Azami-Aghdash Saber, Moosavi Ahmad, Gharaee Hojatolah, Sadeghi Ghader, Mousavi Isfahani Haleh, Ghasemi Dastgerdi Alireza, Mohseni Mohammad
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Health Serv Res. 2021 Mar 16;21(1):235. doi: 10.1186/s12913-021-06238-1.
Pre-Hospital Emergency Care (PEC) is a fundamental property of prevention of Road Traffic Injuries (RTIs). Thus, this sector requires a system for evaluation and performance improvement. This study aimed to develop quality indicators to measure PEC for RTIs.
Following the related literature review, 14 experts were interviewed through semi-structured interviews to identify Quality Measurement Indicators (QMIs). The extracted indicators were then categorized into three domains: structure, performance, and management. Finally, the identified QMIs were confirmed through two rounds of the Delphi technique.
Using literature review 11 structural, 13 performance, and four managerial indicators (A total of 28 indicators) were identified. Also, four structural, four performance, and three managerial indicators (A total of 11indicators) were extracted from interviews with experts. Two indicators were excluded after two rounds of Delphi's technics. Finally, 14 structural, 16 performance and, seven managerial indicators (A total of 37indicators) were finalized.
Due to the importance and high proportion of RTIs compared to other types of injuries, this study set out to design and evaluate the QMIs of PEC delivered for RTIs. The findings of this research contribute to measuring and planning aimed at improving the performance of PEC.
院前急救护理（PEC）是预防道路交通伤害（RTIs）的一项基本属性。因此，该领域需要一个评估和绩效改进系统。本研究旨在制定用于衡量道路交通伤害院前急救护理的质量指标。
在进行相关文献综述之后，通过半结构化访谈对14位专家进行了访谈，以确定质量衡量指标（QMIs）。然后将提取的指标分为三个领域：结构、绩效和管理。最后，通过两轮德尔菲技术对确定的质量衡量指标进行了确认。
通过文献综述确定了11个结构指标、13个绩效指标和4个管理指标（共28个指标）。此外，从专家访谈中提取了4个结构指标、4个绩效指标和3个管理指标（共11个指标）。经过两轮德尔菲技术后，排除了2个指标。最终确定了14个结构指标、16个绩效指标和7个管理指标（共37个指标）。
由于与其他类型伤害相比，道路交通伤害的重要性和高比例，本研究着手设计和评估为道路交通伤害提供的院前急救护理的质量衡量指标。本研究结果有助于进行旨在提高院前急救护理绩效的衡量和规划。
