A systematic, unbiased collation of evidence of paramedics trained with extended skills is essential to ensure a sound evidence base to inform and justify developments to emergency services already strained by financial cuts.
"A chief superintendent well experienced in CID work [who is not named] was appointed and directed by the chief constable to organise the collection and collation of evidence, and the preparation of prosecution files, whenever the scale and nature of events at Orgreave so required".
Many examples for this have been given by Janssens and van Duijn (2008), and one systematic collation of evidence on genetic tests is given by the Evaluation of Genomic Applications in Practice and Prevention (EGAPP) initiative (Teutsch et al. 2009).
As indicated in Tables 3 and 4, factors that could influence speech pathologists to implement guidelines can occur at any point during the search and collation of evidence and the development of the CPG (Knowledge Creation), as well as during the clinical process of implementing the guideline in practice (Action Cycle).
Clinical guidelines for the prevention of coronary heart disease are important not only because they influence practice but also because they present a highly cited collation of evidence for a multitude of risk markers. 1 2 For example, the European primary prevention guidelines published in 2003 1 mentioned more than 40 risk markers and have been cited more than 800 times.
"You're doing mass data collation but what evidence do we have that it works?," he asked.
"These findings suggest that 'screen and treat' policies alone are unlikely to have substantial impact on the worsening epidemic of Type 2 diabetes". However, Matt Fagg, programme director for the NHS Diabetes Prevention Programme, said it was "a key part of the solution" and was "based on a comprehensive collation of robust evidence".
The results informed the collation of research evidence from the papers sourced.
In this case the iteration consisted of discovery and collation of experimental evidence previously obtained but which had never been identified in this context.
While the collation of existing evidence as the basis for clinical practice is now routine, a more coherent and efficient approach to planning future RCTs to strengthen the evidence base needs to be developed.
