医疗指导在院外心脏骤停系统中的作用

The Role of Medical Direction in Systems of Out-of-Hospital Cardiac Arrest.

作者信息

Stoecklein Holbrook Hill, Youngquist Scott T

机构信息

Salt Lake City Fire Department, University of Utah School of Medicine, Salt Lake City, UT, USA; Division of Emergency Medicine, Department of Surgery, University of Utah, University of Utah School of Medicine, 30 North 1900 East, 1C026, Salt Lake City, UT 84132, USA.

出版信息

Cardiol Clin. 2018 Aug;36(3):409-417. doi: 10.1016/j.ccl.2018.03.008.

DOI:10.1016/j.ccl.2018.03.008

PMID:30293607

Abstract

Survival for out-of-hospital cardiac arrest (OHCA) is, on average, approximately 10% but considerable variability exists among emergency medical services (EMS) systems across the United States. The medical director of an EMS system has considerable control and influence over outcomes in a system by developing evidence-based protocols and overseeing a robust system of quality assurance. A vision for system-level oversight of care that includes continuous data collection and assessment, personally delivered and constructive feedback to providers, and a constant drive for improvement can result in improvements in both processes and patient-centered outcomes.

摘要

院外心脏骤停（OHCA）的平均生存率约为10%，但美国各地的紧急医疗服务（EMS）系统之间存在很大差异。EMS系统的医疗主任通过制定循证方案并监督健全的质量保证体系，对系统中的治疗结果具有相当大的控制权和影响力。对护理进行系统层面监督的愿景，包括持续的数据收集和评估、亲自提供且具有建设性的对提供者的反馈，以及持续的改进动力，可以带来流程和以患者为中心的结果的改善。