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Air Med J. 2013 Jan-Feb;32(1):30-5. doi: 10.1016/j.amj.2012.11.001.

A blueprint for critical care transport research.

Author information

  • 1The Center for Medical Transport Research, Columbus, OH 43235-2712, USA. cathy.jaynes@tcmtr.org

Abstract

INTRODUCTION:

An estimated 500,000 critical care patient transports occur annually in the United States. Little research exists to inform optimal practices, promote safety, or encourage responsible, cost-effective use of this resource. Previous efforts to develop a research agenda have not yielded significant progress in producing much-needed scientific study.

PURPOSE:

Identify and characterize areas of research needed to direct the development of evidence-based guidelines

METHODS:

The study used a modified Delphi technique to develop a concept map of the research domains in critical care transport. Proprietary, internet-based software was used for both data collection and analysis. The study was conducted in 3 phases: brainstorming, categorizing, and prioritizing, using experts from all aspects of critical care transport.

RESULTS:

A total of 101 research questions were developed and ranked by 27 participants representing the transport community and stakeholders. An 8-cluster solution was developed with multidimensional scaling and hierarchical cluster analysis to identify the following research areas: clinical care, education/training, finance, human factors, patient outcomes, safety, team configuration, and utilization. A plot characterized each domain by urgency and feasibility.

CONCLUSION:

The content and concepts represented by the cluster map can help direct research planning in the critical care transport industry and prioritize funding decisions.

Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

PMID:
23273307
[PubMed - indexed for MEDLINE]
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