Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
目的：紧急医疗服务（EMS）在时间和资源有限的情况下提供医疗保健。当引入新的药物时出现挑战，治疗,或技术或修改这些设置中的现有做法。有效的执行战略是其成功的关键。本研究旨在通过对相关研究文章的回顾，确定和分类院前EMS实施中的潜在促进者和障碍。方法：我们搜索了PubMed和EMBase，以确定2023年12月之前发表的研究，遵循我们搜索策略和范围审查的系统评价和荟萃分析（PRISMA）指南的首选报告项目。我们包括以英文撰写的原始文章，这些文章报告了影响院前设置实施的因素。我们将因素提取并分类为不同的主题。结果：在371篇检索论文中，我们选择了19例(5%)纳入本综述.我们从选定的文章中提取了46个影响因素，并将其分为十个主题：(1)外部系统，(2)内部系统,(3)从业人员特点,（4）资源，（5）沟通与协作，（6）患者因素，（7）干预特点，(8)取消以前的做法，（9）后勤问题，（10）质量改进。结论：本研究检查了EMS实施因素的文献，并提出了10主题EMS模型框架。关键因素包括培训/教育，设备/工具,与医院沟通,和从业者的态度。
