Emergency Medical Service Missions Clinical Trial
Official title:
Implementation Strategy From Research to Routine Care of a Comprehensive Prehospital Telemedicine System and Pre-post Analysis of Systemic Effects
In two research projects a comprehensive prehospital telemedicine system was developed and
general feasibility as well as impact on guideline adherence were evaluated. These results
allowed stepwise implementation into medical routine care.
All steps and milestones from the research idea to implementation were analyzed and evaluated
descriptively in this study. Using a pre-post intervention analysis the systemic effects of
the implementation on change in emergency medical resource utilization were analyzed.
In two interdisciplinary research projects a comprehensive prehospital telemedicine system
was developed and general feasibility as well as impact on guideline adherence were
evaluated. Feasibility and general safety were demonstrated. These results allowed stepwise
implementation into medical routine care during a one year phase. During implementation
positive effects on guideline adherence were found. Despite positive results there are many
barriers that prevent implementation of research projects into routine medical care.
Therefore, the current study evaluated and interpreted all steps and milestones from the
research idea to implementation and evaluated them descriptively. Using a pre-post
intervention analysis the systemic effects of the implementation on change in emergency
medical resource utilization were analyzed. Resource utilization of physician staffed
emergency medical service units was compared between a pre-implementation period (12 months,
April 2013 - March 2014) and a post-implementation period (12 months, April 2015 - March
2016). During the pre-implementation period only standard care was available.
Inclusion criteria: All emergency medical service (EMS) missions in both periods.
Data sources: Electronic health records of the EMS missions (data pseudonymity) and database
of the regional EMS dispatch center.
;