Refreshing the emergency medicine research priorities.


Journal

Emergency medicine journal : EMJ
ISSN: 1472-0213
Titre abrégé: Emerg Med J
Pays: England
ID NLM: 100963089

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 05 12 2022
accepted: 03 07 2023
medline: 25 8 2023
pubmed: 26 7 2023
entrez: 25 7 2023
Statut: ppublish

Résumé

The priorities for UK emergency medicine research were defined in 2017 by a priority setting partnership coordinated by the Royal College of Emergency Medicine in collaboration with the James Lind Alliance (JLA). Much has changed in the last 5 years, not least a global infectious disease pandemic and a significant worsening of the crisis in the urgent and emergency care system. Our aim was to review and refresh the emergency medicine research priorities. A steering group including patients, carers and healthcare professionals was established to agree to the methodology of the refresh. An independent adviser from the JLA chaired the steering group. The scope was adult patients in the ED. New questions were invited via an open call using multiple communications methods ensuring that patients, carers and healthcare professionals had the opportunity to contribute. Questions underwent minisystematic (BestBETs) review to determine if the question had been answered, and the original 2017 priorities were reviewed. Any questions that remained unanswered were included in an interim prioritisation survey, which was distributed to patients, carers and healthcare professionals. Rankings from this survey were reviewed by the steering group and a shortlist of questions put forward to the final workshop, which was held to discuss and rank the research questions in order of priority. 77 new questions were submitted, of which 58 underwent mini-systematic review. After this process, 49 questions (of which 32 were new, 11 were related to original priorities and 6 unanswered original priorities were carried forward) were reviewed by the steering group and included in an interim prioritisation survey. The interim prioritisation survey attracted 276 individual responses. 26 questions were shortlisted for discussion at the final prioritisation workshop, where the top 10 research priorities were agreed. We have redefined the priorities for emergency medicine research in the UK using robust and established methodology, which will inform the agenda for the coming years.

Sections du résumé

BACKGROUND BACKGROUND
The priorities for UK emergency medicine research were defined in 2017 by a priority setting partnership coordinated by the Royal College of Emergency Medicine in collaboration with the James Lind Alliance (JLA). Much has changed in the last 5 years, not least a global infectious disease pandemic and a significant worsening of the crisis in the urgent and emergency care system. Our aim was to review and refresh the emergency medicine research priorities.
METHODS METHODS
A steering group including patients, carers and healthcare professionals was established to agree to the methodology of the refresh. An independent adviser from the JLA chaired the steering group. The scope was adult patients in the ED. New questions were invited via an open call using multiple communications methods ensuring that patients, carers and healthcare professionals had the opportunity to contribute. Questions underwent minisystematic (BestBETs) review to determine if the question had been answered, and the original 2017 priorities were reviewed. Any questions that remained unanswered were included in an interim prioritisation survey, which was distributed to patients, carers and healthcare professionals. Rankings from this survey were reviewed by the steering group and a shortlist of questions put forward to the final workshop, which was held to discuss and rank the research questions in order of priority.
RESULTS RESULTS
77 new questions were submitted, of which 58 underwent mini-systematic review. After this process, 49 questions (of which 32 were new, 11 were related to original priorities and 6 unanswered original priorities were carried forward) were reviewed by the steering group and included in an interim prioritisation survey. The interim prioritisation survey attracted 276 individual responses. 26 questions were shortlisted for discussion at the final prioritisation workshop, where the top 10 research priorities were agreed.
CONCLUSION CONCLUSIONS
We have redefined the priorities for emergency medicine research in the UK using robust and established methodology, which will inform the agenda for the coming years.

Identifiants

pubmed: 37491155
pii: emermed-2022-213019
doi: 10.1136/emermed-2022-213019
pmc: PMC10447359
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

666-670

Investigateurs

Louise Dunford (L)
Douglas Findlay (D)
Melanie Gager (M)
Neil Henderson (N)
Dan Horner (D)
Liza Keating (L)
Beccy Maeso (B)
Hazel McCullough (H)
Rachel O'Brien (R)
Theo Chiles (T)
Daisy Harmer (D)
Nicole Kelly (N)
Ben McCullough (B)
Sam McIntyre (S)

Informations de copyright

© Author(s) (or their employer(s)) 2023. 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: TG was paid by the Royal College of Emergency Medicine for her role as chair of the steering group.

Références

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pubmed: 34285172
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Auteurs

Laura Cottey (L)

Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK laurajcottey@gmail.com.

Thomas Alexander Gerrard Shanahan (TAG)

School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.

Toto Gronlund (T)

James Lind Alliance, National Institute for Health and Care Research, School of Healthcare Enterprise and Innovation, University of Southampton, Southampton, UK.

Caroline Whiting (C)

James Lind Alliance, National Institute for Health and Care Research, School of Healthcare Enterprise and Innovation, University of Southampton, Southampton, UK.

Moses Sokunbi (M)

Leicester School of Allied Health Sciences, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.

Simon David Carley (SD)

Emergency Department, Manchester University NHS Foundation Trust, Manchester, UK.
Postgraduate Medicine, Manchester Metropolitan University, Manchester, UK.

Jason E Smith (JE)

Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK.
Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK.

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Classifications MeSH