National Prehospital Evidence-Based Guidelines Strategy: A Summary for EMS Stakeholders
National Prehospital Evidence-Based Guidelines Strategy: A Summary for EMS Stakeholders
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DOI：
10.3109/10903127.2015.1102995
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发表时间：
2016-03-03
影响因子：
2.4
通讯作者：
Spaite, Daniel W.
中科院分区：
文献类型：
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作者：
Martin-Gill, Christian;Gaither, Joshua B.;Spaite, Daniel W.
多个国家组织建议并支持一项国家投资，以增加可用于指导紧急医疗服务(EMS)提供的患者护理的科学证据，并将这些证据直接纳入EMS系统。正在进行的工作寻求使用由联邦EMS机构间委员会(FICEMS)和国家EMS咨询委员会(NEMSAC)召集的多学科专家小组创建的国家示范流程来开发、实施和评估院前循证指南(EBGs)。然而，这些和其他EBG努力是在相对孤立的情况下进行的，国家项目之间的直接合作有限，在执行个别准则方面遇到了挑战。有必要在利益攸关方之间发展可持续的关系，以促进形成促进EBG努力的共同愿景。在这里，我们总结了由全国EMS医生协会(NAEMSP)制定的关于EBGs的国家战略，该战略由57个利益相关者组织参与，并得到了国家公路交通安全管理局(NHTSA)和儿童EMS项目的财政支持。该战略提出了七个行动项目，以支持在推进院前EBG方面的合作努力。第一个拟议的行动是创建一个院前指南联盟(PGC)，代表对院前EBG及其对患者预后的好处感兴趣的国家医疗和EMS组织。其他行动项目包括促进支持创建和评估EBGs影响的研究，通过改善利益相关者合作促进新EBGs的发展，以及改善所有院前提供者的循证医学教育。该战略旨在通过改进指南传播和纳入方案来促进EBGs的实施，并寻求建立院前EBGs的标准化评估方法。最后，该战略建议主要利益攸关方组织为医院前指南联盟提供财政支持，作为实施该战略的一种手段，同时共同促进为持续的EBG努力提供额外资金。
Multiple national organizations have recommended and supported a national investment to increase the scientific evidence available to guide patient care delivered by Emergency Medical Services (EMS) and incorporate that evidence directly into EMS systems. Ongoing efforts seek to develop, implement, and evaluate prehospital evidence-based guidelines (EBGs) using the National Model Process created by a multidisciplinary panel of experts convened by the Federal Interagency Committee on EMS (FICEMS) and the National EMS Advisory Council (NEMSAC). Yet, these and other EBG efforts have occurred in relative isolation, with limited direct collaboration between national projects, and have experienced challenges in implementation of individual guidelines. There is a need to develop sustainable relationships among stakeholders that facilitate a common vision that facilitates EBG efforts. Herein, we summarize a National Strategy on EBGs developed by the National Association of EMS Physicians (NAEMSP) with involvement of 57 stakeholder organizations, and with the financial support of the National Highway Traffic Safety Administration (NHTSA) and the EMS for Children program. The Strategy proposes seven action items that support collaborative efforts in advancing prehospital EBGs. The first proposed action is creation of a Prehospital Guidelines Consortium (PGC) representing national medical and EMS organizations that have an interest in prehospital EBGs and their benefits to patient outcomes. Other action items include promoting research that supports creation and evaluates the impact of EBGs, promoting the development of new EBGs through improved stakeholder collaboration, and improving education on evidence-based medicine for all prehospital providers. The Strategy intends to facilitate implementation of EBGs by improving guideline dissemination and incorporation into protocols, and seeks to establish standardized evaluation methods for prehospital EBGs. Finally, the Strategy proposes that key stakeholder organizations financially support the Prehospital Guidelines Consortium as a means of implementing the Strategy, while together promoting additional funding for continued EBG efforts.