Proposed Performance Measures and Strategies for Implementation of the Fatigue Risk Management Guidelines for Emergency Medical Services

Martin-Gill, Christian; Higgins, J. Stephen; Van Dongen, Hans P.A.; Buysse, Daniel J.; Thackery, Ronald W.; Kupas, Douglas F.; Becker, David S.; Dean, Bradley E.; Lindbeck, George H.; Guyette, Francis X.; Penner, Josef H.; Violanti, John M.; Lang, Eddy; Patterson, P. Daniel; University of Pittsburgh. Department of Emergency Medicine

doi:10.1080/10903127.2017.1381791

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Proposed Performance Measures and Strategies for Implementation of the Fatigue Risk Management Guidelines for Emergency Medical Services

2018-01-11
By Martin-Gill, Christian ; Higgins, J. Stephen ; Van Dongen, Hans P.A. ; ...

[PDF-462.07 KB]

English

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Creators:

Martin-Gill, Christian ; Higgins, J. Stephen ; Van Dongen, Hans P.A. ; Buysse, Daniel J. ; Thackery, Ronald W. ; ... More +

Martin-Gill, Christian ; Higgins, J. Stephen ; Van Dongen, Hans P.A. ; Buysse, Daniel J. ; Thackery, Ronald W. ; Kupas, Douglas F. ; Becker, David S. ; Dean, Bradley E. ; Lindbeck, George H. ; Guyette, Francis X. ; Penner, Josef H. ; Violanti, John M. ; Lang, Eddy ; Patterson, P. Daniel Less -
Corporate Creators:

University of Pittsburgh. Department of Emergency Medicine
Corporate Contributors:

United States. National Highway Traffic Safety Administration
Subject/TRT Terms:

[+]

Drowsiness Emergency Medical Services EMS Evaluation Evidence-based Guidelines Fatigue (Physiological Condition) Implementation Performance Measure
DOI:

https://doi.org/10.1080/10903127.2017.1381791
Resource Type:

Journal Article
Geographical Coverage:

United States
Corporate Publisher:

Taylor & Francis
Abstract:

Background: Performance measures are a key component of implementation, dissemination, and evaluation of evidence-based guidelines (EBGs). We developed performance measures for Emergency Medical Services (EMS) stakeholders to enable the implementation of guidelines for fatigue risk management in the EMS setting. Methods: Panelists associated with the Fatigue in EMS Project, which was supported by the National Highway Traffic Safety Administration (NHTSA), used an iterative process to develop a draft set of performance measures linked to 5 recommendations for fatigue risk management in EMS. We used a cross-sectional survey design and the Content Validity Index (CVI) to quantify agreement among panelists on the wording and content of draft measures. An anonymous web-based tool was used to solicit the panelists' perceptions of clarity and relevance of draft measures. Panelists rated the clarity and relevance separately for each draft measure on a 4-point scale. CVI scores ≥0.78 for clarity and relevance were specified a priori to signify agreement and completion of measurement development. Results: Panelists judged 5 performance measures for fatigue risk management as clear and relevant. These measures address use of fatigue and/or sleepiness survey instruments, optimal duration of shifts, access to caffeine as a fatigue countermeasure, use of napping during shift work, and the delivery of education and training on fatigue risk management for EMS personnel. Panelists complemented performance measures with suggestions for implementation by EMS agencies. Conclusions: Performance measures for fatigue risk management in the EMS setting will facilitate the implementation and evaluation of the EBG for Fatigue in EMS. Figures and data for this article can be found on the publisher's website: https://doi.org/10.1080/10903127.2017.1381791
Content Notes:

Published in Prehospital Emergency Care, Volume 22, 2018 - Issue sup1: NHTSA Fatigue in EMS project
Format:

PDF
Collection(s):

NHTSA - Behavioral Safety Research
Main Document Checksum:

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urn:sha256:bf3b123c5bbc0e11f12e306a6218b2cf6014ee38d3e682f13f83498a0a9888b7
Download URL:

https://rosap.ntl.bts.gov/view/dot/35480/dot_35480_DS1.pdf
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Proposed Performance Measures and Strategies for Implementation of the Fatigue Risk Management Guidelines for Emergency Medical Services

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