The Influencing Factors of Implementation in Emergency Medical Service Systems - A Scoping Review.
Prehosp Emerg Care
; : 1-11, 2024 Aug 12.
Article
en En
| MEDLINE
| ID: mdl-39088818
ABSTRACT
OBJECTIVES:
Emergency medical services (EMS) provide health care in situations with limited time and resources. Challenges arise when introducing novel medications, treatments, or technologies or modifying existing practices in these settings. Effective implementation strategies are pivotal for their success. This study aims to identify and categorize potential facilitators and barriers in the implementation of prehospital EMS through a review of relevant research articles.METHODS:
We searched PubMed and EMbase to identify studies published before December 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for our search strategy and scoping review. We included original articles written in English that report on the factors that influence the implementation in prehospital settings. We extracted and categorized the factors into different themes.RESULTS:
Out of the 371 retrieved papers, we selected 19 (5%) for inclusion in this review. We extracted 46 influencing factors from the selected articles and categorized them into ten themes (1) Outer system, (2) Inner system, (3) Practitioner characteristics, (4) Resources, (5) Communication and collaboration, (6) Patient factors, (7) Intervention characteristics, (8) De-implementation of prior practices, (9) Logistical issues, and (10) Quality improvement.CONCLUSIONS:
This study examined the literature on EMS implementation factors and proposed a 10-theme EMS model framework. Key factors include training/education, equipment/tools, communication with hospitals, and practitioners' attitudes.
Texto completo:
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Banco de datos:
MEDLINE
Idioma:
En
Revista:
Prehosp Emerg Care
Asunto de la revista:
MEDICINA DE EMERGENCIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Taiwán