ArticleClinical and experimental emergency medicine2019
Promotion of prehospital emergency care through clinical decision support systems: opportunities and challenges.
Article in Clinical and experimental emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Incidence and predictors of postoperative complications in Sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in health services · 2024Pooled it
- Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review.Prehospital and disaster medicine · 2023Pooled it
- Validation of NEWS2 as a triage tool for ambulance transport requests for patients assessed by healthcare professionals.BMC emergency medicine · 2026Article
- Emergency management of severe polytrauma with traumatic diaphragmatic hernia via EMSS: case report and literature review.International journal of surgery case reports · 2026Article
- Prognostic Performance of the Korean Triage and Acuity Scale Combined with the National Early Warning Score for Predicting Mortality and ICU Admission at Emergency Department Triage: A Retrospective Observational Study.Diagnostics (Basel, Switzerland) · 2026Article
- Evaluating the real-world utility of four physiological scores for prehospital interventions in resource-limited EMS systems: a population-based study of 15,720 cases.BMC health services research · 2026Article
- Promise and Caution: Mapping Opportunities for AI Decision Support in Emergency Medical Services.Proceedings. IEEE International Conference on Healthcare Informatics · 2026Article
- Enhancing prehospital decision-making: exploring user needs and design considerations for clinical decision support systems.BMC medical informatics and decision making · 2025Article
- Enhancing Prehospital Decision-Making: Exploring User Needs and Design Considerations for Clinical Decision Support Systems.Research square · 2024Article
- Article
- Human errors in emergency medical services: a qualitative analysis of contributing factors.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Challenges of pre-hospital emergency care at Addis Ababa Fire and Disaster Risk Management Commission, Addis Ababa, Ethiopia: a qualitative study.BMC health services research · 2024Article
- Psychometric evaluation of the Decision Support System (DSS) for municipal nurses encountering health deterioration among older adults.BMC geriatrics · 2024Article
- Identification of major hemorrhage in trauma patients in the prehospital setting: diagnostic accuracy and impact on outcome.Trauma surgery & acute care open · 2024Article
- Integrated Hands-Free Electronic Patient Care Report (ePCR) Charting (IHeC): Designing the Architecture.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Challenges and opportunities to improve efficiency and quality of prehospital emergency care using an mHealth platform: Qualitative study in Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Electronic field protocols for prehospital care quality improvement in Lithuania: a randomized simulation-based study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Methods used to evaluate usability of mobile clinical decision support systems for healthcare emergencies: a systematic review and qualitative synthesis.JAMIA open · 2023Review
- Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in trauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinical decision support systems are interactive computer systems for situational decision making and can improve decision efficiency and safety of care. We investigated the role of these systems in enhancing prehospital care. This narrative review included full-text articles published since 2000 that were available in databases/e-journals including Web of Science, PubMed, Science Direct, and Google Scholar. Search keywords included "clinical decision support system," "decision support system," "decision support tools," "prehospital care," and "emergency medical services." Non-journal articles were excluded. We revealed 14 relevant studies that used such a support system in prehospital emergency medical service. Owing to the dynamic nature of emergency situations, decision timing is critical. Four key factors demonstrated the ability of clinical decision support systems to improve decision-making, reduce errors, and improve the safety of prehospital emergency activity: computer-based, offer support as a natural part of the workflow, provide decision support in the time and place of decision making, and offer practical advice. The use of clinical decision support systems in prehospital care resulted in accurate diagnoses, improved patient triage and patient outcomes, and reduction of prehospital time. By improving emergency management and rescue operations, the quality of prehospital care will be enhanced.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.