在响应和机构层面对EMS绩效进行国家评估
Michael Redlener1, David G Buckler1, Samuel E Sondheim1
1Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York City, New York.
Prehospital emergency care
|February 13, 2024
概括
全国EMS的表现在美国各个地方各不相同. 对2650万个911事件的分析显示,各机构在质量措施的遵守方面存在显著差异,突出了需要改进策略的需要.
科学领域:
- 紧急医疗服务 (EMS)
- 改善医疗保健质量 改善医疗保健质量
- 公共卫生数据分析
背景情况:
- 国家EMS质量联盟 (NEMSQA) 在2019年制定了11项质量措施.
- 对于这些措施在国家一级EMS的表现,人们知之甚少.
- 本研究旨在使用国家数据来描述EMS性能.
研究的目的:
- 在响应和机构层面评估国家EMS绩效.
- 识别不同EMS机构在质量测量遵守方面的差异.
- 为改善医院前护理质量和公平提供数据.
主要方法:
- 利用了2019年国家EMS信息系统 (NEMSIS) 研究数据集.
- 计算了11个NEMSQA质量指标中的10个,对来自9,679个机构的26,502,968个9-1-1事件进行了计算.
- 根据呼叫量和城市化情况进行分层机构级分析;由于缺少数据,排除了儿科-03b.
主要成果:
- 运行水平的性能从12% (安全-01) 到82% (儿科-02) 不同.
- 根据机构规模和城市化程度,观察到机构层面的显著绩效差异.
- 创伤-04在机构层面的表现最低,其中47%的机构报告了创伤中心运输的0%合格运行记录.
结论:
- 在全国范围内,关键的EMS质量指标存在很大差异.
- 调查结果强调,需要制定战略来提高医院前护理质量和公平性.
- 系统性能和数据收集需要进一步关注,以解决发现的差距.
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