Scholarlink

Background <p>Clinical guidelines contain recommendations intended to assist healthcare professionals with the treatment of patients. In practice, however, these recommendations are not always fully implemented, i.e., adherence is limited.</p> Objectives <p>This study examined the assessment of emergency physicians and paramedics regarding the adherence to recommendations of the German clinical guideline for patients with multiple and/or severe injuries as well as the relevance of barriers.</p> Materials and methods <p>An online survey was conducted in January and February 2025. The target group was emergency physicians working in Germany and employees of German emergency medical services. We analyzed the data descriptively.</p> Results <p>A total of 397 participants completed the survey. The median mean of the estimated adherence for each evaluated recommendation varied between 50% and 90%. For 43% (6/14) of the recommendations, trauma surgeons estimated adherence to be higher than other professions. Of all respondents, 88% (349/397; regarding section “Prehospital phase: spine”) and 83% (297/357; regarding section “Shock room: team and activation”) stated that a&#xa0;lack of information about guideline content was “always,” “often,” or “sometimes” the reason for deviating from recommendations. A&#xa0;lack of emphasis on the most important recommendations was cited by 69% (275/397) of respondents and by 54% (192/357) as the reason for deviating from guideline recommendations “always,” “often,” or “sometimes.”</p> Conclusion <p>The assessment of the majority of respondents regarding the lack of information about guideline content suggests that the dissemination of the guideline and its content needs to be improved. The increased use of visual presentation methods could be a&#xa0;suitable solution.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Umsetzung von Leitlinienempfehlungen in der Polytrauma‑/Schwerverletztenbehandlung – Ergebnisse einer Onlinebefragung zu Leitlinienadhärenz und bestehenden Barrieren

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月17日

查看全文
  • Clara Orduhan,
  • Dan Bieler,
  • Käthe Goossen,
  • Lisa Hackenberg,
  • Christine Höfer,
  • Nadja Könsgen,
  • Florian Pavlu,
  • Barbara Prediger,
  • Merel Leithaus,
  • Michael Kalsen,
  • David Häske,
  • Simon Hübenthal,
  • Orkun Özkurtul,
  • Dawid Pieper

摘要

Background

Clinical guidelines contain recommendations intended to assist healthcare professionals with the treatment of patients. In practice, however, these recommendations are not always fully implemented, i.e., adherence is limited.

Objectives

This study examined the assessment of emergency physicians and paramedics regarding the adherence to recommendations of the German clinical guideline for patients with multiple and/or severe injuries as well as the relevance of barriers.

Materials and methods

An online survey was conducted in January and February 2025. The target group was emergency physicians working in Germany and employees of German emergency medical services. We analyzed the data descriptively.

Results

A total of 397 participants completed the survey. The median mean of the estimated adherence for each evaluated recommendation varied between 50% and 90%. For 43% (6/14) of the recommendations, trauma surgeons estimated adherence to be higher than other professions. Of all respondents, 88% (349/397; regarding section “Prehospital phase: spine”) and 83% (297/357; regarding section “Shock room: team and activation”) stated that a lack of information about guideline content was “always,” “often,” or “sometimes” the reason for deviating from recommendations. A lack of emphasis on the most important recommendations was cited by 69% (275/397) of respondents and by 54% (192/357) as the reason for deviating from guideline recommendations “always,” “often,” or “sometimes.”

Conclusion

The assessment of the majority of respondents regarding the lack of information about guideline content suggests that the dissemination of the guideline and its content needs to be improved. The increased use of visual presentation methods could be a suitable solution.