Support and Assessment for Fall Emergency Referrals (SAFER 1): Cluster Randomised Trial of Computerised Clinical Decision Support for Paramedics
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{"title"=>"Support and assessment for fall emergency referrals (SAFER 1): Cluster randomised trial of computerised clinical decision support for paramedics", "type"=>"journal", "authors"=>[{"first_name"=>"Helen Anne", "last_name"=>"Snooks", "scopus_author_id"=>"6603605260"}, {"first_name"=>"Ben", "last_name"=>"Carter", "scopus_author_id"=>"23011254600"}, {"first_name"=>"Jeremy", "last_name"=>"Dale", "scopus_author_id"=>"7201678930"}, {"first_name"=>"Theresa", "last_name"=>"Foster", "scopus_author_id"=>"7202938048"}, {"first_name"=>"Ioan", "last_name"=>"Humphreys", "scopus_author_id"=>"35589761500"}, {"first_name"=>"Philippa Anne", "last_name"=>"Logan", "scopus_author_id"=>"7005213668"}, {"first_name"=>"Ronan Anthony", "last_name"=>"Lyons", "scopus_author_id"=>"55259733900"}, {"first_name"=>"Suzanne Margaret", "last_name"=>"Mason", "scopus_author_id"=>"55964579600"}, {"first_name"=>"Ceri James", "last_name"=>"Phillips", "scopus_author_id"=>"7403135951"}, {"first_name"=>"Antonio", "last_name"=>"Sanchez", "scopus_author_id"=>"46461975200"}, {"first_name"=>"Mushtaq", "last_name"=>"Wani", "scopus_author_id"=>"36639562000"}, {"first_name"=>"Alan", "last_name"=>"Watkins", "scopus_author_id"=>"7101937038"}, {"first_name"=>"Bridget Elizabeth", "last_name"=>"Wells", "scopus_author_id"=>"7102754582"}, {"first_name"=>"Richard", "last_name"=>"Whitfield", "scopus_author_id"=>"7005615121"}, {"first_name"=>"Ian Trevor", "last_name"=>"Russell", "scopus_author_id"=>"7201981270"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84923133481", "pmid"=>"25216281", "sgr"=>"84923133481", "doi"=>"10.1371/journal.pone.0106436", "isbn"=>"1932-6203", "issn"=>"19326203", "pui"=>"608758613"}, "id"=>"9286dce9-bb8c-3012-9c9d-8a831de4cc2b", "abstract"=>"OBJECTIVE: To evaluate effectiveness, safety and cost-effectiveness of Computerised Clinical Decision Support (CCDS) for paramedics attending older people who fall.\\n\\nDESIGN: Cluster trial randomised by paramedic; modelling.\\n\\nSETTING: 13 ambulance stations in two UK emergency ambulance services.\\n\\nPARTICIPANTS: 42 of 409 eligible paramedics, who attended 779 older patients for a reported fall.\\n\\nINTERVENTIONS: Intervention paramedics received CCDS on Tablet computers to guide patient care. Control paramedics provided care as usual. One service had already installed electronic data capture.\\n\\nMAIN OUTCOME MEASURES: Effectiveness: patients referred to falls service, patient reported quality of life and satisfaction, processes of care.\\n\\nSAFETY: Further emergency contacts or death within one month.\\n\\nCOST-EFFECTIVENESS: Costs and quality of life. We used findings from published Community Falls Prevention Trial to model cost-effectiveness.\\n\\nRESULTS: 17 intervention paramedics used CCDS for 54 (12.4%) of 436 participants. They referred 42 (9.6%) to falls services, compared with 17 (5.0%) of 343 participants seen by 19 control paramedics [Odds ratio (OR) 2.04, 95% CI 1.12 to 3.72]. No adverse events were related to the intervention. Non-significant differences between groups included: subsequent emergency contacts (34.6% versus 29.1%; OR 1.27, 95% CI 0.93 to 1.72); quality of life (mean SF12 differences: MCS -0.74, 95% CI -2.83 to +1.28; PCS -0.13, 95% CI -1.65 to +1.39) and non-conveyance (42.0% versus 36.7%; OR 1.13, 95% CI 0.84 to 1.52). However ambulance job cycle time was 8.9 minutes longer for intervention patients (95% CI 2.3 to 15.3). Average net cost of implementing CCDS was £208 per patient with existing electronic data capture, and £308 without. Modelling estimated cost per quality-adjusted life-year at £15,000 with existing electronic data capture; and £22,200 without.\\n\\nCONCLUSIONS: Intervention paramedics referred twice as many participants to falls services with no difference in safety. CCDS is potentially cost-effective, especially with existing electronic data capture.