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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本文引用的文献
1
A model of survival from out-of-hospital cardiac arrest using the Boston EMS arrest registry.
Resuscitation. 2011 Aug;82(8):999-1003. doi: 10.1016/j.resuscitation.2011.03.023. Epub 2011 Mar 31.
2
Development and pilot of clinical performance indicators for English ambulance services.
Emerg Med J. 2010 Apr;27(4):327-31. doi: 10.1136/emj.2009.072397.
3
Emergency medical services intervals and survival in trauma: assessment of the "golden hour" in a North American prospective cohort.
Ann Emerg Med. 2010 Mar;55(3):235-246.e4. doi: 10.1016/j.annemergmed.2009.07.024. Epub 2009 Sep 23.
4
Evidence-based performance measures for emergency medical services systems: a model for expanded EMS benchmarking.
Prehosp Emerg Care. 2008 Apr-Jun;12(2):141-51. doi: 10.1080/10903120801903793.
5
2006 JEMS 200-city survey. EMS from all angles.
JEMS. 2007 Feb;32(2):38-42, 44, 46 passim. doi: 10.1016/s0197-2510(07)70050-5.
6
Treating the clock and not the patient: ambulance response times and risk.
Qual Saf Health Care. 2006 Apr;15(2):127-30. doi: 10.1136/qshc.2005.015651.
7
The formation of the emergency medical services system.
Am J Public Health. 2006 Mar;96(3):414-23. doi: 10.2105/AJPH.2004.048793. Epub 2006 Jan 31.
8
Response times: myths, measurement & management.
JEMS. 2005 Sep;30(9):47-56.
9
Optimal defibrillation response intervals for maximum out-of-hospital cardiac arrest survival rates.
Ann Emerg Med. 2003 Aug;42(2):242-50. doi: 10.1067/mem.2003.266.
10
Emergency Medical Services Outcomes Project III (EMSOP III): the role of risk adjustment in out-of-hospital outcomes research.
Ann Emerg Med. 2002 Jul;40(1):79-88. doi: 10.1067/mem.2002.124758.
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