de la Fuente Rodríguez J M, Ignacio García E, Rodríguez Aguado O O, Ruiz Benitez G, Sánchez Salado J, Chagas Fernández R
Empresa Pública de Emergencias Sanitarias, Servicio Provincial de Cádiz, Junta de Andalucía, España.
Rev Calid Asist. 2013 Mar-Apr;28(2):117-23. doi: 10.1016/j.cali.2012.07.003. Epub 2012 Sep 18.
One of the biggest challenges for the public health sector is to ensure the clinical safety of the patient, which is affected by mistakes made in pre-hospital emergency care. A culture of safety is encouraged and health professionals have tools at their disposal to help them maintain that safety.
[corrected] We propose as a hypothesis that compliance with safety standards in for the care of patients using extra-hospital emergency systems improves care and minimize risks. Our goal is to build a tool that enables us to measure the safety quality for patients in need of non-hospital emergency services.
To create this tool we have taken the SENECA study as a basis, and using the European Quality Model of the European Foundation of Quality Management (EFQM). The indicators were created using the Delphi Method.
A total of 74 indicators were proposed, 9 of which were proposed by the panelists, and 44% being accepted. A definitive tool of 41 indicators was created. The most notable indicators were; "The expiry dates of consumable material and drugs that are stored in the units are controlled" grouped in "Alliances and resources", and "Patients who do not adhere to treatment due to unresolved doubts" grouped in "Key results".
The use of the EFQM model to build the assessment tool allows information to be appropriately structured and to organize safety standards and indicators of security in a consistent manner. This methodology helped to propose a suitable tool for measuring patient safety in an extra-hospital situation. The application of this tool will identify areas for improvement related to the patient safety.
公共卫生部门面临的最大挑战之一是确保患者的临床安全，而这会受到院前急救中所犯错误的影响。鼓励建立安全文化，卫生专业人员有可用工具来帮助他们维持这种安全。
[已修正]我们提出一个假设，即使用院外急救系统护理患者时遵守安全标准可改善护理并将风险降至最低。我们的目标是构建一个工具，使我们能够衡量需要非医院急救服务患者的安全质量。
为创建此工具，我们以塞内卡研究为基础，并使用欧洲质量管理基金会（EFQM）的欧洲质量模型。指标采用德尔菲法创建。
共提出74项指标，其中9项由小组成员提出，44%被采纳。创建了一个包含41项指标的最终工具。最显著的指标是：“单位储存的消耗品和药品的有效期受到控制”，归入“联盟与资源”类别；以及“因疑问未解决而不坚持治疗的患者”，归入“关键结果”类别。
使用EFQM模型构建评估工具可使信息得到适当构建，并以一致的方式组织安全标准和安全指标。这种方法有助于提出一个适用于衡量院外情况下患者安全的工具。该工具的应用将识别与患者安全相关的改进领域。
