Feasibility of quality indicators on prehospital advanced airway management in a physician-staffed emergency medical service: survey-based assessment of the provider point of view

被引：0

作者：

Kottmann, Alexandre ^{[1
,2
,3
,4
,5
,6
]}

Pasquier, Mathieu ^{[1
,3
]}

Carron, Pierre-Nicolas ^{[1
,3
]}

Maudet, Ludovic ^{[1
,7
]}

Rouve, Jean-Daniel ^{[7
]}

Suppan, L. ^{[8
]}

Caillet-Bois, David ^{[1
]}

Riva, Thomas ^{[4
,9
]}

Albrecht, Roland ^{[2
,9
]}

Krueger, Andreas ^{[5
,10
,11
]}

Sollid, Stephen Johan Mikal ^{[5
,6
]}

机构：

[1] Lausanne Univ Hosp, Dept Interdisciplinary Ctr, Emergency Dept, Lausanne, Vaud, Switzerland

[2] REGA, Med, Zurich, Switzerland

[3] Univ Lausanne, Fac Biol & Med, Lausanne, Switzerland

[4] Univ Hosp Bern, Inselspital, Dept Anaesthesiol & Pain Med, Bern, Switzerland

[5] Norwegian Air Ambulance Fdn, Dept Res & Dev, Drobak, Norway

[6] Univ Stavanger, Fac Hlth Sci, Stavanger, Norway

[7] Lausanne Univ Hosp, Dept Interdisciplinary Ctr, Anaesthesiol, Lausanne, Switzerland

[8] Geneva Univ Hosp, Dept Anaesthesiol Clin Pharmacol Intens Care & Em, Div Emergency Med, Geneva, Switzerland

[9] Univ Bern, Fac Med, Bern, Switzerland

[10] St Olavs Univ Hosp, Dept Emergency Med & Prehosp Serv, Trondheim, Norway

[11] Norwegian Univ Sci & Technol, Inst Circulat & Med Imaging, Trondheim, Norway

来源：

BMJ OPEN | 2024年 / 14卷 / 03期

关键词：

Quality in health care; ACCIDENT & EMERGENCY MEDICINE; Adult intensive & critical care; CARE; INTUBATION;

D O I：

10.1136/bmjopen-2023-081951

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective We aimed to determine the feasibility of quality indicators (QIs) for prehospital advanced airway management (PAAM) from a provider point of view. Design The study is a survey based feasibility assessment following field testing of QIs for PAAM. Setting The study was performed in two physician staffed emergency medical services in Switzerland. Participants 42 of the 44 emergency physicians who completed at least one case report form (CRF) dedicated to the collection of the QIs on PAAM between 1 January 2019 and 31 December 2021 participated in the study. Intervention The data required to calculate the 17 QIs was systematically collected through a dedicated electronic CRF. Primary and secondary outcome measures Primary outcomes were provider-related feasibility criteria: relevance and acceptance of the QIs, as well as reliability of the data collection. Secondary outcomes were effort to collect specific data and to complete the CRF. Results Over the study period, 470 CRFs were completed, with a median of 11 per physician (IQR 4-17; range 1-48). The median time to complete the CRF was 7 min (IQR 3-16) and was considered reasonable by 95% of the physicians. Overall, 75% of the physicians assessed the set of QIs to be relevant, and 74% accepted that the set of QIs assessed the quality of PAAM. The reliability of data collection was rated as good or excellent for each of the 17 QIs, with the lowest rated for the following 3 QIs: duration of preoxygenation, duration of laryngoscopy and occurrence of desaturation during laryngoscopy. Conclusions Collection of QIs on PAAM appears feasible. Electronic medical records and technological solutions facilitating automatic collection of vital parameters and timing during the procedure could improve the reliability of data collection for some QIs. Studies in other services are needed to determine the external validity of our results.

引用

页数：8

共 29 条

[11] Testing quality indicators and proposing benchmarks for physician-staffed emergency medical services: a prospective Nordic multicentre study [J].