Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Figures & data

Figure 1. Study protocol for systematic reviews.

Table 1. Summary of findings for seven systematic reviews

Systematic Review	PROSPERO# Dates searched	Population Intervention Comparison Outcome	Study designs included	Records screened	Kappa on initial screening	Percentage agreement with P.I.	Total studies retained
1	CRD42016040097 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Use of fatigue and/or sleepiness survey instruments[C] Compared to a gold standard or indirect measure of standard[O] Reliability, validity, sensitivity, and specificity	Observational and experimental	1,257	0.63	90%	34
2	CRD42016040099 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Shorter shift duration[C] Compared to a longer shift duration[O] Patient safety, personnel safety, personnel performance, acute fatigue, sleep and sleep quality, retention/turnover, long-term health, burnout/stress, cost to system	Observational and experimental	21,674	0.49	100%	100
3	CRD42016040101 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Use of caffeine[C] Compared to no use of caffeine or use of placebo[O] Patient safety, personnel safety, personnel performance, acute fatigue, sleep and sleep quality, long-term health	Experimental	1,401	0.55	100%	8
4	CRD42016040107 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Napping/sleeping during shift work[C] Compared to no napping/sleeping during shift work[O] Patient safety, personnel safety, personnel performance, acute fatigue, sleep and sleep quality, retention/turnover, long-term health, cost to system	Experimental	4,660	0.78	100%	13
5	CRD42016040110 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Use of fatigue education/training[C] Compared to no use of fatigue/sleep education/training[O] Patient safety, personnel safety, personnel performance, acute fatigue, sleep and sleep quality, long-term health, burnout/stress	Observational and experimental	3,817	0.88	100%	18
6	CRD42016040112 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Implementation of biomathematical fatigue modeling[C] Compared to no use of biomathematical fatigue modeling[O] Patient safety, personnel safety, personnel performance, acute fatigue, sleep and sleep quality, long-term health, cost to system	Experimental	2,777	0.80	n/a^*	1
7	CRD42016040114 1/1/1980-9/30/2016	[P] EMS personnel or similar shift worker groups[I] Modification of task load during shift work[C] Compared to no modification of task load during shift work[O] Patient safety, personnel safety, personnel performance, acute fatigue, cost to system	Observational and experimental	3,394	0.66	92%	5

Notes: P.I. = Principal Investigator.

^* The percentage agreement between the principal investigator and screeners was not calculated for one systematic review (PROSPERO 2016:CRD42016040112), given that the assigned screeners are experts in the field of biomathematical fatigue modeling.