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Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department: protocol for a systematic review
  1. Marica Cassarino1,
  2. Katie Robinson1,
  3. Rosie Quinn2,
  4. Breda Naddy3,
  5. Andrew O’Regan4,
  6. Damien Ryan4,5,
  7. Fiona Boland6,
  8. Marie E Ward7,
  9. Rosa McNamara8,
  10. Gerard McCarthy9,
  11. Rose Galvin1
  1. 1 School of Allied Health, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Limerick, Ireland
  2. 2 Emergency Department, Our Lady of Lourdes Hospital Drogheda, Drogheda, Ireland
  3. 3 Clinical Strategy and Programmes Division, Royal College of Surgeons in Ireland, Dublin, Ireland
  4. 4 Graduate Entry Medical School, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland
  5. 5 Retrieval, Emergency and Disaster Medicine Research and Development Unit (REDSPoT), Emergency Department, University Hospital Limerick, Dooradoyle, Ireland
  6. 6 HRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland
  7. 7 School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
  8. 8 Emergency Department, St James’s Hospital, Dublin, Ireland
  9. 9 Emergency Department, Cork University Hospital, Cork, Ireland
  1. Correspondence to Dr Marica Cassarino; marica.cassarino{at}


Introduction Finding cost-effective strategies to improve patient care in the emergency department (ED) is an increasing imperative given growing numbers of ED attendees. Encouraging evidence indicates that interdisciplinary teams including health and social care professionals (HSCPs) enhance patient care across a variety of healthcare settings. However, to date no systematic reviews of the effectiveness of early assessment and/or interventions carried by such teams in the ED exist. This systematic review aims to explore the impact of early assessment and/or intervention carried out by interdisciplinary teams including HSCPs in the ED on the quality, safety and cost-effectiveness of care, and to define the content of the assessment and/or intervention offered by HSCPs.

Methods and analysis Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standardised guidelines, we will conduct a systematic review of randomised controlled trials (RCTs), non-RCTs, controlled before–after studies, interrupted time series and repeated measures studies that report the impact of early assessment and/or intervention provided to adults aged 18+ by interdisciplinary teams including HSCPs in the ED. Searches will be carried in Cumulative Index of Nursing and Allied Health Literature, Embase, Cochrane Library and MEDLINE from inception to March 2018. We will also hand-search the reference lists of relevant studies. Following a two-step screening process, two independent reviewers will extract data on the type of population, intervention, comparison, outcomes and study design. The quality of the studies will be appraised using the Cochrane Risk of Bias Tool. The findings will be synthesised in a narrative summary, and a meta-analysis will be conducted where appropriate.

Ethics and dissemination Ethical approval will not be sought since it is not required for systematic reviews. The results of this review will be disseminated through publication in a peer-review journal and presented at relevant conferences.

Trial registration number CRD42018091794.

  • emergency department
  • interdisciplinary team
  • health and social care professionals
  • patient care
  • assessment
  • intervention

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  • Contributors MC, RG and KR: were major contributors in writing the manuscript. RG, KR, GMC, RQ and BN: designed the study. MC, RG and KR: developed the search strategy. DR, FB, MEW, RMN, AOR and GMC: participated in the project design and critically appraised and edited the manuscript. RG: the guarantor of the review. All authors read and approved the final manuscript.

  • Funding This research is supported by the Health Research Board of Ireland through the Research Collaborative for Quality and Patient Safety (RCQPS) 2017.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; peer reviewed for ethical and funding approval prior to submission.

  • Data sharing statement No datasets or repositories will be used for the review.

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