\\n\\nTRIAL REGISTRATION: ISRCTN Register ISRCTN10538608.", "link"=>"http://www.mendeley.com/research/support-assessment-fall-emergency-referrals-safer-1-cluster-randomised-trial-computerised-clinical-d", "reader_count"=>45, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Researcher"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>7, "Student > Master"=>17, "Other"=>3, "Student > Bachelor"=>6, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Researcher"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>7, "Student > Master"=>17, "Other"=>3, "Student > Bachelor"=>6, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Nursing and Health Professions"=>8, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>19, "Agricultural and Biological Sciences"=>2, "Arts and Humanities"=>1, "Neuroscience"=>1, "Business, Management and Accounting"=>1, "Psychology"=>1, "Social Sciences"=>4, "Computer Science"=>2, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>19}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>4}, "Psychology"=>{"Psychology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>4}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>1, "Spain"=>1}, "group_count"=>8}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1675070"], "description"=>"a<p>Comparison of groups uses group B as the reference, reflects the variable under consideration:</p><p>Odds Ratio (OR) for logistic regression models for binary variables; and Additive Group Effect (Δ, in same units as dependent variable) for linear models for continuous variables.</p><p>Secondary outcomes at one month patients by treatment available and received.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169505, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t009", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Secondary_outcomes_at_one_month_patients_by_treatment_available_and_received_/1169505", "title"=>"Secondary outcomes at one month patients by treatment available and received.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675047"], "description"=>"<p>Flow of paramedics and patients through the trial.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169482, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.g001", "stats"=>{"downloads"=>2, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_of_paramedics_and_patients_through_the_trial_/1169482", "title"=>"Flow of paramedics and patients through the trial.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675084", "https://ndownloader.figshare.com/files/1675085", "https://ndownloader.figshare.com/files/1675086", "https://ndownloader.figshare.com/files/1675088", "https://ndownloader.figshare.com/files/1675089"], "description"=>"<div><p>Objective</p><p>To evaluate effectiveness, safety and cost-effectiveness of Computerised Clinical Decision Support (CCDS) for paramedics attending older people who fall.</p><p>Design</p><p>Cluster trial randomised by paramedic; modelling.</p><p>Setting</p><p>13 ambulance stations in two UK emergency ambulance services.</p><p>Participants</p><p>42 of 409 eligible paramedics, who attended 779 older patients for a reported fall.</p><p>Interventions</p><p>Intervention paramedics received CCDS on Tablet computers to guide patient care. Control paramedics provided care as usual. One service had already installed electronic data capture.</p><p>Main Outcome Measures</p><p>Effectiveness: patients referred to falls service, patient reported quality of life and satisfaction, processes of care.</p><p>Safety</p><p>Further emergency contacts or death within one month.</p><p>Cost-Effectiveness</p><p>Costs and quality of life. We used findings from published Community Falls Prevention Trial to model cost-effectiveness.</p><p>Results</p><p>17 intervention paramedics used CCDS for 54 (12.4%) of 436 participants. They referred 42 (9.6%) to falls services, compared with 17 (5.0%) of 343 participants seen by 19 control paramedics [Odds ratio (OR) 2.04, 95% CI 1.12 to 3.72]. No adverse events were related to the intervention. Non-significant differences between groups included: subsequent emergency contacts (34.6% versus 29.1%; OR 1.27, 95% CI 0.93 to 1.72); quality of life (mean SF12 differences: MCS −0.74, 95% CI −2.83 to +1.28; PCS −0.13, 95% CI −1.65 to +1.39) and non-conveyance (42.0% versus 36.7%; OR 1.13, 95% CI 0.84 to 1.52). However ambulance job cycle time was 8.9 minutes longer for intervention patients (95% CI 2.3 to 15.3). Average net cost of implementing CCDS was £208 per patient with existing electronic data capture, and £308 without. Modelling estimated cost per quality-adjusted life-year at £15,000 with existing electronic data capture; and £22,200 without.