Development of key performance indicators for prehospital emergency care

Murphy, Adrian; Wakai, Abel; Walsh, Cathal; Cummins, Fergal; O’Sullivan, Ronan

doi:10.1136/emermed-2015-204793

Cited by 33 publications

(30 citation statements)

References 16 publications

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“…"Response duration" has been used as an indicator of the evaluation of the prehospital emergency system process freely all over the world and that was one of the traditional ways in assessing the performance of prehospital emergency bases [14,15]. Based on the results, the average response time at dispatching ambulance in urban areas was 5.87 minutes and in the road bases was 10.59 minutes.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province

Beiramijam

Ghasemi

Khaleghverdi

et al. 2018

Health Emerg. Disast.

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Background: Prehospital emergency care services are one of the vital health services in many countries that provide first and immediate medical care to the patients and injured people at the scene and during transfer to healthcare centers. This study was conducted to investigate and compare the use of prehospital emergency services in urban and road emergency bases of Hamadan University of Medical Sciences. Materials and Methods:In a descriptive-analytic study, all missions (ambulance requests) conducted at urban and road emergency bases were studied and compared over three years. The study tool was a checklist compiled of questions from PCR (Patient Care Report). PCR contains written information about the patient's demographic characteristics, mission time, mission address, mission reasons, emergency base and mission code (ambulance identification code), and so on. Finally, the collected data were analyzed using descriptive (mean and variance) and inferential statistics (t test and Chi-square). Results:The results of the study indicated that every year, urban bases missions increased about 600 and rural bases missions about 450. Road traffic incidents, falls, cardiac emergencies and poisoning were the most common causes for ambulance call at urban and road emergency bases. In addition, urban and road bases missions were significantly different with regard to the cause of missions in all cases (except heat stroke) (P<0.01). Conclusion:Understanding the number and pattern of prehospital emergency services in urban and rural areas plays a significant role in the proper planning of prehospital emergency care. The study showed that the need for emergency prehospital emergency services is increasing and policymakers should be considered this issue. Citation: Beiramijam M, Salawati Ghasemi Sh, Khaleghverdi M, Bizhani K, Afshari A, Nabavian M. A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province. Health in Emergencies and Disasters Quarterly. 2018; 4(1):23-28. http://dx.

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Section: Discussionmentioning

confidence: 99%

A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province

Beiramijam

Ghasemi

Khaleghverdi

et al. 2018

Health Emerg. Disast.

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“…Variables rated ≥4 by more than 70% of the experts were included in the template draft and presented to the experts [18,19]. In addition, the experts received a number of questions pertaining to the wording of questions, consent to delete some questions because of overlap, relevance of alternatives under a main question, and whether there should be a free-text field for addressing key lessons.…”

Section: Round IIImentioning

confidence: 99%

Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

Tønsager

Krüger

Ringdal

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: Physician-staffed emergency medical services (p-EMS) are resource demanding, and research is needed to evaluate any potential effects of p-EMS. Templates, designed through expert agreement, are valuable and feasible, but they need to be updated on a regular basis due to developments in available equipment and treatment options. In 2011, a consensus-based template documenting and reporting data in p-EMS was published. We aimed to revise and update the template for documenting and reporting in p-EMS. Methods: A Delphi method was applied to achieve a consensus from a panel of selected European experts. The experts were blinded to each other until a consensus was reached, and all responses were anonymized. The experts were asked to propose variables within five predefined sections. There was also an optional sixth section for variables that did not fit into the pre-defined sections. Experts were asked to review and rate all variables from 1 (totally disagree) to 5 (totally agree) based on relevance, and consensus was defined as variables rated ≥4 by more than 70% of the experts.Results: Eleven experts participated. The experts generated 194 unique variables in the first round. After five rounds, a consensus was reached. The updated dataset was an expanded version of the original dataset and the template was expanded from 45 to 73 main variables. The experts approved the final version of the template.Conclusions: Using a Delphi method, we have updated the template for documenting and reporting in p-EMS. We recommend implementing the dataset for standard reporting in p-EMS.

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“…Murphy et al 9 suggest the requirement for key performance indicators (KPI) in PHEC to improve the quality of patient care and, through a three-round Delphi consensus group, described a list of 102 civilian PHEC KPIs. In a similar way, the UK Defence Medical Services (DMS) have designed training and education around five levels listed below:

Category 1—awareness—taught to all members of the DMS.

Category 2—basic—taught to all members of the DMS with a common role (eg, clinical personnel).

Category 3—advanced—taught to members of the DMS of a specific professional group (eg, doctors).

Category 4—specialist—taught to a subset of a professional group to provide subject matter expertise in a professional field.

Category 5—expert—taught to nominated individuals to provide reference subject matter expertise in a specialist field, for example, Defence Consultant Advisers, Specialist Nurse Advisers.

…”

Section: Classification Of Phec Providersmentioning

confidence: 99%

Military Prehospital Emergency Care: defining and professionalising the levels of care provided along the Operational Patient Care Pathway

et al. 2018

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The Defence Medical Services aims to provide gold standard care to ill and injured personnel in the deployed environment and its prehospital emergency care (PHEC) systems have been proven to save lives. The authors have set out to demonstrate, using existing literature, consensus and doctrine that the NHS Skills for Health framework can be reflected in military prehospital care and provides an existing model for defining the levels of care our providers can offer. In addition, we have demonstrated how these levels of care support the Operational Patient Care Pathway and add to the body of evidence for the use of specialist PHEC teams to allow the right patient to be transported on the right platform, with the right medical team, to the right place. These formalised levels allow military planners to consider the scope of practice, amount of training and appropriate equipment required to support deployed operations.

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Development of key performance indicators for prehospital emergency care

Cited by 33 publications

References 16 publications

A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province

A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province

Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

Military Prehospital Emergency Care: defining and professionalising the levels of care provided along the Operational Patient Care Pathway

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