| Decision support system in prehospital care: a randomized controlled simulation study. | |
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MedLine Citation:
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PMID: 23000323 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Magnus Andersson Hagiwara; Bengt Arne Sjöqvist; Lars Lundberg; Björn-Ove Suserud; Maria Henricson; Anders Jonsson |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-20 |
Journal Detail:
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Title: The American journal of emergency medicine Volume: - ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-9-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012. Published by Elsevier Inc. |
Affiliation:
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School of Health Sciences, University of Borås, Borås, Sweden; School of Health Sciences, Jönköping University, Jönköping, Sweden. Electronic address: magnus.hagiwara@hb.se. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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