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相同的标准——不同的结果?为何临床治理对安全且一致的高质量患者护理至关重要:呼吁在直升机紧急医疗服务领域建立欧洲治理联盟。

Same standards - different outcomes? Why clinical governance is essential to safe and consistent high-quality patient care : A call for a european governance alliance in HEMS.

作者信息

Strobel Johannes, Rognås Leif, Steen Evi, Reis Miranda Dinis, Schwietring Jens, Reifferscheid Florian, Böbel Simone, Rehn Marius

机构信息

Prehospital Emergency Medicine Board, German Society for Interdisciplinary Emergency and Acute Care Medicine (DGINA), Berlin, Germany.

Health, Ethics and Society Department, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

出版信息

Scand J Trauma Resusc Emerg Med. 2025 Jun 2;33(1):99. doi: 10.1186/s13049-025-01421-3.

DOI:10.1186/s13049-025-01421-3
PMID:40457469
Abstract

Europe is facing major challenges in security, health, and climate, which place increasing demands on emergency medical systems. While European cooperation is advancing in sectors like defence and energy, emergency medicine remains largely nationally or regionally structured. Despite significant differences in funding, staffing and mission profiles, HEMS systems across Europe share many similarities, especially regarding patient population and professional standards. The newly founded European Governance Alliance in HEMS aims to use these commonalities to foster cross-border learning and collaboration, based on the principles of Clinical Governance. Through regular international "Debrief & Discussion" (D&D) meetings and peer learning visits, the Alliance promotes a culture of open reflection, shared learning, and continuous improvement. The long-term goal is to define and implement common governance standards and establish sustainable structures for peer-based quality development. This initiative offers a first concrete step towards structured, international cooperation in European air rescue- with the aim of improving systems, not individuals.

摘要

欧洲在安全、健康和气候方面面临重大挑战,这对紧急医疗系统提出了越来越高的要求。虽然欧洲在国防和能源等领域的合作不断推进,但紧急医疗在很大程度上仍以国家或地区为架构。尽管在资金、人员配备和任务概况方面存在显著差异,但欧洲各地的直升机紧急医疗服务(HEMS)系统有许多相似之处,尤其是在患者群体和专业标准方面。新成立的欧洲直升机紧急医疗服务治理联盟旨在基于临床治理原则,利用这些共性促进跨境学习与合作。通过定期举行国际“汇报与讨论”(D&D)会议以及同行学习访问,该联盟倡导开放反思、共同学习和持续改进的文化。长期目标是界定并实施共同的治理标准,建立基于同行的质量发展的可持续架构。这一举措朝着欧洲空中救援领域结构化的国际合作迈出了具体的第一步,目的是改进系统,而非个人。

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本文引用的文献

1
Post-mission debriefs in helicopter emergency medicine services- introducing "The compassionate debrief".直升机紧急医疗服务中的任务后汇报——引入“共情汇报”
Scand J Trauma Resusc Emerg Med. 2025 Jan 24;33(1):10. doi: 10.1186/s13049-025-01326-1.
2
A Framework for Case-Based Learning in Prehospital Medicine: The London's Air Ambulance Experience.院前医学中基于案例学习的框架:伦敦空中救护的经验
Air Med J. 2022 Nov-Dec;41(6):521-525. doi: 10.1016/j.amj.2022.09.005. Epub 2022 Oct 15.
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Cross-sectional investigation of HEMS activities in Europe: a feasibility study.
欧洲直升机紧急医疗服务活动的横断面调查:一项可行性研究。
ScientificWorldJournal. 2014;2014:201570. doi: 10.1155/2014/201570. Epub 2014 Nov 30.
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Clinical governance and prehospital care in the UK.英国的临床治理与院前护理。
Emerg Med J. 2011 Feb;28(2):91-2. doi: 10.1136/emj.2010.092031. Epub 2010 Oct 28.