Emergency management and internal audit of emergency preparedness of pre-hospital emergency care

Tušer, Irena; Bekešienė, Svajonė; Navrátil, Josef

doi:10.1007/s11135-020-01039-w

Cited by 11 publications

(4 citation statements)

References 13 publications

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“… Transport 71 Tušer et. al 83 Emergency management and internal audit of emergency preparedness of pre-hospital emergency care Case Mixed CZ ● Documents, communications technology, and processes for identification in triage are not uniform across the nation. ● Healthcare providers and staff are ill-informed on resource points in life-threatening (for themselves or the patient) situations.…”

Section: Resultsmentioning

confidence: 99%

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Ventura¹,

Denton²,

David³

et al. 2022

OAEM

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This study aimed to analyze prehospital Emergency Medical Services (EMS) response to the COVID-19 pandemic in the US through a brief systematic review of available literature in context with international prehospital counterparts. An exploration of the NCBI repository was performed using a search string of relevant keywords which returned n=5128 results; articles that met the inclusion criteria (n=77) were reviewed and analyzed in accordance with PRISMA and PROSPERO recommendations. Methodical quality was assessed using critical appraisal tools, and the Egger’s test was used for risk of bias reduction upon linear regression analysis of a funnel plot. Sources of heterogeneity as defined by P < 0.10 or I^2 > 50% were interrogated. Findings were considered within ten domains: structural/systemic; clinical outcomes; clinical assessment; treatment; special populations; dispatch/activation; education; mental health; perspectives/experiences; and transport. Findings suggest, EMS clinicians have likely made significant and unmeasured contributions to care during the pandemic via nontraditional roles, ie, COVID-19 testing and vaccine deployment. EMS plays a critical role in counteracting the COVID-19 pandemic in addition to the worsening opioid epidemic, both of which disproportionately impact patients of color. As such, being uniquely influential on clinical outcomes, these providers may benefit from standardized education on care and access disparities such as racial identity. Access to distance learning continuing education opportunities may increase rates of provider recertification. Additionally, there is a high prevalence of vaccine hesitancy among surveyed nationally registered EMS providers. Continued rigorous investigation on the impact of COVID-19 on EMS systems and personnel is warranted to ensure informed preparation for future pandemic and infectious disease responses.

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Section: Resultsmentioning

confidence: 99%

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Ventura¹,

Denton²,

David³

et al. 2022

OAEM

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…On the basis of the findings, it can be argued that the current assessment tools do not fully take into account all the specifics in emergency preparedness activities in emergency pre-hospital care. And accreditation standards also do not provide a comprehensive and evaluative assessment of emergency preparedness for dealing with mass casualty incidents[10].Another increasingly discussed issue is the question of legal protection of ambulance crews in the exercise of their profession. From a legal point of view, it would be advisable to give paramedics the status of a public servant (official person) and at the same time to increase legal sanctions for aggressors whose attacks were not caused by an actual illness.…”

mentioning

confidence: 99%

Analysis of Manifestations of Aggression in the Intervention of the Emergency Medical Service

OTŘÍSAL¹,

RALBOVSKÁ²,

CMOREJ³

2022

Challenges to National Defence in Contemporary Geopolitical Situation

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The paper deals with the problems of the occurrence of aggression and aggressive behavior as a provoking cause of various injuries and the need to provide pre-hospital emergency care. Based on the analysis of professional literature, as well as on the basis of experience from practice, it can be stated that members of Emergency Rescue Service exit groups often encounter manifestations of aggression and aggressiveness when providing pre-hospital emergency care. The results of a retrospective observational study of the medical records of the Plzeň and Ústí regions in the Czech Republic are presented. We focused on the analysis and in-depth examination of the calls of ambulance groups to patients whose injuries were caused by aggression and aggressive behavior. This was in terms of the number of call-outs, the frequency of individual diagnoses, NASA score and urgency level, as well as the characteristics of the deployment of individual call-out groups, etc. Options for managing aggression and aggressive behavior are also presented, including an assessment of the potential risk of aggression and escalation. Attention is also paid to the issue of preparing the members of call groups to cope with this negative phenomenon, which has an increasing tendency in the conditions of providing pre-hospital emergency care. The paper deals with this issue comprehensively.

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“…Internal audits are now widely used in the healthcare sector to improve the quality and ensure the safety of the users during the care process. Internal audits can serve as tools for healthcare management improvement [6], governing patient safety [7], assessing emergency preparedness [8], ensuring financial transparency [9], and performance improvement [10]. However, there are variations in the outcome of audits carried out across countries and different institutions within the same countries [11, 12].…”

Section: Introductionmentioning

confidence: 99%

Factors of Effective Internal Audits for Patient Safety in Primary Health Care Centers of Taif, Saudi Arabia

Alshamrani

2023

Saudi J Health Syst Res

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Introduction: Internal audit is one of the tools to ensure safety in patient care. Literature on the internal audit effectiveness (IAE) in patient safety is scarce in Saudi Arabia. This study therefore aimed to assess the factors which influence the IAE in patient safety. Methods: A cross-sectional study was conducted among primary healthcare centers’ general directors and medical directors in Taif, Saudi Arabia. Data were collected using a validated structured questionnaire in Arabic and English. The questionnaire besides sociodemographics characteristics collected data on support of management, interdepartmental coordination, independence, objectivity, competence, and IAE. Analysis was done on SPSS version 26.0. Pearson correlation was used to see the relationship between factors and the IAE in patient safety. Results: A total of 94 participants were included in the analysis. The mean scores in each of the domains on a scale of 5 were; support of management 4.04, interdepartmental coordination 3.95, independence 4.03, objectivity 4.20, and competence 4.46, while for the IAE the mean score was 4.36. Correlation analyses found that the IAE was significantly associated with all five factors. All the factors had moderate association except for objectivity which had a weak correlation with IAE. Conclusions: Overall, there were satisfactory scores for the factors which affect IAE with room for further improvement. All the factors studied were positively associated with the IAE, indicating a need for healthcare organizations to consider these factors while planning internal audit activities. Further research on large scale is required to provide robust and generalizable results.

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Emergency management and internal audit of emergency preparedness of pre-hospital emergency care

Cited by 11 publications

References 13 publications

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Analysis of Manifestations of Aggression in the Intervention of the Emergency Medical Service

Factors of Effective Internal Audits for Patient Safety in Primary Health Care Centers of Taif, Saudi Arabia

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