombolysis in toronto. Stroke 2009;40(12):3841- 3844.
30. Le May MR, Davies RF, Dionne R, et al: Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. Am J Cardiol 2006;98(10):1329-1333.
31. Muhr MD, Seabrook DL, Wittwer LK: Paramedic use of a spinal injury clearance algorithm reduces spinal immobilization in the out-of-hospital setting. Prehosp Emerg Care 1999;3(1):1-6.
32. Quain DA, Parsons MW, Loudfoot AR, et al: Improving access to acute stroke therapies: A controlled trial of organised pre-hospital and emergency care. Med J Aust 2008;189(8):429-433.
33. Wojner-Alexandrov AW, Alexandrov AV, Rodriguez D, et al: Houston Paramedic and Emergency Stroke Treatment and Outcomes Study (HoPSTO). Stroke 2005;36(7):15121518.
34. Burton JH, Harmon NR, Dunn MG, Bradshaw JR: EMS provider findings and interventions with a statewide EMS spine-assessment protocol. Prehosp Emerg Care 2005;9(3):303-309.
35. Kidwell CS, Saver JL, Schubert GB, et al: Design and retrospective analysis of the Los Angeles Prehospital Stroke Screen (LAPSS). Prehosp Emerg Care 1998;2(4):267-273.
36. Fries GR, McCalla G, Levitt MA, Cordova R: A prospective comparison of paramedic judgment and the trauma triage rule in the prehospital setting. Ann Emerg Med 1994;24(5):885-889.
37. Gray JT. Wardrope J: Introduction of non-transport guidelines into an ambulance service: a retrospective review. Emerg Med J 2007;24(10):727-729.
38. Haines CJ, Lutes RE, Blaser M, Christopher NC: Paramedic initiated nontransport of pediatric patients. Prehosp Emerg Care 2006;10(2):213-219.
39. Jones T, Woollard M: Paramedic accuracy in using a decision support algorithm when recognising adult death: A prospective cohort study. Emerg Med J 2003;20(5):473-475.
40. Kidwell CS, Starkman S, Eckstein M, et al: Identifying stroke in the field : Prospective validation of the Los Angeles Prehospital Stroke Screen (LAPSS). Stroke 2000;31(1):71-76.
41. Klein KR, Spillane LL, Chiumento S, Schneider SM: Effects of on-line medical control in the prehospital treatment of atraumatic illness. Prehosp Emerg Care 1997;1(2):80-4.
42. Knapp BJ, Tsuchitani SN, Cheele JM, et al: Prospective evaluation of an emergency medical services-administered alternative transport protocol. Prehosp Emerg Care 2009;13(4):432-436.
43. Kothari RU, Pancioli A, Liu T, et al: Cincinnati Prehospital Stroke Scale: Reproducibility and validity. Ann Emerg Med 1999;33(4):373-378.
44. Meisel ZF, Mathew R, Wydro GC, et al: Multicenter validation of the Philadelphia EMS admission rule (PEAR) to predict hospital admission in adult patients using out-of-hospital data. Acad Emerg Med 2009;16(6):519-525.
45. Nor AM, McAllister C, Louw SJ, et al: Agreement between ambulance paramedicand physician-recorded neurological signs with Face Arm Speech Test (FAST) in acute stroke patients. Stroke 2004;35(6):355-1359.
46. Norcross ED, Ford DW, Cooper ME, et al: Application of American College of Surgeons' field triage guidelines by pre-hospital personnel. J Am Coll Surg 1995;181(6):539-544.
47. Paul AO, Kay MV, Huppertz T, et al: Validation of the prehospital mSTaRT triage algorithm. A pilot study for the development of a multicenter evaluation. Unfallchirurg 2009;112(1):23-30,32.
48. Pointer JE, Levitt MA, Young JC, et al: Can paramedics using guidelines accurately triage patients? Ann Emerg Med 2001;38(3):268-277.
49. Ramanujan P, Guluma KZ, Castillo EM, et al: Accuracy of stroke recognition by emergency medical dispatchers and paramedics-San Diego experience. Prehosp Emerg Care 2008;12(3):307-313.
50. Richman PB, Vadeboncoeur TF, Chikani V, et al: Independent evaluation of an out-of-hospital termination of resuscitation (TOR) clinical decision rule. Acad Emerg Med 2008;15(6):517-521.
51. Schmidt TA, Atcheson R, Federiuk C, et al: Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols. Prehosp Emerg Care 2001;5(4):366-370.
52. Snooks H, Kearsley N, Dale J, et al: Towards primary care for non-serious 999 callers: results of a controlled study of "Treat and Refer" protocols for ambulance crews. Qual Safe Health Care 2004;13(6):435-443.
53. van Hof AWJ, Rasoul S, van de Wetering H, et al: Feasibility and benefit of prehospital diagnosis, triage, and therapy by paramedics only in patients who are candidates for primary angioplasty for acute myocardial infarction. Am Heart J 2006;151(6):1255.e1-5.
54. Gonzalez RP, Cummings GR, Phelan HA, et al: Does increased emergency medical services prehospital time affect patient mortality in rural motor vehicle crashes? A statewide analysis. Am J Surg 2009;197(1):30-34.
55. Boersma E, Maas E, Deckers JW, Simoons ML: Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 1996;348(9030):771-775.
56. Toni D, Chamorro A, Kaste M, et al: Acute treatment of ischaemic stroke. European Stroke Initiative. Cerebrovascular Diseases (Basel, Switzerland), 2004. 17 Suppl 2: p. 30-46.
57. Bettencourt N, Mateus P, Dias C, et al: Impact of pre-hospital emergency in the management and prognosis of acute myocardial infarction. Revista Portuguesa De Cardiologia: Orgiao Oficial Da Sociedade Portuguesa De Cardiologia 2005;24(6):863-872.
58. Colwell C, Mehler P, Harper J, et al: Measuring quality in the prehospital care of chest pain patients. Prehosp Emerg Care 2009;3(2):237-240.
59. Meisel ZF, Armstrong ZF, Mechem CC, et al: Inf luence of sex on the out-ofhospital management of chest pain. Acad Emerg Med 17(1):80-87.
60. Rittenberger JC, Beck PW, Paris PM: Errors of omission in the treatment of prehospital chest pain patients. Prehosp Emerg Care 2005;9(1):2-7.
61. Woollard M, Smith A, Elwood P: Pre-hospital aspirin for suspected myocardial infarction and acute coronary syndromes: a headache for paramedics? Emerg Med J 2001;18(6):478-481.
62. Silvestri S, Rothrock SG, Kennedy D, et al: Can paramedics accurately identify patients who do not require emergency department care? Journal of Emergency Medicine 2002. 6(4): p. 387-390.
63. Hopewell S, McDonald S, Clarke M, Egger M: Grey literature in meta-analyses of randomized trials of health care interventions. Cochrane Database of Systematic Reviews DOI: 10.1002/14651858.MR000010.pub3.
64. Snooks H, Cheung W-Y, Close J, Dale J, Gaze S, Humphreys I, et al: Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of cost and benefits using a pragmatic cluster randomised trial. BMC Emergency Medicine. 2010;10:2.