Rega-Swiss Air Ambulance, Zürich Airport, 8058 Zürich, Switzerland.
Emergency Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Int J Environ Res Public Health. 2021 Sep 11;18(18):9570. doi: 10.3390/ijerph18189570.
Decisions in the management and rescue of avalanche victims are complex and must be made in difficult, sometimes dangerous, environments. Our goal was to identify indicators for quality measurement in the management and rescue of avalanche victims. The International Commission for Mountain Emergency Medicine (ICAR MedCom) convened a group of internal and external experts. We used brainstorming and a five-round modified nominal group technique to identify the most relevant quality indicators (QIs) according to the National Quality Forum Measure Evaluation Criteria. Using a consensus process, we identified a set of 23 QIs to measure the quality of the management and rescue of avalanche victims. These QIs may be a valuable tool for continuous quality improvement. They allow objective feedback to rescuers regarding clinical performance and identify areas that should be the foci of further quality improvement efforts in avalanche rescue.
在雪崩受害者的管理和救援中做出决策是复杂的，必须在困难的、有时甚至是危险的环境中做出。我们的目标是确定管理和救援雪崩受害者的质量衡量指标。国际山地紧急医学委员会（ICAR MedCom）召集了一组内部和外部专家。我们使用头脑风暴和五轮修改后的名义群体技术，根据国家质量论坛衡量标准评估准则，确定了最相关的质量指标（QIs）。通过共识过程，我们确定了一套 23 个质量指标，用于衡量雪崩受害者的管理和救援质量。这些 QIs 可能是持续质量改进的有力工具。它们为救援人员提供了关于临床表现的客观反馈，并确定了雪崩救援中应进一步关注质量改进的领域。
