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.
accident & emergency medicine
epidemiology
health & safety
paediatric A&E and ambulatory care
paediatrics
quality in health care
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
21 10 2020
21 10 2020
Historique:
entrez:
22
10
2020
pubmed:
23
10
2020
medline:
26
2
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 33087375
pii: bmjopen-2020-039215
doi: 10.1136/bmjopen-2020-039215
pmc: PMC7580068
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e039215Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL141429
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Pediatrics. 2015 Nov;136 Suppl 2:S88-119
pubmed: 26471382
JAMA. 2016 May 3;315(17):1829-30
pubmed: 27139052
Pediatr Emerg Care. 2006 Jan;22(1):62-70
pubmed: 16418617
J Am Heart Assoc. 2015 Oct 08;4(10):e002122
pubmed: 26450118
Prehosp Emerg Care. 2018 May-Jun;22(3):290-299
pubmed: 29023218
Hosp Pediatr. 2018 Aug;8(8):494-498
pubmed: 30061112
Pediatr Emerg Care. 2018 Dec;34(12):862-865
pubmed: 27404462
J Clin Epidemiol. 2008 Apr;61(4):344-9
pubmed: 18313558
Circulation. 2018 Mar 20;137(12):e67-e492
pubmed: 29386200
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Resuscitation. 2013 Aug;84(8):1089-92
pubmed: 23583613
Prehosp Emerg Care. 2008 Jul-Sep;12(3):269-76
pubmed: 18584491
Am J Emerg Med. 2018 Mar;36(3):380-383
pubmed: 28821366
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
BMJ. 2016 May 03;353:i2139
pubmed: 27143499
J Pediatr. 2015 Nov;167(5):1143-8.e1
pubmed: 26297483
JAMA Pediatr. 2017 Apr 1;171(4):393-394
pubmed: 28241221
Resuscitation. 2015 Jun;91:108-15
pubmed: 25676321
J Patient Saf. 2013 Sep;9(3):122-8
pubmed: 23860193
Circ Cardiovasc Qual Outcomes. 2013 Jan 1;6(1):42-9
pubmed: 23250980
Prehosp Emerg Care. 1998 Jan-Mar;2(1):56-61
pubmed: 9737409