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
Introduction 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...
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BMJ Publishing Group
2020-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/10/e039215.full |
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| author | Carl Eriksson Matt Hansen Amanda Schoonover Tabria Harrod Jeanne-Marie Guise Garth Meckler David Yanez Mo Daya Jonathan Jui |
| author_facet | Carl Eriksson Matt Hansen Amanda Schoonover Tabria Harrod Jeanne-Marie Guise Garth Meckler David Yanez Mo Daya Jonathan Jui |
| author_sort | Carl Eriksson |
| collection | DOAJ |
| description | Introduction 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.Methods and analysis 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.Ethics and dissemination 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. |
| format | Article |
| id | doaj-art-53d30a25e8b646ebb45b23df5acd1ea9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-53d30a25e8b646ebb45b23df5acd1ea92024-11-16T09:15:09ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2020-039215Retrospective 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 protocolCarl Eriksson0Matt Hansen1Amanda Schoonover2Tabria Harrod3Jeanne-Marie Guise4Garth Meckler5David Yanez6Mo Daya7Jonathan Jui8Pediatrics, Oregon Health and Science University, Portland, Oregon, USAEmergency Medicine, Oregon Health and Science University, Portland, Oregon, USAObstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USAObstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USAObstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USAPediatrics, University of British Columbia, Vancouver, British Columbia, CanadaAnesthesiology, Yale University, New Haven, Connecticut, USAEmergency Medicine, Oregon Health and Science University, Portland, Oregon, USAEmergency Medicine, Oregon Health and Science University, Portland, Oregon, USAIntroduction 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.Methods and analysis 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.Ethics and dissemination 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.https://bmjopen.bmj.com/content/10/10/e039215.full |
| spellingShingle | Carl Eriksson Matt Hansen Amanda Schoonover Tabria Harrod Jeanne-Marie Guise Garth Meckler David Yanez Mo Daya Jonathan Jui 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/10/10/e039215.full |
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