</p><p>Conclusions</p><p>Intervention paramedics referred twice as many participants to falls services with no difference in safety. CCDS is potentially cost-effective, especially with existing electronic data capture.</p><p>Trial Registration</p><p><a href=\"http://www.controlled-trials.com/ISRCTN10538608/\" target=\"_blank\">ISRCTN Register ISRCTN10538608 </a></p></div>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169516, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0106436.s001", "https://dx.doi.org/10.1371/journal.pone.0106436.s002", "https://dx.doi.org/10.1371/journal.pone.0106436.s003", "https://dx.doi.org/10.1371/journal.pone.0106436.s004", "https://dx.doi.org/10.1371/journal.pone.0106436.s005"], "stats"=>{"downloads"=>26, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Support_and_Assessment_for_Fall_Emergency_Referrals_SAFER_1_Cluster_Randomised_Trial_of_Computerised_Clinical_Decision_Support_for_Paramedics_/1169516", "title"=>"Support and Assessment for Fall Emergency Referrals (SAFER 1): Cluster Randomised Trial of Computerised Clinical Decision Support for Paramedics", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675050"], "description"=>"<p>Hierarchy of harms.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169485, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.g002", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Hierarchy_of_harms_/1169485", "title"=>"Hierarchy of harms.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675051"], "description"=>"a<p>Depending on level of treatment received</p>b<p>Derived from discussions with Age Concern; equivalent to the unit cost of referral to ‘Hospital at Home or Early Discharge Schemes’</p><p>NHS unit costs.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169486, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t001", "stats"=>{"downloads"=>1, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_NHS_unit_costs_/1169486", "title"=>"NHS unit costs.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675053"], "description"=>"<p>Characteristics of participants recruited to Intervention and Control groups.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169487, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t002", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_participants_recruited_to_Intervention_and_Control_groups_/1169487", "title"=>"Characteristics of participants recruited to Intervention and Control groups.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675056"], "description"=>"<p>Questionnaire response rates.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169491, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t003", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Questionnaire_response_rates_/1169491", "title"=>"Questionnaire response rates.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675059"], "description"=>"a<p>Covariates considered: Group; site; their interaction; age (years); distance to ED (miles); date of recruitment (days since start of study); gender and whether the index call was ‘Out of (GP) Hours’.</p>b<p>Comparison between CCDS and control groups reflects variable under consideration: Odds Ratio (OR) for logistic regression models for binary variables; multiplicative event rate ratio (λ, scalar) for negative binomial regression models for counts; and additive group effect (Δ, in same units as dependent variable) for linear models for continuous variables.</p>b2<p>Given consistently low intra-paramedic correlations in the primary participant based outcomes, corresponding terms are omitted from the fitted models.</p><p><b>Key to statistically significant covariates:</b></p>c<p>Site (p = 0.007); age (p = 0.013); recruitment point (p<0.001)</p>d<p>Site (p<0.001); out of hours (p = 0.017)</p>e<p>Out of hours (p = 0.022); recruitment point (p = 0.020)</p>f<p>Out of hours (p = 0.015); site (p = 0.004)</p>g<p>Out of hours (p = 0.006)</p>h<p>Out of hours (p = 0.001); days at risk (p = 0.002)</p>i<p>Distance to ED (p = 0.046)</p>j<p>Self-completed questionnaire (p<0.001)</p>k<p>Self-completed questionnaire (p = 0.016)</p>l<p>Gender (p = 0.004); self-completed questionnaire (p<0.001)</p>m<p>Distance to ED (p = 0.049)</p>n<p>Distance to ED (p = 0.028); out of hours (p = 0.001)</p>o<p>Site (p<0.001)</p><p>Outcomes at one month by treatment allocated – adjusted for significant covariates.