Professional Development in Emergency Medical Services

Emergency Medical Services Clinical Trial

— ProDEms  

Official title:

Efficacy of a Clinical Decision Support System in Prehospital Care: Single Blind, Randomized Clinical Trial.

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT02365792
• Other study ID #: ProDEmsTrial
• Status: Withdrawn
• Phase: N/A
• Start date: June 2016
• Est. completion date: December 2025

Study information

• Verified date: August 2023
• Source: KU Leuven
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: December 2025
• Est. primary completion date: December 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 1 Year to 112 Years

Eligibility

Inclusion Criteria:

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

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Clinical Decision Support
• Clinical Practice Guidelines
• Emergencies
• Emergency Medical Services

Intervention

Procedure:
• Clinical Decision Support Tool for Prehospital Care
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".

Locations

Country	Name	City	State
Belgium	Academic Center for General Practice	Leuven	Vlaams-Brabant

Sponsors (1)

Lead Sponsor	Collaborator
KU Leuven

Country where clinical trial is conducted

Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Length of Stay in the ED	Measured as the duration between the times the patient is assigned with a unique EAD number in the emergency department and the disposition decision is marked in the Electronic Patient Record (EPR), indicating that the patient is ready to be discharged from the ED.	Up to 12 months
Secondary	Prehospital Patient Time Interval	Measured as the duration between the arrival time at the scene and and arrival time at the ED.	Up to 12 months
Secondary	Consistency in reported diagnose and the choice of PIT standing order (-s) or procedure (-s)	Measured by comparing the selected standing order (-s) or protocol (-s) and the reported diagnose (-s).	Up to 12 months
Secondary	Alignment between diagnostic accuracy and interventions taken.	Measures by comparing the use of available scales and the corresponding prescribed action (-s) to be taken following the standing orders.	Up to 12 months

External Links

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