TY - JOUR
T1 - State of the evidence for emergency medical services (EMS) care
T2 - The evolution and current methodology of the Prehospital Evidence-Based Practice (PEP) program
AU - Carter, Alix J.E.
AU - Jensen, Jan L.
AU - Petrie, David A.
AU - Greene, Jennifer
AU - Travers, Andrew
AU - Goldstein, Judah P.
AU - Cook, Jolene
AU - Fidgen, Dana
AU - Swain, Janel
AU - Richardson, Luke
AU - Cain, Ed
PY - 2018
Y1 - 2018
N2 - Background: Emergency medical services (EMS) leaders and clinicians need to incorporate evidence into safe and effective clinical practice. Access to high-quality evidence, and the time to synthesize it, can be barriers to evidence-based practice. The Prehospital Evidence-Based Practice (PEP) program is an online, freely accessible, repository of critically appraised evidence specific to EMS. This paper describes the evolution and current methodology of the PEP program. Methods/design: The purpose of PEP is to identify, catalog and critically appraise relevant studies. Following regular systematic searches, two trained appraisers critically appraise included studies and assign a score on three-point level of evidence (LOE) and direction of evidence (DOE) scales. Each clinical intervention is plotted on a 3 × 3 (LOE × DOE) evidence matrix, which provides a summary recommendation. Discussion: The PEP program is a unique knowledge translation tool, specific to EMS. End-users can easily identify which clinical interventions are, or are not, supported by evidence.
AB - Background: Emergency medical services (EMS) leaders and clinicians need to incorporate evidence into safe and effective clinical practice. Access to high-quality evidence, and the time to synthesize it, can be barriers to evidence-based practice. The Prehospital Evidence-Based Practice (PEP) program is an online, freely accessible, repository of critically appraised evidence specific to EMS. This paper describes the evolution and current methodology of the PEP program. Methods/design: The purpose of PEP is to identify, catalog and critically appraise relevant studies. Following regular systematic searches, two trained appraisers critically appraise included studies and assign a score on three-point level of evidence (LOE) and direction of evidence (DOE) scales. Each clinical intervention is plotted on a 3 × 3 (LOE × DOE) evidence matrix, which provides a summary recommendation. Discussion: The PEP program is a unique knowledge translation tool, specific to EMS. End-users can easily identify which clinical interventions are, or are not, supported by evidence.
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U2 - 10.12927/hcpol.2018.25548
DO - 10.12927/hcpol.2018.25548
M3 - Article
C2 - 30129435
AN - SCOPUS:85052125436
SN - 1715-6572
VL - 14
SP - 57
EP - 70
JO - Healthcare Policy
JF - Healthcare Policy
IS - 1
ER -
