Lessons Learned From the Application of Mixed Methods to an International Study of Prehospital Language Barriers

2016 ◽  
Vol 11 (4) ◽  
pp. 469-486 ◽  
Author(s):  
Ramsey C. Tate ◽  
Peter W. Hodkinson ◽  
Andrew L. Sussman
Keyword(s):  
Mixed Methods ◽  
Emergency Medical Service ◽  
Mixed Methods Research ◽  
Medical Service ◽  
Language Barriers ◽  
International Study ◽  
Lessons Learned ◽  
Emergency Medical ◽  
Service Agencies

Mixed methods research is increasingly common in emergency medical services, but methodological expertise among prehospital researchers has been found lacking. The purpose of this article is to describe unique challenges that the authors encountered in the application of mixed methods to a multisite, international study of prehospital language barriers. Lessons learned include the role of formative research in identifying cultural and organizational norms that affect researcher engagement with emergency medical service agencies, the necessity of developing approaches for member checking and assessing respondent validity, and the importance of promoting mixed methods as a rigorous methodology in international settings.

scholarly journals The role of emergency medical service providers in the decision-making process of prehospital trauma triage

2018 ◽  
Vol 46 (1) ◽  
pp. 131-146 ◽  
Author(s):  
Eveline A. J. van Rein ◽  
Said Sadiqi ◽  
Koen W. W. Lansink ◽  
Rob A. Lichtveld ◽  
Risco van Vliet ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
Decision Making Process ◽  
Emergency Medical ◽  
Trauma Triage

scholarly journals The Role of Qualitative Research in Clinical Trial Development: The EASE Back Study

2016 ◽  
Vol 12 (3) ◽  
pp. 325-343 ◽  
Author(s):  
Bernadette Bartlam ◽  
Jacqueline Waterfield ◽  
Annette Bishop ◽  
Melanie A. Holden ◽  
Panos Barlas ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Research Design ◽  
Mixed Methods Research ◽  
Physical Therapists ◽  
Lessons Learned ◽  
Future Research ◽  
Exploratory Research ◽  
Sequential Mixed Methods ◽  
Pilot Rct

This article outlines the rationale for adopting a mixed methods approach within randomized controlled trials (RCTs) and explores challenges associated in doing so. Taking the example of the EASE Back feasibility and pilot study ( Evaluating Acupuncture and Standard care for pregnant wom En with BACK pain: ISRCTN49955124), we detail why and how we operationalized a concurrent-sequential mixed methods research design. We present key findings from the exploratory research (focus groups and interviews) and explain how these were integrated with descriptive findings (a national survey of physical therapists) in order to inform and refine the design of the explanatory phase (the pilot RCT). We conclude with a discussion of lessons learned and implications for future research design and conduct.

scholarly journals Predictors of recognition of out of hospital cardiac arrest by emergency medical services call handlers in England: a mixed methods diagnostic accuracy study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Caroline L. Watkins ◽  
Stephanie P. Jones ◽  
Margaret A. Hurley ◽  
Valerio Benedetto ◽  
Christopher I. Price ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Mixed Methods ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Hospital Data ◽  
Key Indicator ◽  
Emergency Medical ◽  
Level Of Consciousness ◽  
Accuracy Study ◽  
Hospital Cardiac Arrest

Abstract Background The aim of this study was to identify key indicator symptoms and patient factors associated with correct out of hospital cardiac arrest (OHCA) dispatch allocation. In previous studies, from 3% to 62% of OHCAs are not recognised by Emergency Medical Service call handlers, resulting in delayed arrival at scene. Methods Retrospective, mixed methods study including all suspected or confirmed OHCA patients transferred to one acute hospital from its associated regional Emergency Medical Service in England from 1/7/2013 to 30/6/2014. Emergency Medical Service and hospital data, including voice recordings of EMS calls, were analysed to identify predictors of recognition of OHCA by call handlers. Logistic regression was used to explore the role of the most frequently occurring (key) indicator symptoms and characteristics in predicting a correct dispatch for patients with OHCA. Results A total of 39,136 dispatches were made which resulted in transfer to the hospital within the study period, including 184 patients with OHCA. The use of the term ‘Unconscious’ plus one or more of symptoms ‘Not breathing/Ineffective breathing/Noisy breathing’ occurred in 79.8% of all OHCAs, but only 72.8% of OHCAs were correctly dispatched as such. ‘Not breathing’ was associated with recognition of OHCA by call handlers (Odds Ratio (OR) 3.76). The presence of key indicator symptoms ‘Breathing’ (OR 0.29), ‘Reduced or fluctuating level of consciousness’ (OR 0.24), abnormal pulse/heart rate (OR 0.26) and the characteristic ‘Female patient’ (OR 0.40) were associated with lack of recognition of OHCA by call handlers (p-values < 0.05). Conclusions There is a small proportion of calls in which cardiac arrest indicators are described but the call is not dispatched as such. Stricter adherence to dispatch protocols may improve call handlers’ OHCA recognition. The existing dispatch protocol would not be improved by the addition of further terms as this would be at the expense of dispatch specificity.

Role of resuscitative emergency field thoracotomy in the Japanese helicopter emergency medical service system

Resuscitation ◽  
2009 ◽  
Vol 80 (11) ◽  
pp. 1270-1274 ◽  
Author(s):  
Hisashi Matsumoto ◽  
Kunihiro Mashiko ◽  
Yoshiaki Hara ◽  
Noriyoshi Kutsukata ◽  
Yuichiro Sakamoto ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Service System ◽  
Helicopter Emergency Medical Service ◽  
Emergency Medical Service System ◽  
Emergency Medical ◽  
Medical Service System
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