The Influencing Factors of Implementation in Emergency Medical Service Systems – A Scoping Review.
Objectives: Emergency medical services (EMS) provide health care in situations with limited time and resources. Challenges arise when introducing novel medications, treatments, or technologies or modifying existing practices in these settings. Effective implementation strategies are pivotal for thei...
| Publicado en: | Prehospital Emergency Care Vol. 29; no. 5; pp. 659 - 670 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186603229&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186603229 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10903127 FZB jtl: Prehospital Emergency Care issn: 10903127 maglogo: Y pubinfo: dt: 2025 vid: 29 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 186603229 178749883 186603229 186603229 10.1080/10903127.2024.2386444 186603229 ppf: 659 ppct: 11 formats: tig: atl: The Influencing Factors of Implementation in Emergency Medical Service Systems – A Scoping Review. aug: au: Chiu, Yu-Chen Liu, Cheng-Heng Chiu, Yen-Lin Wang, Liang-Wei Chen, Huey-Ling Yang, Chih-Wei affil: Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan sug: subj: Emergency Medical Services Prehospital Care Program Implementation Evaluation Implementation Science Human Funding Source Scoping Review PubMed Embase Thematic Analysis Health Resource Allocation Communication Collaboration Patient Safety Quality Improvement ab: Objectives: Emergency medical services (EMS) provide health care in situations with limited time and resources. Challenges arise when introducing novel medications, treatments, or technologies or modifying existing practices in these settings. Effective implementation strategies are pivotal for their success. This study aims to identify and categorize potential facilitators and barriers in the implementation of prehospital EMS through a review of relevant research articles. Methods: We searched PubMed and EMbase to identify studies published before December 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for our search strategy and scoping review. We included original articles written in English that report on the factors that influence the implementation in prehospital settings. We extracted and categorized the factors into different themes. Results: Out of the 371 retrieved papers, we selected 19 (5%) for inclusion in this review. We extracted 46 influencing factors from the selected articles and categorized them into ten themes: (1) Outer system, (2) Inner system, (3) Practitioner characteristics, (4) Resources, (5) Communication and collaboration, (6) Patient factors, (7) Intervention characteristics, (8) De-implementation of prior practices, (9) Logistical issues, and (10) Quality improvement. Conclusions: This study examined the literature on EMS implementation factors and proposed a 10-theme EMS model framework. Key factors include training/education, equipment/tools, communication with hospitals, and practitioners' attitudes. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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