Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department: protocol for a systematic review

IntroductionFinding cost-effective strategies to improve patient care in the emergency department (ED) is an increasing imperative given growing numbers of ED attendees. Encouraging evidence indicates that interdisciplinary teams including health and social care professionals (HSCPs) enhance patient care across a variety of healthcare settings. However, to date no systematic reviews of the effectiveness of early assessment and/or interventions carried by such teams in the ED exist. This systematic review aims to explore the impact of early assessment and/or intervention carried out by interdisciplinary teams including HSCPs in the ED on the quality, safety and cost-effectiveness of care, and to define the content of the assessment and/or intervention offered by HSCPs.Methods and analysisUsing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standardised guidelines, we will conduct a systematic review of randomised controlled trials (RCTs), non-RCTs, controlled before–after studies, interrupted time series and repeated measures studies that report the impact of early assessment and/or intervention provided to adults aged 18+ by interdisciplinary teams including HSCPs in the ED. Searches will be carried in Cumulative Index of Nursing and Allied Health Literature, Embase, Cochrane Library and MEDLINE from inception to March 2018. We will also hand-search the reference lists of relevant studies. Following a two-step screening process, two independent reviewers will extract data on the type of population, intervention, comparison, outcomes and study design. The quality of the studies will be appraised using the Cochrane Risk of Bias Tool. The findings will be synthesised in a narrative summary, and a meta-analysis will be conducted where appropriate.Ethics and disseminationEthical approval will not be sought since it is not required for systematic reviews. The results of this review will be disseminated through publication in a peer-review journal and presented at relevant conferences.Trial registration numberCRD42018091794.

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Impact of early assessment and intervention by teams involving health and social care professionals in the emergency department: A systematic review

PLoS ONE ◽

10.1371/journal.pone.0220709 ◽

2019 ◽

Vol 14 (7) ◽

pp. e0220709 ◽

Cited By ~ 3

Author(s):

Marica Cassarino ◽

Katie Robinson ◽

Rosie Quinn ◽

Breda Naddy ◽

Andrew O’Regan ◽

...

Keyword(s):

Systematic Review ◽

Emergency Department ◽

Social Care ◽

Early Assessment ◽

Health And Social Care

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Valuing the impact of health and social care programs using social return on investment analysis: how have academics advanced the methodology? A systematic review

BMJ Open ◽

10.1136/bmjopen-2019-029789 ◽

2019 ◽

Vol 9 (8) ◽

pp. e029789 ◽

Cited By ~ 5

Author(s):

Claire Louise Hutchinson ◽

Angela Berndt ◽

Deborah Forsythe ◽

Susan Gilbert-Hunt ◽

Stacey George ◽

...

Keyword(s):

Systematic Review ◽

Return On Investment ◽

Social Care ◽

Assessment Tool ◽

Research Question ◽

Social Return On Investment ◽

Health And Social Care ◽

Wide Range ◽

The Impact

ObjectivesTo identify how social return on investment (SROI) analysis—traditionally used by business consultants—has been interpreted, used and innovated by academics in the health and social care sector and to assess the quality of peer-reviewed SROI studies in this sector.DesignSystematic review.SettingsCommunity and residential settings.ParticipantsA wide range of demographic groups and age groups.ResultsThe following databases were searched: Web of Science, Scopus, CINAHL, Econlit, Medline, PsychINFO, Embase, Emerald, Social Care Online and the National Institute for Health and Care Excellence. Limited uptake of SROI methodology by academics was found in the health and social care sector. From 868 papers screened, 8 studies met the criteria for inclusion in this systematic review. Study quality was found to be highly variable, ranging from 38% to 90% based on scores from a purpose-designed quality assessment tool. In general, relatively high consistency and clarity was observed in the reporting of the research question, reasons for using this methodology and justifying the need for the study. However, weaknesses were observed in other areas including justifying stakeholders, reporting sample sizes, undertaking sensitivity analysis and reporting unexpected or negative outcomes. Most papers cited links to additional materials to aid in reporting. There was little evidence that academics had innovated or advanced the methodology beyond that outlined in a much-cited SROI guide.ConclusionAcademics have thus far been slow to adopt SROI methodology in the evaluation of health and social care interventions, and there is little evidence of innovation and development of the methodology. The word count requirements of peer-reviewed journals may make it difficult for authors to be fully transparent about the details of their studies, potentially impacting the quality of reporting in those studies published in these journals.PROSPERO registration numberCRD42018080195.

