Servicio de Emergencias Sanitarias de Alicante, Alicante, España. Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Alicante, Alicante, España.
Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario de Elda, Alicante, España.
Emergencias. 2019 Oct;31(5):346-352.
Although many health care quality indicators have been defined for establishing a common, homogeneous, and reliable system for assessing emergency department care, less information is available on the use of indicators of quality in attending emergencies outside the hospital. We aimed to identify and analyze quality indicators that have appeared in the literature on out-of-hospital emergencies. This systematic review of the literature followed the ations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We developed protocols for searching 5 databases to locate studies using quality indicators to evaluate care in out-of-hospital emergencies. Studies were published between July 2017 and July 2018 in either English or Spanish. We identified 22 studies naming 333 quality indicators in out-of-hospital emergencies. The indicators were classified as clinical or nonclinical; within each of these 2 sets, we also identified domains, or subcategories. As nonclinical quality identifiers were more numerous in the literature, it seems that they are the ones most often used to assess out-of-hospital emergency care at this time. This finding leaves the door open to designing and implementing new indicators able to measure quality of care in this clinical setting.
尽管已经定义了许多医疗保健质量指标，以建立一个用于评估急诊科护理的通用、同质和可靠系统，但关于在医院外急诊中使用质量指标的信息较少。我们旨在确定和分析文献中出现的院外急救质量指标。本系统评价文献遵循了系统评价和荟萃分析的首选报告项目（PRISMA）的建议。我们制定了方案，在 5 个数据库中搜索使用质量指标评估院外急救护理的研究。研究发表于 2017 年 7 月至 2018 年 7 月，以英文或西班牙文发表。我们确定了 22 项研究，确定了 333 项院外急救质量指标。这些指标分为临床指标和非临床指标；在这两组指标中，我们还确定了领域或子类别。由于文献中非临床质量指标数量较多，因此目前似乎更常使用这些指标来评估院外急救护理。这一发现为设计和实施能够衡量该临床环境下护理质量的新指标提供了机会。
