NEMSMA Position Statement and White Paper: Process and Outcomes Data Sharing between EMS and Receiving Hospitals

Gunderson, Michael R.; Florin, Aaron; Price, Mark; Reed, Justin

doi:10.1080/10903127.2020.1792017

Cited by 10 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A deeper understanding of prehospital feedback is timely in light of several major health systems beginning to develop EMS guidance and policy relating to the provision of prehospital feedback. Examples from the United States are the recently published position statement by the National EMS Management Association [ 32 ] and the ‘EMS Agenda 2050’ report [ 33 ], which envisions EMS clinicians and systems receiving rapid feedback on patient outcomes to improve performance measurement, quality improvement and education.…”

Section: Introductionmentioning

confidence: 99%

The role of feedback in emergency ambulance services: a qualitative interview study

Wilson

Howell

Janes

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Several international studies suggest that the feedback that emergency ambulance service (EMS) personnel receive on the care they have delivered lacks structure, relevance, credibility and routine implementation. Feedback in this context can relate to performance or patient outcomes, can come from a variety of sources and can be sought or imposed. Evidence from health services research and implementation science, suggests that feedback can change professional behavior, improve clinical outcomes and positively influence staff mental health. The current study aimed to explore the experience of EMS professionals regarding current feedback provision and their views on how feedback impacts on patient care, patient safety and staff wellbeing. Methods This qualitative study was conducted as part of a wider study of work-related wellbeing in EMS professionals. We used purposive sampling to select 24 frontline EMS professionals from one ambulance service in the United Kingdom and conducted semi-structured interviews. The data was analyzed in iterative cycles of inductive and deductive reasoning using Abductive Thematic Network Analysis. The analysis was informed by psychological theory, as well as models from the wider feedback effectiveness and feedback-seeking behavior literature. Results Participants viewed current feedback provision as inadequate and consistently expressed a desire for increased feedback. Reported types of prehospital feedback included patient outcome feedback, patient-experience feedback, peer-to-peer feedback, performance feedback, feedforward: on-scene advice, debriefing and investigations and coroners’ reports. Participants raised concerns that inadequate feedback could negatively impact on patient safety by preventing learning from mistakes. Enhancing feedback provision was thought to improve patient care and staff wellbeing by supporting personal and professional development. Conclusions In line with previous research in this area, this study highlights EMS professionals’ strong desire for feedback. The study advances the literature by suggesting a typology of prehospital feedback and presenting a unique insight into the motives for feedback-seeking using psychological theory. A logic model for prehospital feedback interventions was developed to inform future research and development into prehospital feedback.

show abstract

Section: Introductionmentioning

confidence: 99%

The role of feedback in emergency ambulance services: a qualitative interview study

Wilson

Howell

Janes

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Different legal patient data protection frameworks, such as the General Data Protection Regulation—the principal legal framework that regulates the collection and use of personal data within the European Union—could be one of the legal obstacles to efficient hospital-directed feedback. Nevertheless, previous position statements on process and outcomes data sharing between EMS and receiving hospitals offer recommendations for how the barriers to bilateral information exchange could be resolved [ 31 ], e.g., routinely provide hospital discharge summaries of patients transported to the ED. To avoid violating regulations on patient data protection, a United States-based EMS Management Association position statement recommends a healthcare institution employ a Privacy Officer to review complicated scenarios and regulations regarding information exchange, creating regulation-compliant standard operating procedures [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, previous position statements on process and outcomes data sharing between EMS and receiving hospitals offer recommendations for how the barriers to bilateral information exchange could be resolved [ 31 ], e.g., routinely provide hospital discharge summaries of patients transported to the ED. To avoid violating regulations on patient data protection, a United States-based EMS Management Association position statement recommends a healthcare institution employ a Privacy Officer to review complicated scenarios and regulations regarding information exchange, creating regulation-compliant standard operating procedures [ 31 ]. Three specific factors must be met to share protected health information on a given patient: (1) both the hospital and the ambulance service must have a patient relationship, (2) information must be pertinent to the parties, and (3) the disclosing party must release the “minimum information necessary”.…”

