PP10 Does the use of a post-rosc checklist improve paramedic adherence to local clinical guidance? a mannequin-based pilot randomised controlled study
| Autor: | Rachel Clarke, David John Williams |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Significant difference General Medicine Guideline Intervention group Return of spontaneous circulation Critical Care and Intensive Care Medicine medicine.disease Checklist Clinical Practice Healthcare settings Emergency Medicine Physical therapy medicine Mann–Whitney U test Medical emergency business |
| Zdroj: | Emergency Medicine Journal. 34:e3.1-e3 |
| ISSN: | 1472-0213 1472-0205 |
| DOI: | 10.1136/emermed-2017-207114.10 |
| Popis: | Aims a Background The primary aim of this pilot study was to identify whether the use of a checklist could improve paramedic adherence to a clinical guideline during the management of a simulated cardiac arrest patient with the return of spontaneous circulation (ROSC). Increasingly checklists have been shown to reduce mortality and morbidity across a variety of healthcare settings. However there is currently no literature looking at the potential benefits of checklists on UK out-of-hospital cardiac arrest (OOHCA) management. Method The study took a convenience sample of nine paramedics from one NHS ambulance service trust. Participants were randomised to one of two groups. Group A, the intervention group, was asked to utilise the checklist on attaining ROSC. Group B, the control group, were asked to manage the ROSC patient in line with standard clinical practice. The results from each participant were recorded on a marking grid, scored out of a possible twenty four points by two individual markers. Results Five participants were randomised to group A achieving a median score of twenty three. The other four clinicians were randomised to group B achieving a median score of fourteen. Results were analysed using SPSS software using the Mann-Whitney U test for non-parametric data, producing a p-value of 0.014. This statistical value demonstrates a statistically significant difference within the data. Conclusion There is a statistically significant difference (p |
| Databáze: | OpenAIRE |
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