Prehosp Emerg Care. 2022;26(sup1):14-22. doi: 10.1080/10903127.2021.1989530.
Prehospital airway management encompasses a multitude of complex decision-making processes, techniques, and interventions. Quality management (encompassing quality assurance and quality improvement activities) in EMS is dynamic, evidence-based, and most of all, patient-centric. Long a mainstay of the EMS clinician skillset, airway management deserves specific focus and attention and dedicated quality management processes to ensure the delivery of high-quality clinical care.It is the position of NAEMSP that:All EMS agencies should dedicate sufficient resources to patient-centric, comprehensive prehospital airway quality management program. These quality management programs should consist of prospective, concurrent, and retrospective activities. Quality management programs should be developed and operated with the close involvement of the medical director.Quality improvement and quality assurance efforts should operate in an educational, non-disciplinary, non-punitive, evidence-based medicine culture focused on patient safety. The highest quality of care is only achieved when the quality management program rewards those who identify and seek to prevent errors before they occur.Information evaluated in prehospital airway quality management programs should include both subjective and objective data elements with uniform reporting and operational definitions.EMS systems should regularly measure and report process, outcome, and balancing airway management measures.Quality management activities require large-scale bidirectional information sharing between EMS agencies and receiving facilities. Hospital outcome information should be shared with agencies and the involved EMS clinicians.Findings from quality management programs should be used to guide and develop initial education and continued training.Quality improvement programs must continually undergo evaluation and assessment to identify strengths and shortcomings with a focus on continuous improvement.
院前气道管理涵盖了众多复杂的决策过程、技术和干预措施。EMS 中的质量管理（包括质量保证和质量改进活动）是动态的、基于证据的，最重要的是，以患者为中心。长期以来一直是 EMS 临床医生技能的主要内容，气道管理值得特别关注和重视，并需要专门的质量管理流程，以确保提供高质量的临床护理。NAEMSP 的立场是：所有 EMS 机构都应投入足够的资源，以实现以患者为中心的、全面的院前气道质量管理计划。这些质量管理计划应包括前瞻性、同期性和回顾性活动。医疗主任应密切参与制定和运作质量管理计划。质量改进和质量保证工作应在以患者安全为重点的教育、非纪律、非惩罚、循证医学文化中运作。只有当质量管理计划奖励那些在错误发生之前发现并试图预防错误的人时，才能实现最高质量的护理。在院前气道质量管理计划中评估的信息应包括具有统一报告和操作定义的主观和客观数据元素。EMS 系统应定期测量和报告过程、结果，并平衡气道管理措施。质量管理活动需要 EMS 机构和接收机构之间进行大规模的双向信息共享。应与机构和相关 EMS 临床医生共享医院结果信息。应使用质量管理计划的结果来指导和制定初始教育和持续培训。质量改进计划必须不断进行评估和评估，以确定优势和劣势，并注重持续改进。
