Retrospective chart review and survey to identify adverse safety events in the emergency medical services care of children with out-of-hospital cardiac arrest in the USA: a study protocol.
Retrospective chart review and survey to identify adverse safety events in the emergency medical services care of children with out-of-hospital cardiac arrest in the USA: a study protocol.
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DOI：
10.1136/bmjopen-2020-039215
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发表时间：
2020-10-21
期刊：
影响因子：
2.9
通讯作者：
Guise JM
中科院分区：
文献类型：
--
作者：
Eriksson C;Schoonover A;Harrod T;Meckler G;Hansen M;Yanez D;Daya M;Jui J;Guise JM
随着时间的推移，提高院外心脏骤停 (OHCA) 成人紧急医疗服务 (EMS) 护理质量的努力已导致生存率的提高。患有 OHCA 的儿童并未观察到类似的改善，他们在院前护理期间发生可预防的不良安全事件的风险可能增加。本研究的目的是确定儿科 OHCA EMS 护理期间与不良安全事件相关的患者和组织因素。这是在美国开展的一项大型多站点 EMS 研究，包括图表审查和机构调查，旨在测量、描述和评估儿科 OHCA 主要结局严重不良安全事件的预测因素。使用之前经过验证的儿科院前不良事件检测系统工具，我们将审查 2013 年至 2019 年 1500 名 OHCA 儿童的 EMS 图表，收集每个病例的详细信息并识别严重不良安全事件 (ASE)。案例将来自美国不同地区至少五个州的 40 多个 EMS 机构。提供图表的 EMS 机构还将被邀请完成机构调查，以了解组织特征。我们将描述跨地理区域和临床领域的儿科 OHCA 中严重 ASE 的频率和比例，并使用逻辑回归确定与严重 ASE 相关的患者和 EMS 组织特征。这项研究已获得俄勒冈健康与科学大学机构审查委员会的批准（IRB 批准号# 00018748）。研究结果将通过科学出版物和演示文稿传播，并通过当地 EMS 医疗主任、质量和培训官员以及社区参与活动向 EMS 领导和工作人员传播。
Efforts to improve the quality of emergency medical services (EMS) care for adults with out-of-hospital cardiac arrest (OHCA) have led to improved survival over time. Similar improvements have not been observed for children with OHCA, who may be at increased risk for preventable adverse safety events during prehospital care. The purpose of this study is to identify patient and organisational factors that are associated with adverse safety events during the EMS care of paediatric OHCA. This is a large multisite EMS study in the USA consisting of chart reviews and agency surveys to measure, characterise and evaluate predictors of our primary outcome severe adverse safety events in paediatric OHCA. Using the previously validated Paediatric prehospital adverse Event Detection System tool, we will review EMS charts for 1500 children with OHCA from 2013 to 2019 to collect details of each case and identify severe adverse safety events (ASEs). Cases will be drawn from over 40 EMS agencies in at least five states in geographically diverse areas of the USA. EMS agencies providing charts will also be invited to complete an agency survey to capture organisational characteristics. We will describe the frequency and proportion of severe ASEs in paediatric OHCA across geographic regions and clinical domains, and identify patient and EMS organisational characteristics associated with severe ASEs using logistic regression. This study has been approved by the Oregon Health & Science University Institutional Review Board (IRB Approval# 00018748). Study results will be disseminated through scientific publications and presentations, and to EMS leaders and staff through local EMS medical directors, quality and training officers and community engagement activities.
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DOI：
10.1080/10903129808958841
发表时间：
1998-01-01
期刊：
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
影响因子：
--
作者：
Gausche, M;Henderson, D P;Foltin, G L
通讯作者：
Foltin, G L
DOI：
10.1161/circoutcomes.112.967968
发表时间：
2013-01-01
影响因子：
6.9
作者：
Girotra, Saket;Spertus, John A.;Chan, Paul S.
通讯作者：
Chan, Paul S.
影响因子：
37.8
作者：
Benjamin, Emelia J.;Virani, Salim S.;Muntner, Paul
通讯作者：
Muntner, Paul
影响因子：
5.4
作者：
Jayaram, Natalie;McNally, Bryan;Chan, Paul S.
通讯作者：
Chan, Paul S.
影响因子：
6.5
作者：
Fothergill, Rachael T.;Watson, Lynne R.;Whitbread, Mark
通讯作者：
Whitbread, Mark