Improving Prehospital and Ambulance Care and Treatment following the Ambulance Services Cardiovascular Quality Initiative (ImPACT-ASCQI)

PROJECT TITLE IMPROVING PREHOSPITAL AND AMBULANCE CARE AND TREATMENT FOLLOWING THE AMBULANCE SERVICES CARDIOVASCULAR QUALITY INITIATIVE (IMPACT-ASCQI)
Funding body The Health Foundation
Total funding £29,572
Team
  • Professor Niro Siriwardena, University of Lincoln and East Midlands Ambulance Service NHS Trust (EMAS)
  • Anne Spaight, EMAS
  • Stacey Knowles, EMAS
  • Robert Spaight, EMAS
  • English Ambulance Services
Team/consortium

University of Lincoln

East Midlands Ambulance Service NHS Trust

Overarching aim

The aim of this study is to implement and evaluate an enhanced care pathway for patients with diabetes who request an ambulance call out to treat a hypoglycaemic event.

The overall aim of ImPACT-ASCQI is to widen the impact of the Ambulance Services Cardiovascular Quality Initiative (ASCQI) by providing a sustainable and long-term increase in quality improvement (QI) knowledge and skills to a wider proportion of ambulance staff ((including front-line staff, managers, executives) and to extend this further to other healthcare (medical, nursing and allied health) staff.

Objectives Primary objective

  • To apply specific learning from ASCQI more widely to facilitate a sustained increase in quality improvement (QI) knowledge and skills in a greater number of ambulance and other healthcare staff. We will do this by:
  • Developing an open access QI E-learning resource and web-based toolkit which will provide access to the resources and tools developed in ASCQI and increase QI knowledge and skills among ambulance service and other healthcare staff.
  • Conducting a series of webinars to disseminate the learning from ASCQI more widely to ambulance service and other healthcare staff. The webinars will be recorded and added as a resource.
  • Undertaking local workshops in each ambulance service with ambulance service clinicians, managers and leaders to facilitate spread of the learning from ASCQI to other emergency conditions (e.g. asthma, diabetes, fracture, epilepsy).

Secondary objectives

  • To thereby improve outcomes for patients and service users with other emergency conditions (e.g. asthma, diabetes, fracture, epilepsy).
  • To disseminate learning from the project to a wider range of stakeholders including commissioners, policymakers, academics and opinion leaders through a national ImPACT-ASCQI conference and to disseminate further publications from ASCQI to at least two national conferences and one international conference.
Methods Multiple educational and impact activities to spread improvement.
Outcomes The most important expected outcome will be data on effectiveness and cost-effectiveness of a diabetes specialist nurse (DSN) led intervention following a call out of an ambulance to treat a hypoglycaemic episode.
Outputs
  • Peer reviewed publications and presentations to national and international conferences.
  • ASCQI website and QI E-learning programme: we will provide access to the resources and tools developed in ASCQI and apply specific learning from ASCQI to increase QI knowledge and skills among ambulance service and other health service staff.
  • QI webinars: a series of webinars to disseminate QI knowledge and skills among ambulance service and other health service staff.
  • Local QI workshops: in each ambulance service to facilitate spread QI knowledge and skills and learning from ASCQI.
  • National Improvement and Innovation in Prehospital Care conference: a national conference to disseminate outcomes.
  • National and international research conferences: to disseminate further publications from ASCQI in the form of oral presentations or posters.
Impact
  • We will develop and publish an impact case study that will summarise the activities and impact of ImPACT-ASCQI.

 

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