Section: Discussionmentioning

confidence: 99%

Prehospital Stroke Care, Paramedic Training Needs, and Hospital-Directed Feedback in Lithuania

et al. 2022

View full text Add to dashboard Cite

Background: Emergency medical services (EMS) are the first health care contact for the majority of stroke patients. However, there is a lack of data on the current paramedics’ hospital-directed feedback and training needs across different health care settings. We aimed to evaluate paramedics’ prehospital stroke care knowledge, training needs, and current status of feedback on suspected stroke patients. Methods: We surveyed paramedics from the Vilnius region from September to November 2019 and compared the answers between the city and the district agencies. The questionnaire content included questions on paramedics’ demographic characteristics, prehospital stroke care self-assessment, knowledge on stroke mimics, stroke training needs, and the importance of hospital-directed feedback on suspected stroke patients. Results: A total number of 161 paramedics (or 49.4% of all paramedics from our stroke care network) were surveyed, with more district paramedics rating their prehospital stroke care knowledge as inadequate (44.8% (95% confidence interval (CI) 32.8–57.6) vs. 28.1% (95% CI 20.1–27.8), p = 0.028). In addition, more district paramedics indicated a need for additional stroke training (83.1% (95% CI 71.5–90.5) vs. 69.8% (60.0–78.1), p = 0.043). However, respondents reported being the most confident while dealing with stroke (71.3%, 95% CI 63.8–77.7) compared to other time-critical conditions (p < 0.001). Vertigo (60.8%, 95% CI 53.0–68.0), brain tumors (56.3%, 95% CI 48.5–63.8), and seizures (54.4%, 95% CI 46.7–62.0) were indicated as the most common stroke mimics. Only 6.2% (95% CI 3.4–11.1) of respondents received formal feedback on the outcome of suspected stroke patients brought to the emergency department. Conclusions: A high proportion of paramedics self-perceive having inadequate stroke knowledge and an urgent need for further stroke training. The EMS staff indicate receiving insufficient feedback on suspected stroke patients, even though its usefulness is perceived as paramount.

show abstract

“…In some areas of paramedic practice, this process has begun with standards for and position statements on data capture and reporting. 21 22 Related healthcare fields, however, have developed numerous database quality assessment (DQA) frameworks that provide a conceptual structure as well as a technical map to assessing the quality of databases as a whole and the suitability of particular data for any specific use. No comparable DQA frameworks have been developed to address the unique circumstances of paramedic care, and the applicability of existing ones to the paramedic practice environment remains to be determined.…”

Section: Introductionmentioning

confidence: 99%

“…The continuing growth of paramedic research will depend on measures to improve, standardise and communicate confidence in the source material. In some areas of paramedic practice, this process has begun with standards for and position statements on data capture and reporting 21 22. Related healthcare fields, however, have developed numerous database quality assessment (DQA) frameworks that provide a conceptual structure as well as a technical map to assessing the quality of databases as a whole and the suitability of particular data for any specific use.…”

Section: Introductionmentioning

confidence: 99%

Database quality assessment in research in paramedicine: a scoping review protocol

et al. 2022

View full text Add to dashboard Cite

IntroductionThe paramedic practice environment presents unique challenges to data documentation and access, as well as linkage to other parts of the healthcare system. Variable or unknown data quality can influence the validity of research in paramedicine. A number of database quality assessment (DQA) frameworks have been developed and used to evaluate data quality in other areas of healthcare. The extent these or other DQA practices have been applied to paramedic research is not known. Accordingly, this scoping review aims to describe the range, extent and nature of DQA practices within research in paramedicine.Methods and analysisThis scoping review will follow established methods for the conduct (Johanna Briggs Institute; Arksey and O’Malley) and reporting (Preferred Reporting Items in Systematic Reviews and Meta-Analyses extension for scoping reviews) of scoping reviews. In consultation with a professional librarian, a search strategy was developed representing the applicable population, concept and context. This strategy will be applied to MEDLINE (National Library of Medicine), Embase (Elsevier), Scopus (Elsevier) and CINAHL (EBSCO) to identify studies published from 2011 through 2021 that assess paramedic data quality as a stated goal. Studies will be included if they report quantitative results of DQA using data that relate primarily to the paramedic practice environment. Protocols, commentaries, case studies, interviews, simulations and experimental data-processing techniques will be excluded. No restrictions will be placed on language. Study selection will be performed by two reviewers, with a third available to resolve conflicts. Data will be extracted from included studies using a data-charting form piloted and iteratively revised based on studies known to be relevant. Results will be summarised in a chart of study characteristics, DQA-specific outcomes and key findings.Ethics and disseminationEthical approval is not required. Results will be submitted to relevant conferences and peer-reviewed journals.Trial registration10.17605/OSF.IO/Z287T.

show abstract

NEMSMA Position Statement and White Paper: Process and Outcomes Data Sharing between EMS and Receiving Hospitals

Cited by 10 publications

References 3 publications

The role of feedback in emergency ambulance services: a qualitative interview study

The role of feedback in emergency ambulance services: a qualitative interview study

Prehospital Stroke Care, Paramedic Training Needs, and Hospital-Directed Feedback in Lithuania

Database quality assessment in research in paramedicine: a scoping review protocol

Contact Info

Product

Resources

About