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Mapping the impact of patient and public involvement on health and social care research: a systematic review

Health Expectations ◽

10.1111/j.1369-7625.2012.00795.x ◽

2012 ◽

Vol 17 (5) ◽

pp. 637-650 ◽

Cited By ~ 477

Author(s):

Jo Brett ◽

Sophie Staniszewska ◽

Carole Mockford ◽

Sandra Herron-Marx ◽

John Hughes ◽

...

Keyword(s):

Systematic Review ◽

Public Involvement ◽

Social Care ◽

Patient And Public Involvement ◽

Care Research ◽

Health And Social Care ◽

The Impact

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Impact of Home Healthcare on End-of-life Outcomes for People With Dementia: a Systematic Review

10.21203/rs.3.rs-810894/v1 ◽

2021 ◽

Author(s):

Ping-Jen Chen ◽

Lisanne Smits ◽

Rose Miranda ◽

Jung-Yu Liao ◽

Irene Petersen ◽

...

Keyword(s):

Systematic Review ◽

Palliative Care ◽

End Of Life ◽

Healthcare Utilization ◽

Social Care ◽

Home Healthcare ◽

Life Outcomes ◽

Health And Social Care ◽

Acute Healthcare ◽

The Impact

Abstract Background: Home healthcare (HHC) may reduce acute hospital utilization, but its effect on homebound people living with dementia (PLWD) at end-of-life remains unclear. We aim to describe the impact of HHC on acute healthcare utilization and end-of-life outcomes in PLWD.Methods: Design: A systematic review of quantitative and qualitative studies regarding the association between HHC (exposure) and targeted outcomes. Interventions: HHC provided by health care professionals, including physicians or nurses. Participants: At least 80% of study participants had dementia and lived at home. Measurements: Primary outcome was acute healthcare utilization in the last year of life. Secondary outcomes included palliative care use, advance care planning (ACP), continuity of care in the last year of life, and place of death. We identified contextual information about policy changes in HHC for these outcomes.Results: We included five studies from USA, Japan, and Italy, none of which received a high-quality rating. At micro-level, HHC may be associated with a lower risk of acute healthcare utilization in the early period (e.g., last 90 days before death) and a higher risk in the late period (e.g. last 15 days) of the disease trajectory toward end-of-life in PLWD. ACP with written decisions may be an important mediator of this. HHC increases referrals to palliative care. At meso-level, HHC providers’ difficulty in making treatment decisions for PLWD at the end-of-life may require further training and external support. Coordination between HHC and social care is mentioned but not well examined in the existing literature.Conclusions: The review highlights the dearth of dementia-specific research regarding the impact of HHC on end-of-life outcomes. In PLWD, the core components of HHC for achieving better quality end-of-life, the integration between health and social care, and coordination between primary HHC and palliative care should be further investigated in future studies.

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Systematic review of the impact of the COVID-19 pandemic on suicidal behaviour among health and social care workers across the world

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100271 ◽

2021 ◽

pp. 100271

Author(s):

Emily Eyles ◽

Paul Moran ◽

Chukwudi Okolie ◽

Dana Dekel ◽

Catherine Macleod-Hall ◽

...

Keyword(s):

Systematic Review ◽

Suicidal Behaviour ◽

Social Care ◽

Care Workers ◽

Health And Social Care ◽

The World ◽

The Impact

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Comparing Sex-Specific Outcomes After Medial Patellofemoral Ligament Reconstruction for Patellar Instability: A Systematic Review

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211058170 ◽

2021 ◽

Vol 9 (11) ◽

pp. 232596712110581

Author(s):

A.J. Fancher ◽

A.J. Hinkle ◽

M.L. Vopat ◽

K. Templeton ◽

A. Tarakemeh ◽

...

