Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23109
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dc.contributor.authorSnooks, Helenen_UK
dc.contributor.authorCheung, Wai-Yeeen_UK
dc.contributor.authorClose, Jacquelineen_UK
dc.contributor.authorDale, Jeremyen_UK
dc.contributor.authorGaze, Sarahen_UK
dc.contributor.authorHumphreys, Ioanen_UK
dc.contributor.authorLyons, Ronanen_UK
dc.contributor.authorMason, Suzanneen_UK
dc.contributor.authorMerali, Yasminen_UK
dc.contributor.authorPeconi, Julieen_UK
dc.contributor.authorPhillips, Cerien_UK
dc.contributor.authorPhillips, Judithen_UK
dc.contributor.authorRoberts, Stephenen_UK
dc.contributor.authorRussell, Ianen_UK
dc.contributor.authorSanchez, Antonioen_UK
dc.date.accessioned2016-05-03T00:05:11Z-
dc.date.available2016-05-03T00:05:11Z-
dc.date.issued2010-01-26en_UK
dc.identifier.other2en_UK
dc.identifier.urihttp://hdl.handle.net/1893/23109-
dc.description.abstractBackground Many emergency ambulance calls are for older people who have fallen. As half of them are left at home, a community-based response may often be more appropriate than hospital attendance. The SAFER 1 trial will assess the costs and benefits of a new healthcare technology - hand-held computers with computerised clinical decision support (CCDS) software - to help paramedics decide who needs hospital attendance, and who can be safely left at home with referral to community falls services.  Methods/Design  Pragmatic cluster randomised trial with a qualitative component. We shall allocate 72 paramedics ('clusters') at random between receiving the intervention and a control group delivering care as usual, of whom we expect 60 to complete the trial.  Patients are eligible if they are aged 65 or older, live in the study area but not in residential care, and are attended by a study paramedic following an emergency call for a fall. Seven to 10 days after the index fall we shall offer patients the opportunity to opt out of further follow up. Continuing participants will receive questionnaires after one and 6 months, and we shall monitor their routine clinical data for 6 months. We shall interview 20 of these patients in depth. We shall conduct focus groups or semi-structured interviews with paramedics and other stakeholders.  The primary outcome is the interval to the first subsequent reported fall (or death). We shall analyse this and other measures of outcome, process and cost by 'intention to treat'. We shall analyse qualitative data thematically.  Discussion  Since the SAFER 1 trial received funding in August 2006, implementation has come to terms with ambulance service reorganisation and a new national electronic patient record in England. In response to these hurdles the research team has adapted the research design, including aspects of the intervention, to meet the needs of the ambulance services.  In conclusion this complex emergency care trial will provide rigorous evidence on the clinical and cost effectiveness of CCDS for paramedics in the care of older people who have fallen.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationSnooks H, Cheung W, Close J, Dale J, Gaze S, Humphreys I, Lyons R, Mason S, Merali Y, Peconi J, Phillips C, Phillips J, Roberts S, Russell I & Sanchez A (2010) Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: Evaluation of costs and benefits using a pragmatic cluster randomised trial. BMC Emergency Medicine, 10 (1), Art. No.: 2. https://doi.org/10.1186/1471-227X-10-2en_UK
dc.rights© 2010 Snooks et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.titleSupport and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: Evaluation of costs and benefits using a pragmatic cluster randomised trialen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/1471-227X-10-2en_UK
dc.citation.jtitleBMC Emergency Medicineen_UK
dc.citation.issn1471-227Xen_UK
dc.citation.volume10en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailjudith.phillips@stir.ac.uken_UK
dc.citation.date26/01/2010en_UK
dc.description.notesAdditional co-authors: Mushtaq Wani, Bridget Wells and Richard Whitfielden_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationPrince of Wales Private Hospitalen_UK
dc.contributor.affiliationUniversity of Warwicken_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationUniversity of Sheffielden_UK
dc.contributor.affiliationUniversity of Warwicken_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationDementia and Ageingen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.contributor.affiliationSwansea Universityen_UK
dc.identifier.scopusid2-s2.0-77349099730en_UK
dc.identifier.wtid583401en_UK
dc.contributor.orcid0000-0001-7912-3510en_UK
dc.date.accepted2010-01-26en_UK
dcterms.dateAccepted2010-01-26en_UK
dc.date.filedepositdate2015-12-01en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorSnooks, Helen|en_UK
local.rioxx.authorCheung, Wai-Yee|en_UK
local.rioxx.authorClose, Jacqueline|en_UK
local.rioxx.authorDale, Jeremy|en_UK
local.rioxx.authorGaze, Sarah|en_UK
local.rioxx.authorHumphreys, Ioan|en_UK
local.rioxx.authorLyons, Ronan|en_UK
local.rioxx.authorMason, Suzanne|en_UK
local.rioxx.authorMerali, Yasmin|en_UK
local.rioxx.authorPeconi, Julie|en_UK
local.rioxx.authorPhillips, Ceri|en_UK
local.rioxx.authorPhillips, Judith|0000-0001-7912-3510en_UK
local.rioxx.authorRoberts, Stephen|en_UK
local.rioxx.authorRussell, Ian|en_UK
local.rioxx.authorSanchez, Antonio|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2015-12-01en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2015-12-01|en_UK
local.rioxx.filenameSnooks et al_BMC Emergency Medicine_2010.pdfen_UK
local.rioxx.filecount1en_UK
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