Response time as a sole performance indicator in EMS: Pitfalls and solutions.

作者: Al-Shaqsi , A.P Robin Gauld , Dr David McBride

DOI: 10.2147/OAEM.S8510

关键词:

摘要: Response time (RT) has been liberally used as a process indicator to assess emergency medical services (EMS) performance around the world. It is objective, quantifiable, and easily understood by public policymakers alike. However, its correlation better patient outcome yet be established. The evidence supporting value of using RT mostly lacking little existing conflicting. There concern that notion dominating professional culture ambulance providers. Quality care becoming secondary target RT. Solutions shorten have prohibitive costs risk safety patients, attending crew public. consider main standard for EMS in order meet expectation accountability openness.

参考文章(28)
Vivienne Tippett,, Michele Clark, Shelley Woods, Gerry FitzGerald, Towards a national research agenda for the ambulance and pre-hospital sector in Australia Australasian Journal of Paramedicine. ,vol. 1, pp. 1- 8 ,(2014) , 10.33151/AJP.1.1.73
J. Brent Myers, Corey M. Slovis, Marc Eckstein, Jeffrey M. Goodloe, S. Marshal Isaacs, James R. Loflin, C. Crawford Mechem, Neal J. Richmond, Paul E. Pepe, Evidence-based performance measures for emergency medical services systems: a model for expanded EMS benchmarking. Prehospital Emergency Care. ,vol. 12, pp. 141- 151 ,(2008) , 10.1080/10903120801903793
Graham Nichol, Ian G Stiell, Andreas Laupacis, Ba' Pham, Valerie J De Maio, George A Wells, A cumulative meta-analysis of the effectiveness of defibrillator-capable emergency medical services for victims of out-of-hospital cardiac arrest Annals of Emergency Medicine. ,vol. 34, pp. 517- 525 ,(1999) , 10.1016/S0196-0644(99)80054-7
Steven J. Weiss, Randall Ellis, Amy A. Ernst, Richard F. Land, Austin Garza, A comparison of rural and urban ambulance crashes American Journal of Emergency Medicine. ,vol. 19, pp. 52- 56 ,(2001) , 10.1053/AJEM.2001.20001
M. S. Eisenberg, Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning JAMA: The Journal of the American Medical Association. ,vol. 241, pp. 1905- 1907 ,(1979) , 10.1001/JAMA.241.18.1905
Mickey S Eisenberg, Bruce T Horwood, Richard O Cummins, Robin Reynolds-Haertle, Thomas R Hearne, Cardiac arrest and resuscitation: A tale of 29 cities Annals of Emergency Medicine. ,vol. 19, pp. 179- 186 ,(1990) , 10.1016/S0196-0644(05)81805-0
Martin Stotz, Roland Albrecht, Gallus Zwicker, Juergen Drewe, Wolfgang Ummenhofer, EMS defibrillation-first policy may not improve outcome in out-of-hospital cardiac arrest Resuscitation. ,vol. 58, pp. 277- 282 ,(2003) , 10.1016/S0300-9572(03)00271-5
A. Mullie, R. Van Hoeyweghen, A. Quets, Influence of time intervals on outcome of CPR Resuscitation. ,vol. 17, pp. S23- S33 ,(1989) , 10.1016/0300-9572(89)90088-9
Dennis S. O'Leary, Quality Assessment Moving From Theory to Practice JAMA: The Journal of the American Medical Association. ,vol. 260, pp. 1760- 1760 ,(1988) , 10.1001/JAMA.1988.03410120106037
Brendan G. Carr, Joel M. Caplan, John P. Pryor, Charles C. Branas, A meta-analysis of prehospital care times for trauma. Prehospital Emergency Care. ,vol. 10, pp. 198- 206 ,(2006) , 10.1080/10903120500541324