<sup><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0106436#nt103\" target=\"_blank\">a</a></sup></p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169493, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t004", "stats"=>{"downloads"=>5, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Outcomes_at_one_month_by_treatment_allocated_adjusted_for_significant_covariates_a_/1169493", "title"=>"Outcomes at one month by treatment allocated – adjusted for significant covariates.<sup>a</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675061"], "description"=>"a<p>Assuming the 12 sets of tablets, printers and chargers need replacing every 3 years; and converted to annualised capital charges using annual discount rate of 3.5%.</p><p>Annual cost of implementing CCDS.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169496, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t005", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Annual_cost_of_implementing_CCDS_/1169496", "title"=>"Annual cost of implementing CCDS.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675064"], "description"=>"<p>Cost of implementing CCDS by one month.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169499, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t006", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cost_of_implementing_CCDS_by_one_month_/1169499", "title"=>"Cost of implementing CCDS by one month.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675066"], "description"=>"a<p>From <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0106436#pone-0106436-t001\" target=\"_blank\">Table 1</a> – point estimate or mid-point of range</p>b<p>Including £100 to implement electronic data capture</p>c<p>When electronic data capture already in place</p><p>Inferred net costs and consequences by 12 months.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169501, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t007", "stats"=>{"downloads"=>1, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Inferred_net_costs_and_consequences_by_12_months_/1169501", "title"=>"Inferred net costs and consequences by 12 months.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1675068"], "description"=>"a<p>Comparison of groups uses group B as the reference, reflects the variable under consideration:</p><p>Odds Ratio (OR) for logistic regression models for binary variables;</p><p>Multiplicative Event Rate Ratio (λ, scalar) for negative binomial regression models for counts; and Additive Group Effect (Δ, in same units as dependent variable) for linear models for continuous variables.</p><p>Characteristics and primary outcomes at one month patients by treatment available and received.</p>", "links"=>[], "tags"=>["isrctn", "Paramedics ObjectiveTo", "Fall Emergency Referrals", "care.SafetyFurther emergency contacts", "modelling.Setting 13 ambulance stations", "19 control paramedics", "fall.InterventionsIntervention paramedics", "CCDS", "Computerised Clinical Decision Support", "Community Falls Prevention Trial", "343 participants", "safer", "436 participants", "data capture.Main Outcome MeasuresEffectiveness", "8.9 minutes", "intervention", "pcs", "life", "fall.DesignCluster trial randomised", "UK emergency ambulance services.Participants 42", "ambulance job cycle time", "odds ratio", "Tablet computers", "guide patient care", "SF 12 differences", "mcs", "ci", "control paramedics"], "article_id"=>1169503, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Helen Anne Snooks", "Ben Carter", "Jeremy Dale", "Theresa Foster", "Ioan Humphreys", "Philippa Anne Logan", "Ronan Anthony Lyons", "Suzanne Margaret Mason", "Ceri James Phillips", "Antonio Sánchez", "Mushtaq Wani", "Alan Watkins", "Bridget Elizabeth Wells", "Richard Whitfield", "Ian Trevor Russell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106436.t008", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_and_primary_outcomes_at_one_month_patients_by_treatment_available_and_received_/1169503", "title"=>"Characteristics and primary outcomes at one month patients by treatment available and received.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-12 02:51:42"}

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Relative Metric

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