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dc.contributor.authorMcPherson, Melinda (Dolly)
dc.date.accessioned2020-01-23T09:11:59Z
dc.date.available2020-01-23T09:11:59Z
dc.date.issued2019-03-13
dc.identifier.citationMcPherson, M. 2019. Point-of-care blood tests in decision-making for people over 65 with acute frailty. Journal of Paramedic Practice, 11 (3), 106–114.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2019.11.3.106
dc.identifier.urihttp://hdl.handle.net/20.500.12417/637
dc.description.abstractBackground: National ‘see, treat and discharge’ rates for paramedics have increased. However, despite the rise in demand on paramedic decision-making, there have been few improvements to prehospital diagnostics. Patients aged over 65 years presenting with acute frailty syndromes are a notably complex clinical patient group for whom informed risk stratification in clinical reasoning is paramount. Methods: This was a single-site quality improvement project using point-of-care blood testing (POCbT) to help inform decision-making for patients aged above 65 years with acute frailty syndromes. Results: This quality improvement project showed a self-reported improved confidence in clinician decision-making and patient disposition with the use of POCbT. This confidence was validated by improved discharge on scene and recontact rates. An unintended outcome of the project was the accumulation of practical knowledge on the use of POCbT in the prehospital arena. Conclusion: Continued use of POCbT in the prehospital environment has promise but this is not without limitations. Prehospital services wishing to implement POCbT should focus on demographic identification, staff training and interpretation of results. Abstract published with permission.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectFrailtyen_US
dc.subjectGeriatric Medicineen_US
dc.subjectPoint-of-Care Testingen_US
dc.subjectDiagnostic Techniques and Proceduresen_US
dc.titlePoint-of-care blood tests in decision-making for people over 65 with acute frailtyen_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-11-28
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2019-03-13
html.description.abstractBackground: National ‘see, treat and discharge’ rates for paramedics have increased. However, despite the rise in demand on paramedic decision-making, there have been few improvements to prehospital diagnostics. Patients aged over 65 years presenting with acute frailty syndromes are a notably complex clinical patient group for whom informed risk stratification in clinical reasoning is paramount. Methods: This was a single-site quality improvement project using point-of-care blood testing (POCbT) to help inform decision-making for patients aged above 65 years with acute frailty syndromes. Results: This quality improvement project showed a self-reported improved confidence in clinician decision-making and patient disposition with the use of POCbT. This confidence was validated by improved discharge on scene and recontact rates. An unintended outcome of the project was the accumulation of practical knowledge on the use of POCbT in the prehospital arena. Conclusion: Continued use of POCbT in the prehospital environment has promise but this is not without limitations. Prehospital services wishing to implement POCbT should focus on demographic identification, staff training and interpretation of results. Abstract published with permission.en_US


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