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JOURNAL ARTICLE · EDITORIAL BRIEF

Implementation and Evaluation of the Stroke Triage App Among Paramedics in Prehospital Emergency Care: Sequential Mixed Methods Study

Femke Kremers; Ellen Hu; Milou Silkens; Naomi de Ruijter; Ruben M. van de Wijdeven; Esmee Venema; Henk Kerkhoff; Sandra Sülz; Bob Roozenbeek; PRESTO-2 Investigators
Journal of Medical Internet Research · 3 November 2026

Open accessNetherlands · two urban ambulance regions
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The finding or development

Paramedics generally accepted the app, yet urgent care, repeated logins and poor workflow fit hindered routine use. Participants requested less duplicate data entry and clearer explanations of recommendations.

What supports it

Published mixed-methods implementation study: usage logs, 76 survey respondents and nine interviews.

Reviewed: Publisher methods, results, discussion and limitations reviewed 5 November 2026; appendices and raw data not reviewed.

Why it matters for design

A practical case for evaluating how a service fits real work, beyond whether its interface is understandable.

Read with this in mind

Self-selection favoured active users; nonusers were poorly represented. Two urban regions limit transferability. Proposed improvements were not tested here, and reported benefits do not establish better patient outcomes.

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DOI: 10.2196/105987

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