Support and assessment for fall emergency referrals (SAFER 2) research protocol: Cluster randomised trial of the clinical and cost effectiveness of new protocols for emergency ambulance paramedics to assess and refer to appropriate community-based care

BMJ Open

Volumn 2, Issue 6, 2012, Pages

  Snooks, Helen ^a   Anthony, Rebecca ^a   Chatters, Robin ^b   Cheung, Wai Yee ^a   Dale, Jeremy ^c   Donohoe, Rachael ^d   Gaze, Sarah ^a   Halter, Mary ^e   Koniotou, Marina ^a   Logan, Phillippa ^f   Lyons, Ronan ^a   Mason, Suzanne ^b   Nicholl, Jon ^b   Phillips, Ceri ^a   Phillips, Judith ^a   Russell, Ian ^g   Siriwardena, A Niroshan ^h   Wani, Mushtaq ⁱ   Watkins, Alan ^a   Whitfield, Richard ^j   Wilson, Lynsey ^a   more..

^a SWANSEA UNIVERSITY   (United Kingdom)

^b UNIVERSITY OF SHEFFIELD   (United Kingdom)

^c UNIVERSITY OF WARWICK   (United Kingdom)

^d LONDON AMBULANCE SERVICE NHS TRUST   (United Kingdom)

^e ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^f UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^g SWANSEA UNIVERSITY   (United Kingdom)

^h UNIVERSITY OF LINCOLN   (United Kingdom)

ⁱ MORRISTON HOSPITAL   (United Kingdom)

^j WELSH AMBULANCE SERVICES NHS TRUST   (United Kingdom)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE OUTCOME; AGED; AMBULANCE; ARTICLE; CLINICAL PROTOCOL; COMMUNITY CARE; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DEATH; ECONOMIC EVALUATION; EMERGENCY HEALTH SERVICE; FALLING; FEAR; GERIATRIC PATIENT; HEALTH CARE COST; HUMAN; MAJOR CLINICAL STUDY; NATIONAL HEALTH SERVICE; OUTCOMES RESEARCH; PARAMEDICAL PERSONNEL; PATIENT REFERRAL; PATIENT SATISFACTION; QUALITATIVE RESEARCH; QUALITY ADJUSTED LIFE YEAR; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; UNITED KINGDOM;

EID: 84870997983     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2012-002169     Document Type: Article

References (49)

