Vocabulary 1-7 Flashcards
Alternative time sampling
Time parameters that are set during a research project
Blinding
The method of not giving the specifics of a project to the people participating in a research or study
Case study
A type of research in which a single case is investigated and documented over a period of time
Certification
A process in which a person, institution, or program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care
Cohort research
A type of research that examines patterns of change, a sequence of events, or trends over time within a certain population of study subjects
CAPCE
Commission on Accreditation for Pre-Hospital Continuing Education
An organization that develops continuing education standards and is involved in setting accreditation standards for prehospital providers
CQI
Continuous Quality Improvement
A system of internal and external reviews and audits of all aspects of an EMS system
Convenience sampling
A type of research in which subjects are manually assigned to a specific person or crew, rather than being randomly assigned; the least preferred component of research
Cross-sectional design
A data collection method in which all data at one point in time is collected, essentially serving as a “snapshot” of events and information
Descriptive research
A research format in which an observation of an event is made, but without attempts to alter or change it
EMS
Emergency medical services
A health care system designed to bring immediate on-scene care to those in need along with transport to a definitive medical care facility
Ethical
A behavior expected by a person or group following a set of rules
Evidence-based practice
The use of practices that have been proven to be effective in improving patient outcomes
Health care professional
A person who follows specific professional attributes that are outlined in this profession
Inferential research
A research format that uses a hypothesis to prove one finding from another
IRB
Institutional Review Board
A group or institution that follows a set of requirements for review that were devised by the US Public Health Service
Licensure
The process whereby a state allows qualified people to perform a regulated act
Literature review
A form of research in which the existing literature is reviewed, and the researcher analyzes the collection of research to draw a conclusion
Longitudinal design
A data collection method in which information is collected at various set time intervals, and not just at one time
Medical direction
Direction given to an EMS system or provider by a physician
MICUs
Mobile Intensive Care Units
An early title given to an ambulance-style unit
Off-line medical control
Indirect; patient care orders in the form of protocols, policies, or standing orders that do not require direct contact with the medical control physician
Online medical control
Direct; medical direction given in real time to an EMS service or provider by radio or telephone
Parameters
Outlined measures that may be difficult to obtain in a research project
Peer review
The process used by medical magazines, journals, and other publications to ensure the quality and validity of an article before it is published, and which involves sending the article to subject matter experts for review of the content and research methods
Profession
A specialized set of knowledge, skills, and/or expertise
Prospective research
A type of research that gathers information as events occur in real time
Protocol
A treatment plan developed for a specific illness or injury
Qualitative
A type of descriptive statistic in research that does not use numeric information
Quality control
The responsibility of the medical director to ensure the appropriate medical care standards are met by EMS personnel on each call
Quantitative
A type of measurement in research that uses a mean, median, and mode
Reciprocity
The process of granting licensure or certification to a provider from another state or agency
Registration
Providing information to an entity that stores it in some form of record book; records of your education, state, or local licensure and recertification are held by a recognized board
Research agenda
The specific questions that a study aims to answer, and the precise methods in which the data will be gathered
Research consortium
A group of agencies working together to study a particular topic
Research domain
The area (clinical, basic science, systems, or education) that will be impacted by a study
Retrospective research
Research performed from current available information
Safety culture
In an EMS organization, a system of beliefs and practices that:
1) acknowledge that organizations engage in high-risk activities
2) determine the importance of consistent safe operations to counteract these activities
3) support a blame-free environment where errors can be reported without fear or punishment
4) maintain organizational commitment to address reported errors and safety concerns
Sampling errors
Expected errors that occur in the sampling phase of research
Standard deviation
A measure of the range of scores in a set of data relative to the mean score
Standing order
A type of protocol that is a written document signed by the EMS system’s medical director that outlines specific directions, permissions, and sometimes prohibitions regarding patient care that is rendered prior to contacting medical control
Systematic sampling
A computer-generated list of subjects or groups for research
Trauma systems
The collaboration of prehospital and in-hospital medicine that focuses on optimizing the use of resources and assets of each with a primary goal of reducing the mortality and morbidity of trauma patients
Unblinded study
A type of study in which the subjects are advised of all aspects of the study
Epidemiologist
Public health professional who investigates patterns and causes of disease and injury in a given population, and seeks to reduce the risk, occurrence, and negative impacts of these threats through research, public education, and legislative change
Epidemiology
The study of causes, patterns, prevalence, and control of disease in groups of people
Evaluation
Collection of the methods, skills, and activities necessary to determine whether a service or program is needed, likely to be used, conducted as planned, and actually helps people
Haddon matrix
A framework developed by William Haddon Jr., MD, as a method to generate ideas about injury prevention that address the host, agent, and environment and their impact in the pre-event, event, and post-event phases of the injury process
Intentional injuries
Injuries that are purposefully inflicted by a person on himself or herself or on another person
Ex. Suicide, attempted suicide, homicide, rape, assault, domestic abuse, child abuse
Interventions
In the context of prevention, specific measures or activities designed to meet a program objective
Education, Enforcement, Engineering/Environment, Economic incentives
Morbidity
