Quality measurement in physician-staffed emergency medical services: a systematic literature review

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Helge HauglandMarius Rehn

Abstract

Quality measurement of physician-staffed emergency medical services (P-EMS) is necessary to improve service quality. Knowledge and consensus on this topic are scarce, making quality measurement of P-EMS a high-priority research area. The aim of this review was to identify, describe and evaluate studies of quality measurement in P-EMS. The databases of MEDLINE and Embase were searched initially, followed by a search for included article citations in Scopus. The study eligibility criteria were: (1) articles describing the use of one quality indicator (QI) or more in P-EMS, (2) original manuscripts, (3) articles published from 1 January 1968 until 5 October 2016. The literature search identified 4699 records. 4543 were excluded after reviewing title and abstract. An additional 129 were excluded based on a full-text review. The remaining 27 papers were included in the analysis. Methodological quality was assessed using an adapted critical appraisal tool. The description of used QIs and methods of quality measurement was extracted. Variables describing the involved P-EMSs were extracted as well. In the included papers, a common understanding of which QIs to use in P-EMS did not exist. Fifteen papers used only a single QI. The most w...Continue Reading

References

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Jun 3, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marius Rehn, Andreas J Krüger

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Citations

May 16, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ezequiel Garcia-Elorrio
Jul 3, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jukka PappinenPäivi Laukkanen-Nevala

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