1. Bergeron E, Clement J, Lavoie, et al. A simple fall in the elderly: not so simple. J Trauma Inj Infect Crit Care 2006;60:268-73.
2. Sikron F, Giveon A, Aharonson-Daniel L, et al. My home is my castle! Or is it? Hospitalizations following home injury in Israel, 1997 -2001. Isr Med Assoc J 2004;6:332-5. (Pubitemid 38961201)
3. Keene GS, Parker MJ, Pryor GA. Mortality and morbidity after hip fractures. Br Med J 1993;307:1248-50.
4. Kellogg International Work Group: The prevention of falls in later life. KIWG on the prevention of falls by the elderly. Dan Med Bull 1987;34:1-24.
5. Tinetti ME. Factors associated with serious injury during falls by ambulatory nursing home residents. J Am Geriatr 1987;35:644-8. (Pubitemid 17089054)
6. Scuffham P, Chaplin S, Legood R. Incidence and costs of unintentional falls in older people in the United Kingdom. J Epidemiol Community Health 2003;57:740-4. (Pubitemid 37059646)
7. Department of Health: National Service Framework for Older People. 2001. http://www.dh.gov.uk/prod-consum-dh/groups/dh-digitalassets/@dh/@en/documents/ digitalasset/dh-4071283.pdf (accessed Mar 2011).
8. Gillespie LD, Gillespie WJ, Robertson MC, et al. Interventions for preventing falls in elderly people (Cochrane Review). The Cochrane Library. Chichester: John Wiley and Sons Ltd, 2003.
9. Close JCT. Interdisciplinary practice in the prevention of falls-a review of working models of care. Age Ageing 2001;30:8-12. (Pubitemid 33100784)
10. Aoyagi K, Ross PD, David JW, et al. Falls among community-dwelling elderly in Japan. J Bone Miner Res1998;13:1468-74. (Pubitemid 28418914)
11. American Geriatrics Society BGSaAAoOS. Guidelines for the prevention of falls in older persons. J Am Geriatr Soc 2001;49:664-72.
12. Clinical practice guideline for the assessment and prevention of falls in older people. Guidelines commissioned by the National Institute of Clinical Excellence (NICE, 2004).
13. Close J, Ellis M, Hooper R, et al. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet 1999;353:93-7. (Pubitemid 29088077)
14. Davison J, Bond J, Dawson P, et al. Patients with recurrent falls attending accident & emergency benefit from multifactorial intervention-a randomised controlled trial. Age Ageing 2005;34:162-8. (Pubitemid 40331099)
15. Whitehead C, Wundke R, Crotty M, et al. Evidence-based clinical practice in falls prevention: RCT of a falls prevention service. Aust Health Rev 2003;26:88-97.
16. Weiss SJ, Chong R, Ong M, et al. Emergency medical services screening of elderly falls in the home. Prehosp Emerg Care 2003;7:79-84. (Pubitemid 36091802)
17. Snooks H, Halter M, Close J, et al. Emergency care of older people who fall: a missed opportunity. Qual Saf Healthcare 2006;15:390 -2.
18. Snooks H, Porter A, Gaze S, et al. Non-conveyance of 999 patients and related clinical documentation: Policy, practice and views. Report to the Welsh Ambulance Services NHS Trust, 2004.
19. Marks PJ, Daniel TD, Afolabi O, et al. Emergency (999) calls to the ambulance service that do not result in the patient being transported to hospital: an epidemiological study. Emerg Med J 2002;19:449-52. (Pubitemid 35021319)
20. Close JC, Halter M, Elrick A, et al. Falls in the older population: a pilot study to assess those attended by London ambulance service but not taken to ED. Age Ageing 2002;31:488-9. (Pubitemid 35452804)
21. Goldberg RJ, Zautcke JL, Koenigsberg MD, et al. A review of prehospital care litigation in a larger metropolitan EMS system. Ann Emerg Med 1990;19:557-61. (Pubitemid 20138078)
22. Cone DC, Kim DT, Davidson SJ. Patient-initiated refusals of prehospital care: ambulance call report documentation, patient outcome and on-line medical command. Prehosp Disaster Med 1995;10:22-8.
23. Snooks H, Kearsley N, Dale J, et al. Gaps between policy, protocols and practice: a qualitative study of emergency ambulance crews' views and practice concerning the care of patients with non-urgent needs. Qual Saf Health Care 2005;14:251-7. (Pubitemid 41133178)
24. Department of Health. Taking healthcare to the patient. Transforming NHS ambulance services. Department of Health, London, 2005.
25. Cooper S, Barrett B, Black S, et al. The emerging role of the emergency care practitioner. Emerg Med J 2004;21:614-18. (Pubitemid 39232200)
26. Logan PA, Coupland CAC, Gladman JRF, et al. Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. BMJ 2010;340:c2102.
27. Snooks H, Close JCT, Gaze S, et al. Older fallers attended by the ambulance service and left at home. Report to WORD. February 2003.
28. Snooks H, Kearsley N, Dale J, et al. Towards primary care for non-serious callers to the emergency ambulance service: results of a controlled study of 'Treat and Refer' protocols for ambulance crews. Qual Saf Health Care 2004;13:435-43. (Pubitemid 39647354)
29. Craig P, Dieppe P, Macintyre S, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ 2008;337:a1655.
30. Halter M, Close JCT, Snooks H, et al. Fit to be Left: can ambulance staff use an assessment tool to decide if an older person who has fallen can be safely left at home. DH Research Programme to Support Implementation of the NSF for Older People.
31. Mason S, Knowles E, Colwell B, et al. Effectiveness of paramedic practitioners in attending 999 calls from elderly people in the community: cluster randomised controlled trial. BMJ 2007;335:919.
32. Turner J, Nicholl J, Webber L, et al. A randomised controlled trial of prehospital intravenous therapy in serious trauma. Health Technol Assess 2000;4:31
33. Turner J, Snooks H, Youren A, et al. The costs and benefits of managing some low-priority 999 calls by NHS Direct nurse advisers. Final report to the National Co-ordinating Centre for NHS Service Delivery and Organisation R&D. April 2006.
34. Snooks H, Foster T, Nicholl J. Results of an evaluation of the effectiveness of triage and direct transportation to Minor Injuries Units by ambulance crews. EMJ 2004;21:105 -11.
35. Medical Research Council. MRC guidelines for good clinical practice in clinical trials. Medical Research Council 1998; 20 Park Crescent, London.
36. Lamb SE, Jorstad-Stein EC, Hauer K, et al. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. J Am Geriatr Soc 2005;53:1618-22. (Pubitemid 41602457)
37. Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey (SF12): construction of scales and preliminary tests of reliability and validity. Med Care 1996;32:220-33. http://www.sf-36.org/tools/sf12.shtml (accessed March 2011-February 2013)
38. Hill KD, Schwarz JA, Kalogeropoulos AJ, et al. Fear of falling revisited. Arch Phys Med Rehab 1996;77:1025-9. (Pubitemid 26339626)
39. Carey RC, Seibert JH. A patient survey system to measure quality improvement: questionnaire reliability and validity. Med Care 1993;31:834-45.
40. Lyons R, Jones K, John G, et al. The SAILdatabank: linking multiple health and social care datasets. BMC Med Inform Decis Mak 2009;9:3.
41. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes and effectiveness of interventions. Ann Emerg Med 2002;39:238-47. (Pubitemid 34219636)
42. Snooks H, Cheung W, Close J, 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 costs and benefits using a pragmatic cluster randomised trial. BMC Emerg Med 2010;10:2.
43. Barbour RS. Are focus groups an appropriate tool for studying organizational change? In: Barbour RS, Kitzinger J, eds. Developing focus group research. London: Sage, 1999:113-26.
44. Morgan DL, Krueger RA. When to use focus groups and why. In: Morgan DL, ed. Successful focus groups: advancing the state of the art. London: Sage, 1993:1-19.
45. Kitinger J, Barbour RS. Introduction: the challenge and promise of focus groups. In: Barbour RS, Kitzinger J, eds. Developing focus group research. London: Sage, 1999:1-20.
46. Miles MB, Huberman MA. Qualitative data analysis: an expanded source book. London: Sage, 1994.
47. Hutton JL. Are distinctive ethical principles required for cluster randomised trials? Statist Med 2001;20:473 -88.
48. Halter M, Jones K, Snooks H, et al. Involving consumers in prehospital care research and audit (poster). Pre-hosp Immediate Care 1999;3:177.
49. CONSORT. Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials. BMJ 2010;340:bmj.c869.