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Developing quality indicators for physician-staffed emergency medical services: a consensus process.

Helge Haugland^1,2,3, Marius Rehn^4,5,6, Pål Klepstad^7,8

¹Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway. helge.haugland@norskluftambulanse.no.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

|February 17, 2017

Summary

This summary is machine-generated.

Developing quality indicators for physician-staffed emergency medical services (P-EMS) is crucial for improving healthcare. This study created 26 international P-EMS quality indicators for response and system quality.

Keywords:

Modified nominal group technique Physician-staffed emergency medical services Quality indicators

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Area of Science:

Emergency Medicine
Healthcare Quality Improvement
Health Services Research

Background:

Growing demand for healthcare quality measurement extends to pre-hospital emergency medical services (EMS).
Limited research exists on quality measurement for physician-staffed EMS (P-EMS).

Purpose of the Study:

To develop a comprehensive set of quality indicators for international physician-staffed emergency medical services (P-EMS).
To facilitate quality improvement initiatives within P-EMS.

Main Methods:

A modified nominal group technique, involving an expert panel, was employed in a four-step process.
Consensus was reached on quality indicators through expert deliberation.

Main Results:

A consensus was achieved on 26 quality indicators for P-EMS.
These indicators are categorized into 15 response-specific and 11 system-specific quality indicators.
The indicators aim to provide a broad and comprehensive approach to P-EMS quality measurement.

Conclusions:

The developed quality indicators offer a framework for assessing P-EMS quality.
A multidimensional approach, considering factors like patient heterogeneity and operational complexity, is recommended.
Future research should prospectively validate these indicators for feasibility, reliability, and clinical utility across diverse P-EMS systems.