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Priorities for Prehospital Evidence-Based Guideline Development: A Modified Delphi Analysis
Prehospital Emergency Care
|February 24, 2021
Summary
This study identified key gaps in prehospital evidence-based guidelines (EBGs). Prioritizing research in areas like pediatric care and EMS impact measurement can improve patient outcomes and practitioner well-being.
Area of Science:
- Prehospital Care
- Evidence-Based Medicine
- Health Services Research
Background:
- Few prehospital care areas have evidence-based guidelines (EBGs).
- There is a need to identify and prioritize gaps in clinical and operational EBGs.
- This prioritization is crucial for directing future research funding and guideline development.
Purpose of the Study:
- To identify and prioritize critical gaps in prehospital clinical and operational evidence-based guidelines.
- To inform future research funding and guideline development in emergency medical services (EMS).
Main Methods:
- Modified Delphi methodology involving 5 rounds of surveys with prehospital care and EBG experts.
- Thematic analysis of expert-identified gaps, followed by Likert scale ratings and rank-ordering.
- Consensus building among 14 participating experts over a 5-month period.
Main Results:
- 23 unique clinical and 28 unique operational gaps in prehospital EBGs were identified.
- Top prioritized clinical gaps: pediatric patient care, airway management, and behavioral health emergencies.
- Top prioritized operational gaps: measuring EMS impact, practitioner wellness, and safety.
Conclusions:
- This study successfully identified and prioritized key gaps in prehospital evidence-based guidelines.
- Addressing these prioritized gaps is expected to significantly enhance prehospital clinical care and operations.
- The findings provide a roadmap for future research and EBG development in EMS.
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