Professional Development in Emergency Medical Services

NCT02365792 | Withdrawn

• 1 other identifier: ProDEmsTrial
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

The ProDEms-trial focuses on nurses and ambulance drivers working in prehospital care, taking care on the one hand of patients suffering from time-sensitive critical conditions like STEMI, acute stroke or severe traumatic brain injury, and on the other hand of patients whose lives are not in immediate danger but suffer from acute exacerbation of chronic conditions or suffer from acute pain. In the current study the investigators will use a multistage approach to test the hypothesis whether the use of a CDSS in prehospital emergency care will: 1. Improve protocol adherence, 2. Reduce emergency department length of stay, 3. Improves diagnostic accuracy; without impeding the workflow of the prehospital team or impairing patient safety.

Conditions

Clinical Decision Support; Clinical Practice Guidelines; Emergency Medical Services

Keywords

Clinical Decision Support; Clinical Practice Guidelines; Emergency Medical Services

Outcome Measures

Primary Outcomes (1)

• Treatment protocol adherence

  Measured by comparing the prescribed actions to be taken following the selected standing order (-s) or procedures, with the actual action (-s) taken.

  Up to 12 months

Secondary Outcomes (4)

• Length of Stay in the ED

  Up to 12 months

• Prehospital Patient Time Interval

  Up to 12 months

• Consistency in reported diagnose and the choice of PIT standing order (-s) or procedure (-s)

  Up to 12 months

• Alignment between diagnostic accuracy and interventions taken.

  Up to 12 months

Study Arms (3)

CDSS1

ACTIVE COMPARATOR

The CDSS1 will provide decision support according to existing protocols for clinical procedures and medical treatment, mainly starting from specific symptoms or diagnostic related patients groups. The symptom oriented approach is categorised in a specific list of predetermined conditions.

Procedure: Clinical Decision Support Tool for Prehospital Care

CDSS2

ACTIVE COMPARATOR

The CDSS2 will provide decision support according to existing protocols for clinical procedures and medical treatment, mainly starting from specific symptoms or diagnostic related patients groups. The symptom oriented approach is categorised in a specific list of predetermined conditions.

Procedure: Clinical Decision Support Tool for Prehospital Care

Booklet

PLACEBO COMPARATOR

The control group will provide prehospital patient care with usual decision support: a pocket-size booklet, backed by a mobile phone through which the PIT can get in contact with an Emergency Physician.

Procedure: Clinical Decision Support Tool for Prehospital Care

Interventions

Clinical Decision Support Tool for Prehospital Care PROCEDURE

A clinical decision support system (CDSS) is a health information technology system that is designed to assist physicians and other health professionals with clinical decision-making tasks. A working definition of the Centre for Health Evidence: "Clinical Decision Support systems link health observations with health knowledge to influence health choices by clinicians for improved health care".

Also known as: CDSS

Booklet; CDSS1; CDSS2

Eligibility Criteria

• Age: 1 Year - 112 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who receive treatment from the Paramedic Intervention Team (PIT) in the prehospital Emergency Medical Services (EMS) area of the University Hospitals, Leuven.

You may not qualify if:

• Patient-related interventions not dispatched by the Emergency Medical Dispatch center (EMD)
• Patient related interventions during transport between two healthcare facilities or in mass casualty situations.

Sponsors & Collaborators

• KU Leuven: lead

Study Sites (1)

Academic Center for General Practice

Leuven, Vlaams-Brabant, 3000, Belgium

Location

Related Links

• PhD Project
• Principal Investigator
• Participating Facility
• Affiliated study Department

Study Officials

• Bert mr Aertgeerts, PhD

  Academic Center for General Practice

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of the Academic Center for General Practice

Study Record Dates

• First Submitted: June 21, 2014
• First Posted: February 19, 2015
• Study Start: June 1, 2016
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2025
• Last Updated: August 31, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)