Professional Development in Emergency Medical Services

NCT ID: NCT02365792

Last Updated: 2023-08-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2025-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Clinical Decision Support Clinical Practice Guidelines Emergency Medical Services

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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CDSS1

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.

Group Type ACTIVE_COMPARATOR

Clinical Decision Support Tool for Prehospital Care

Intervention Type 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".

CDSS2

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.

Group Type ACTIVE_COMPARATOR

Clinical Decision Support Tool for Prehospital Care

Intervention Type 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".

Booklet

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.

Group Type PLACEBO_COMPARATOR

Clinical Decision Support Tool for Prehospital Care

Intervention Type 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".

Interventions

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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".

Intervention Type PROCEDURE

Other Intervention Names

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CDSS

Eligibility Criteria

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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.
Minimum Eligible Age

1 Year

Maximum Eligible Age

112 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Olivier Hoogmartens

Head of the Academic Center for General Practice

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bert mr Aertgeerts, PhD

Role: STUDY_CHAIR

Academic Center for General Practice

Locations

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Academic Center for General Practice

Leuven, Vlaams-Brabant, Belgium

Site Status

Countries

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Belgium

Related Links

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http://goo.gl/i5mv0R

Principal Investigator

http://goo.gl/sz9yDC

Participating Facility

http://goo.gl/UokRfN

Affiliated study Department

Other Identifiers

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ProDEmsTrial

Identifier Type: -

Identifier Source: org_study_id

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