冰岛医师固定翼航空医疗服务质量指标测试

Q3 Nursing

Air Medical Journal Pub Date : 2025-03-01 DOI:10.1016/j.amj.2024.12.002

María Kristbjörg Árnadóttir MD , Björn Gunnarsson MD, PhD , Helge Haugland MD, PhD

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引用次数: 0

摘要

目的固定翼空中救护车和救援直升机的医疗后送在冰岛的紧急医疗服务中发挥着重要作用。本研究的目的是利用15个响应特定质量指标（QIs）在斯堪的纳维亚半岛的EQUIPE共识组开发衡量冰岛医生配备的固定翼空中救护服务的质量。方法要求冰岛固定翼空中救护服务的医生在2023年3月1日至12月31日期间，在该服务进行的每一次由医生负责的病人运送后，在一份在线问卷中登记响应特定的QIs。结果冰岛固定翼空中救护服务在15个qi中有11个未达到EQUIPE提出的基准。此外，7个qi处于低绩效区，4个qi处于平均绩效区。结论人口密度低、运输时间长、缺乏单一的院前组织结构是冰岛由医生组成的紧急医疗服务面临的挑战。据我们所知，这是第一次从其他角度来评估服务质量，而不仅仅是时间和死亡率。因此，在我们的研究中发现了几个需要改进的地方。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Testing Quality Indicators for Physician-Staffed Fixed-Wing Air Medical Services in Iceland

Objective

Medical evacuation with fixed-wing air ambulances and rescue helicopters plays an important role in Iceland's emergency medical services. The objective of this study was to measure the quality of physician-staffed fixed-wing air ambulance services in Iceland using the 15 response-specific quality indicators (QIs) developed by the EQUIPE consensus group in Scandinavia.

Methods

Physicians working in the Icelandic fixed-wing air ambulance service were asked to register response-specific QIs in an online questionnaire after every physician-staffed patient transport undertaken by the service from March 1 to December 31, 2023.

Results

The fixed-wing air ambulance service in Iceland did not reach the benchmarks proposed by EQUIPE in 11 of 15 QIs tested. Furthermore, 7 QIs fell in the low performance zone and 4 in the average performance zone.

Conclusion

Sparse population density, long transports, and the lack of a single prehospital organizational structure are challenging for Icelandic physician-staffed emergency medical services. This is, to our knowledge, the first time that the quality of the service has been assessed from other perspectives than time and mortality alone. As a result, several areas in need of improvement have been identified in our study.

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.