International journal of evidence-based healthcare
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Int J Evid Based Healthc · Dec 2013
ReviewInforming clinical policy decision-making practices in ambulance services.
This study aims to identify the processes and frameworks that support an evidence-based approach to clinical policy decision-making practices in ambulance services. ⋯ There is little published literature that describes the processes involved, and frameworks required, to inform clinical policy decision making within ambulance services. This review found that processes were iterative and involved collaborations across many internal and external stakeholders. In several jurisdictions, these were coordinated by a dedicated team. Success appears dependent on committed leadership and purposive human and structural resources. Although time consuming, structured processes have been developed in some jurisdictions to assist decision-making processes. Further insight is likely to be obtained from literature published by those from other disciplines.