评估急诊医疗服务质量：临床绩效指标综述
Measuring quality in emergency medical services: a review of clinical performance indicators.
作者信息
El Sayed Mazen J
机构信息
EMS and Prehospital Care Program, Department of Emergency Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 110 72020, Lebanon.
出版信息
Emerg Med Int. 2012;2012:161630. doi: 10.1155/2012/161630. Epub 2011 Oct 15.
Abstract
Measuring quality in Emergency Medical Services (EMSs) systems is challenging. This paper reviews the current approaches to measuring quality in health care and EMS with a focus on currently used clinical performance indicators in EMS systems (US and international systems). The different types of performance indicators, the advantages and limitations of each type, and the evidence-based prehospital clinical bundles are discussed. This paper aims at introducing emergency physicians and health care providers to quality initiatives in EMS and serves as a reference for tools that EMS medical directors can use to launch new or modify existing quality control programs in their systems.
摘要
衡量紧急医疗服务（EMS）系统的质量具有挑战性。本文回顾了当前医疗保健和EMS质量测量的方法，重点关注EMS系统（美国和国际系统）中当前使用的临床绩效指标。讨论了不同类型的绩效指标、每种类型的优缺点以及基于证据的院前临床捆绑包。本文旨在向急诊医生和医疗保健提供者介绍EMS中的质量改进举措，并为EMS医疗主任可用于在其系统中启动新的或修改现有质量控制计划的工具提供参考。
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