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Patellar Instability ◽

Ligament Reconstruction ◽

Medial Patellofemoral Ligament ◽

Cochrane Library ◽

Male And Female ◽

Female Patients ◽

Secondary Purpose ◽

The Impact

Background: The impact of patient sex on outcomes after medial patellofemoral ligament ligament reconstruction (MPFLR) has not been well studied. Purpose: To conduct a systematic review to determine sex-based differences in outcomes after MPFLR for patellar instability and the proportion of studies examining this as a primary or secondary purpose. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using the PubMed, Cochrane Library, PubMed Central, Ovid, and Embase databases according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were included if they were written in English, were performed on humans, consisted of patients who underwent MPFLR with allograft or autograft, evaluated at least 1 of the selected outcomes comparing male and female patients, and had statistical analysis available for relevant findings. Excluded were case reports, review studies or systematic reviews, studies that did not evaluate at least 1 sex-specific outcome, studies that included other injuries associated with patellofemoral instability injury, cadaveric studies, and those in which patients underwent concomitant procedures. Results: The initial search yielded 3470 studies; 2647 studies remained after removing duplicates. Of the 401 studies that underwent full-text review, 10 met all inclusion criteria and were included for quantitative analysis. A meta-analysis could not be performed given the heterogeneity within the data set. Of the 2647 studies evaluated in this study, only 2 (0.08%) studies examined the impact of patient sex on MPFLR outcomes as a primary purpose and only 8 (0.30%) studies explored it as a secondary purpose. Conclusion: Only 0.38% of the articles compared outcomes between male and female patients after MPFLR. The limited data available were too heterogenous to draw any concrete conclusions about the impact of patient sex on outcomes after MPFLR. Further research in this area is warranted, as findings may influence treatment plans and improve patient outcomes.

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Has the implementation of time-based-targets for emergency department length-of-stay influenced the quality of care for patients? A systematic review of qualitative literature

10.1101/2021.01.03.21249171 ◽

2021 ◽

Author(s):

Katie Walker ◽

Bridget Honan ◽

Daniel Haustead ◽

David Mountain ◽

Vinay Gangathimmaiah ◽

...

Keyword(s):

Systematic Review ◽

Emergency Department ◽

Quality Of Care ◽

Length Of Stay ◽

Cochrane Library ◽

Research Approach ◽

Successful Implementation ◽

The Impact ◽

Qualitative Literature

abstractBackgroundTime-based-targets for emergency department length-of-stay were introduced in England in 2000; followed by Canada, Ireland, New Zealand, and Australia after emergency department crowding was associated with poor quality of care and increased mortality.ObjectivesThe aim of the systematic review was to evaluate qualitative literature to investigate how implementing time-based-targets for emergency department length-of-stay has influenced the quality of care of patients.MethodsSystematic review of qualitative studies that described knowledge, attitudes to or experiences regarding a time-based-target for emergency department length-of-stay. Searches were conducted in Cochrane library, Medline, Embase, CInAHL, Emerald, ABI/Inform, and Informit. Individual studies were evaluated using the Critical Appraisal Skills Programme tool. Individual study findings underwent thematic analysis. Confidence in findings was assessed using the Confidence in the Evidence from Reviews of Qualitative research approach.ResultsThe review included thirteen studies from four countries, incorporating 617 interviews. Themes identified were: quality of care, access block and overcrowding, patient experience, staff morale and workload, intrahospital and interdepartmental relationships, clinical education and training, gaming, and enablers and barriers to achieving targets. The confidence in findings is moderate or high for most themes. More patient and junior doctor perspectives are needed.ConclusionsEmergency time-based-targets have impacted on the quality of emergency patient care. The impact can be both positive and negative and successful implementation depends on whole hospital resourcing and engagement with targets.FundingThe Australasian College for Emergency Medicine provided administrative support for the study, no funding was received.RegistrationPROSPERO CRD42019107755 (prospective)

