Related Experiment Video
Updated: Aug 3, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.3K
No Two Systems Are the Same: Paramedic Perceptions of Contemporary System Performance Using Prehospital Quality
Timothy Makrides1, Ford Smith2, Linda Ross1
1Department of Paramedicine, Monash University, Melbourne, AUS.
Cureus
|April 10, 2023
Summary
The Professionally Autonomous paramedic system significantly outperforms the Directive system in perceived clinical and operational performance. This study provides crucial evidence for choosing between paramedic system models.
Area of Science:
- Emergency Medicine
- Health Services Research
Background:
- Two distinct models of paramedicine, the Directive and Professionally Autonomous systems, have emerged within the Anglo-American paramedic system.
- Understanding paramedic perception of system performance is crucial for optimizing prehospital care.
Purpose of the Study:
- To compare paramedic perceptions of system performance between the Directive and Professionally Autonomous paramedic systems.
- To evaluate performance using prehospital quality indicators.
Main Methods:
- A survey was administered to paramedics within Anglo-American systems.
- The survey assessed perceptions of system performance using modified prehospital quality indicators.
- Data were collected via single-choice and matrix multiple-choice questions, with results cross-tabulated by demographic and system factors.
Main Results:
- A significant difference in perceived clinical and operational performance was found between the two systems.
- The Professionally Autonomous paramedic system demonstrated superior performance across all 11 prehospital quality indicator domains.
- This indicates a consistent advantage for the Professionally Autonomous model.
Conclusions:
- The findings highlight the complex relationship between paramedic system design and overall system performance.
- This study offers empirical evidence to inform decisions regarding the adoption of either the Directive or Professionally Autonomous paramedic system.
- Paramedics, health leaders, and academics can utilize these results to understand system design impacts.
More Related Videos
Related Concept Videos
01:30Health Information Technology and Healthcare Information System
883
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:
883
01:14SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
01:18Introduction To Health Care Delivery System
2.9K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.9K
01:17Pulse amplitude and quality
1.9K
Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
1.9K
01:21Cardiopulmonary Resuscitation I: Adult
26
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
26
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K