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Adherence to guidelines and protocols in the prehospital and emergency care setting: a systematic review

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, February 2013
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (85th percentile)

Mentioned by

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10 tweeters
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1 Facebook page

Citations

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80 Dimensions

Readers on

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192 Mendeley
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Title
Adherence to guidelines and protocols in the prehospital and emergency care setting: a systematic review
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, February 2013
DOI 10.1186/1757-7241-21-9
Pubmed ID
Authors

Remco HA Ebben, Lilian CM Vloet, Michael HJ Verhofstad, Sanne Meijer, Joke AJ Mintjes-de Groot, Theo van Achterberg

Abstract

A gap between guidelines or protocols and clinical practice often exists, which may result in patients not receiving appropriate care. Therefore, the objectives of this systematic review were (1) to give an overview of professionals' adherence to (inter)national guidelines and protocols in the emergency medical dispatch, prehospital and emergency department (ED) settings, and (2) to explore which factors influencing adherence were described in studies reporting on adherence. PubMed (including MEDLINE), CINAHL, EMBASE and the Cochrane database for systematic reviews were systematically searched. Reference lists of included studies were also searched for eligible studies. Identified articles were screened on title, abstract and year of publication (≥1990) and were included when reporting on adherence in the eligible settings. Following the initial selection, articles were screened full text and included if they concerned adherence to a (inter)national guideline or protocol, and if the time interval between data collection and publication date was <10 years. Finally, articles were assessed on reporting quality. Each step was undertaken by two independent researchers. Thirty-five articles met the criteria, none of these addressed the emergency medical dispatch setting or protocols. Median adherence ranged from 7.8-95% in the prehospital setting, and from 0-98% in the ED setting. In the prehospital setting, recommendations on monitoring came with higher median adherence percentages than treatment recommendations. For both settings, cardiology treatment recommendations came with relatively low median adherence percentages. Eight studies identified patient and organisational factors influencing adherence. The results showed that professionals' adherence to (inter)national prehospital and emergency department guidelines shows a wide variation, while adherence in the emergency medical dispatch setting is not reported. As insight in influencing factors for adherence in the emergency care settings is minimal, future research should identify such factors to allow the development of strategies to improve adherence and thus improve quality of care.

Twitter Demographics

The data shown below were collected from the profiles of 10 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 192 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
South Africa 2 1%
Canada 2 1%
United Kingdom 1 <1%
Mexico 1 <1%
Belgium 1 <1%
Unknown 185 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 38 20%
Student > Bachelor 33 17%
Researcher 22 11%
Student > Ph. D. Student 16 8%
Student > Doctoral Student 15 8%
Other 45 23%
Unknown 23 12%
Readers by discipline Count As %
Medicine and Dentistry 92 48%
Nursing and Health Professions 35 18%
Social Sciences 6 3%
Psychology 5 3%
Business, Management and Accounting 4 2%
Other 20 10%
Unknown 30 16%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 October 2016.
All research outputs
#1,946,427
of 13,861,762 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#195
of 870 outputs
Outputs of similar age
#20,966
of 145,875 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#1
of 1 outputs
Altmetric has tracked 13,861,762 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 870 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.1. This one has done well, scoring higher than 77% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 145,875 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them