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Promoting men’s awareness, self-examination, and help-seeking for testicular disorders: a systematic review of interventions

HRB Open Research ◽

10.12688/hrbopenres.12837.1 ◽

2018 ◽

Vol 1 ◽

pp. 16 ◽

Cited By ~ 3

Author(s):

Mohamad M. Saab ◽

Martin Davoren ◽

Aileen Murphy ◽

David Murphy ◽

Eoghan Cooke ◽

...

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Help Seeking ◽

Grey Literature ◽

World Health ◽

Cochrane Library ◽

Medical Attention ◽

Younger Men ◽

Self Examination ◽

The Impact

Background: Testicular cancer (TC) is commonly diagnosed among men aged 15-40 years. The incidence of TC is on the rise. Benign testicular disorders such as testicular torsion and epididymitis can lead to testicular ischemia, sepsis, and infertility if left untreated. This systematic review aims to evaluate the effectiveness of studies promoting men’s knowledge and awareness of testicular disorders and/or self-examination, behaviours and/or intentions to examine their testes, and help-seeking behaviours and/or intentions for testicular symptoms. Methods: Academic Search Complete, Medline, CINAHL, PsychINFO, ERIC, the Cochrane Library, the World Health Organisation International Clinical Trials Registry Platform, Clinicaltrials.gov, Grey Literature Report, and Open Grey were searched for studies published between November 2014 and April 2018. The methodological quality and level of evidence per outcome were assessed. Results: There were five papers included: two were experimental studies, two were systematic reviews, and one was an integrative review. The majority of the reviewed interventions were successful in increasing men’s awareness of TC and self-examination. Examples include a television show featuring a celebrity with TC, a university campaign, and interactive educational sessions. The impact of the reviewed interventions on health beliefs (i.e. perceived susceptibility, severity, benefits, barriers, and self-efficacy) varied across the reviewed literature. Studies promoting help-seeking for testicular symptoms and awareness of benign testicular disorders were lacking. Conclusions: This review highlights the importance of evaluating educational interventions aimed at younger men, whilst raising their awareness of testicular disorders and increasing their help-seeking intentions for testicular symptoms. Given the lack of consensus around scheduled testicular self-examination among younger men, clinicians are encouraged to instruct men to familiarise themselves with the look and feel of their own testes and to seek timely medical attention for abnormalities. Registration: The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42018093671.

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Recommendations to conduct and report systematic reviews in medical literature: a scoping review

BMC Medical Research Methodology ◽

10.1186/s12874-019-0870-1 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Ana Penedones ◽

Carlos Alves ◽

Francisco Batel-Marques

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Scoping Review ◽

Medical Literature ◽

Descriptive Analysis ◽

Cochrane Library ◽

Systematic Review Methods ◽

Medical Interventions ◽

Search Filters ◽

The Impact

Abstract Background This scoping review aims to identify, review and characterize the published recommendations to conduct and/or to report a systematic review in medical interventions area. Methods A search was carried out in PubMed, EMBASE and Cochrane Library databases, using systematic reviews search filters. The search comprises all recommendations to conduct and/or report a systematic review. Data on methods were extracted from each recommendation. A descriptive analysis was performed. Results Eighty-three recommendations were identified. Approximately 60% of retrieved references were published in the last 6 years. Recommendations to both conduct and report a systematic review were issued in 47% studies. The guidance presented in each recommendation to conduct and/ or report a systematic review varied. Almost 96% of the recommendations offer guidance on systematic review methods section. The need and time for updating was only recommended in 29% of recommendations. Forty percent of recommendations endorsed their methods to any subject related to medical interventions. Half of the studies did not specify the design of studies to be included in a systematic review. Conclusions Several recommendations to conduct and/or report a systematic review were published and offered different guidance. Further research on the impact of such heterogeneity can improve systematic reviews quality.

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