Document Type : Original Article
Authors
1 Department of Health Information Technology, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Health Information Technology, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences,Tehran, Iran
3 Department of Emergency Nursing, School of Nursing and Midwifery, Geriatric Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Abstract
Objective: Stroke is a leading global cause of death and disability, with Emergency Medical Services (EMS) critical for timely management, requiring accurate and systematic data. This study developed a Minimum Data Set (MDS) for a prehospital stroke emergency information dashboard in Iran.
Methods: This applied study followed four phases. Phase 1 involved a scoping review (Arksey and O'Malley framework, PRISMA-ScR) of PubMed, Scopus, and Web of Science databases on August 20, 2024. Phase 2 extracted and refined data items from included studies and aligned them with key domestic and international clinical guidelines. Phase 3 classified elements with expert input. Phase 4 assessed content validity (CVR and CVI) among 10 experts and finalized elements based on necessity, clarity, and simplicity.
Results:Data elements were organized into two main categories: management data and clinical data. The validated MDS contains 91 essential elements. Management data (41 elements) comprised identity and mission information (17 elements: mission identifier, patient information, incident location, dispatch team), key time indicators (11 elements: golden times, standard time intervals), and structural/logistical indicators (13 elements: equipment, human resources). Clinical data (50 elements) included initial assessment and stroke screening (5 elements: level of consciousness, FAST test, symptom onset time), vital signs and clinical findings (18 elements:continuous monitoring, associated symptoms, medical history), prehospital interventions (10 elements:airway/ABC, specialized measures, pharmacotherapy), in-hospital interventions (2 elements: diagnostic and therapeutic measures), and outcome/final diagnosis (15 elements: dispatch/technician/in-hospital diagnoses, patient outcome, prehospital quality of care).
Conclusion:This standardized MDS integrates prehospital data, reduces documentation burden, and supports dashboards for performance monitoring, outcome feedback, benchmarking, reduced delays, and improved stroke outcomes.
Keywords
)