Number of non-fatally injured or disabled people; usually expressed as a rate
Mortality
Deaths caused by injury and disease; usually expressed as a rate
Outcome (impact) objectives
State the intended effect of the program on participants or on the community in such terms as the participants’ increased knowledge, changed behaviors or attitudes, or decreased injury rates
Passive interventions
Something that offers automatic protection from injury or illness, often without requiring any conscious change of behavior by the person
Ex. Child-resistant bottles, airbags
Primary prevention
Keeping an injury or illness from occurring
Process objectives
State how a program will be implemented, describing the service to be provided, the nature of the service, and to whom it will be directed
Public health
An industry whose mission is to prevent disease and promote good health within groups of people
Risk
A potentially hazardous situation that puts people in a position in which they could be harmed
Risk factors
Characteristics of people, behaviors, or environments that increase the chances of disease or injury
Ex. Alcohol use, poverty, smoking, gender
Secondary prevention
Reducing the effects of an injury or illness that has already happened
Surveillance
The ongoing systematic collection, analysis, and interpretation of injury data essential to the planning, implementation, and evaluation of public health practice
Syndromic surveillance
Monitoring and comparing the current number and nature of medical cases against the expected volume of these cases at a given time and place in the community
Unintentional injuries
Injuries that occur without intent to harm; commonly called accidents
Ex. MVC, poisonings, drownings, falls, burns
YPLL
Years of Potential Life Lost
A way of measuring and comparing the overall impact of deaths resulting from different causes; calculated based on a fixed age minus the age at death
Ethnocentrism
Viewing other cultures based solely upon the standards and values of one’s own culture; a belief in the inherent superiority of one’s own cultural or ethnic group
Culture
The system of beliefs, attitudes, and behaviors that are learned and shared by members of a group
Cultural competence
An understanding of the predominant cultures that exist in the geographic area in which the paramedic provides patient care
Acute stress reaction
Reaction to stress that occurs during a stressful situation
Airborne transmission
The spread of an organism in aerosol form, such as droplets or dust
Blind panic
A fear reaction in which a person’s judgment seems to disappear entirely; it is particularly dangerous because it may cause mass panic among others
Bloodborne pathogens
Pathogenic microorganisms that are present in human blood and can cause disease in humans
Ex. Hepatitis B virus, HIV
Burnout
The exhaustion of physical or emotional strength
Communicable disease
Any disease that can be spread from person to person or from animal to person
Conversion hysteria
A reaction in which a person subconsciously transforms his or her anxiety into a bodily dysfunction; the person may be unable to see or hear or may become partially paralyzed
Critical incident
An event that overwhelms the ability to cope with the experience, either at the scene or later
CISM
Critical Incident Stress Management
A process which utilizes trained counselors who confront responses to critical incidents and help to defuse them, directing emergency services personnel toward physical and emotional equilibrium
Cumulative stress reaction
Prolonged or excessive stress
Defense mechanisms
Psychological ways to relieve stress; they are usually automatic or subconscious
Ex. Denial, regression, projection, displacement
Delayed stress reaction
Reaction to stress that occurs after a stressful situation
Denial
An early response to a serious medical emergency, in which the severity of the emergency is diminished or minimized; the first coping mechanism for people who believe they are going to die
Direct contact
Exposure to or transmission of a communicable disease from one person to another by physical contact
Displacement
A defense mechanism characterized by the redirection of an emotion from one person to another
EAP
Employee Assistance Program
A counseling program to help with situations that may affect the health and well-being of emergency medical services professionals
Fight-or-flight response
A physiologic response to a profound stressor that helps a person deal with the situation at hand; features increased sympathetic tone and results in dilation of the pupils, increased heart rate, dilation of the bronchi, mobilization of glucose, shunting of blood away from the GI tract and cerebrum, and increased blood flow to the skeletal muscles
Indirect contact
Exposure or transmission of disease from one person to another by contact with a contaminated, inanimate object
Infection
The invasion of a host or host tissues by organisms such as bacteria, viruses, or parasites, with or without signs or symptoms of disease
Infection control
Procedures to reduce transmission of infection among patients and health care personnel
Infectious disease
A disease that is caused by the growth and spread of small, harmful organisms within the body, or one that is capable of being transmitted with or without direct contact
PTSD
Post-Traumatic Stress Disorder
A delayed stress reaction to a previous incident, often the result of one or more unresolved issues concerning the incident
Projection
A defense mechanism characterized by blaming unacceptable feelings, motives, or desires on others
Regression
A defense mechanism characterized by a return to more childlike behavior while under stress
Standard precautions
Protective measures that have traditionally been developed by the CDC for use in dealing with objects, blood, body fluids, or other potential exposure risks of communicable disease
Stress
A reaction of the body to any agent or situation that requires the person to adapt
Stressor
Any agent or situation that causes stress, whether good or bad
Transmission
The way in which an infectious agent is spread: contact (direct or indirect), airborne, foodborne, vector-borne
Abandonment
Termination of medical care for the patient without giving the patient sufficient opportunity to find another suitable health care professional to take over his or her medical treatment
Advance directive
A written document or oral statement that expresses the wants, needs, and desires of a patient in reference to future medical care
Ex. Living wills, DNR orders, organ donation orders
Assault
To create in another person fear of immediate bodily harm or invasion of bodily security, including loss of freedom
Battery
The unlawful physical acting upon a threat; the use of force against another, resulting in harmful, offensive, or sexual contact
Borrowed servant doctrine
A principle which absolves an institution of liability when one of its members acts beyond his or her scope of certification or training by following someone else’s orders