NCT04127565

Implementation Strategy and Systemic Effects of Routine Telemedical Care in Prehospital Emergency Medicine

Implementation Strategy From Research to Routine Care of a Comprehensive Prehospital Telemedicine System and Pre-post Analysis of Systemic Effects

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 51,649 (actual)
• Sponsor: RWTH Aachen University · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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.

Conditions

• Telemedicine Usage
• Teleconsultation Usage
• Emergency Medical Service Missions

Timeline

• Start date: 2013-04-01
• Primary completion: 2016-03-31
• Completion: 2016-03-31
• First posted: 2019-10-15
• Last updated: 2019-10-15