Related Experiment Videos
Evidence-based performance measures for emergency medical services systems: a model for expanded EMS benchmarking
J Brent Myers1, Corey M Slovis, Marc Eckstein
1Section of EMF Homeland Security & Disaster Medicine, The University of Texas Southwestern Medical Center, Dallas, TX 75390-8579, USA.
Prehospital Emergency Care
|April 2, 2008
Summary
Current emergency medical services (EMS) performance metrics are limited. A new model offers a broader, evidence-based approach to measure EMS system effectiveness across diverse clinical scenarios.
Area of Science:
- Emergency Medicine
- Public Health
- Health Services Research
Background:
- Current emergency medical services (EMS) performance metrics, such as response times and cardiac arrest resuscitation rates, lack robust evidence linking them to patient outcomes.
- These existing metrics represent a narrow scope of EMS patient populations and clinical situations, necessitating a more comprehensive approach.
Purpose of the Study:
- To introduce a novel, evidence-based model for measuring and benchmarking emergency medical services (EMS) system performance.
- To encompass a wider array of critical clinical conditions beyond cardiac arrest, including myocardial infarction, pulmonary edema, bronchospasm, status epilepticus, and trauma.
Main Methods:
- Development of a performance measurement model by the U.S. Metropolitan Municipalities' EMS Medical Directors' Consortium.
- Incorporation of diverse clinical scenarios and, where applicable, the use of the number needed to treat (NNT) format to quantify intervention benefits.
Main Results:
- The proposed model provides a more robust framework for evaluating EMS system performance across a broader spectrum of patient conditions.
- It facilitates the presentation of EMS intervention effectiveness using the number needed to treat (NNT) metric.
Conclusions:
- The developed model offers a more comprehensive and evidence-based method for assessing emergency medical services (EMS) performance.
- Implementation of this model can enhance EMS system design, deployment, and the sharing of best practices among different EMS agencies.
Related Concept Videos
01:30Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:23Methods of Documentation V: CBE
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
01:29Self-Evaluation Maintenance Model
The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
01:22Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights: