What are the highest priorities for research in emergency prehospital care?

Snooks, Helen; Evans, Angela; Wells, Bridget; Peconi, Julie; Thomas, Marie; Woollard, Malcolm; Guly, H R; Jenkinson, Emma; Turner, Janette; Hartley-Sharpe, C

doi:10.1136/emj.2008.065862

Cited by 63 publications

(63 citation statements)

References 3 publications

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“…The increasing importance given by the UK government to bringing cultural change to the NHS shows the relevance of this article in highlighting some of the issues concerning culture in the ambulance service (Snooks et al, 2009). The concept of culture needs to be taken more seriously in public service organizations than it has in the past.…”

Section: Discussionmentioning

confidence: 97%

Different cultures of management and their relationships with organizational performance: evidence from the UK ambulance service

Wankhade¹

2012

Public Money & Management

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This article explores the relationship between organizational subcultures and organizational performance in an ambulance service. Three distinct occupational ‘tribes’ , or subcultures, are identified. There is no ‘single’ ambulance culture and no consensus view on good performance, for example according to a paramedic: ‘if you get to a patient in 8 minutes and they die, you succeed; but if you get there in 9 minutes and the patient survives, you fail’. Ambulance services could be more effective if these subcultures were recognized and steps taken to create mutual understanding. The lessons in this article have relevance to emergency response services in the UK and overseas

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Section: Discussionmentioning

confidence: 97%

Different cultures of management and their relationships with organizational performance: evidence from the UK ambulance service

Wankhade¹

2012

Public Money & Management

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“…The performance indicator generated by the ambulance service is expressed as a percentage of how many calls meet this response time. However, it has been suggested that approximately 10% of emergency calls have been estimated to be truly life-threatening and previous studies have indicated that with the exception of a small number of patients, response time does not affect patient outcome for the majority of ambulance service users 8 18 19. It would therefore seem illogical that EMS would employ response time metrics as the focus of measuring EMS system performance, particularly given the increasing number of diagnostic and therapeutic interventions performed by modern prehospital emergency care practitioners.…”

Section: Discussionmentioning

confidence: 99%

Development of key performance indicators for prehospital emergency care

et al. 2016

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Improving the quality of prehospital care requires the development and implementation of performance measurement using scientifically valid and reliable KPIs. Employing a Delphi panel of key multidisciplinary Emergency Medical Service stakeholders, it was feasible to develop a suite of 101 KPIs for performance monitoring of prehospital emergency care in Ireland. This suite of KPIs may contribute to a framework for achieving safer, better care in the prehospital environment.

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“…The need to substantiate clinical care by evidence and to use clinically relevant performance measures was echoed by studies from Europe and the USA, including both adult and child populations. [7][8][9] There have been substantial international debates regarding the scope of prehospital care, and it is clear that the issue has not been resolved. The SA emergency medical services system has adopted the Anglo-American system, which minimises on-scene time (as opposed to the FrancoGerman model, which includes prehospital physicians with an extensive scope of practice and very advanced technology).…”

Section: Prehospital Emergency Carementioning

confidence: 99%

Emergency care research priorities in South Africap

2015

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Background. Emergency care research is rarely undertaken in low-and middle-income countries. A manageable 'road map' for research in South African (SA) emergency care is needed to address research gaps. Objective. To identify, collate and prioritise research topics from identified knowledge gaps in emergency care in SA. Methods. Seventy-six individuals were invited to participate in a modified Delphi study. Participants were requested to suggest important research topics before rating them. Consensus was achieved when >75% of participants strongly agreed or disagreed. Participants then ranked the agreed statements before selecting the most appropriate methodology relating to study design, funding and collaboration. Results. Three hundred and fifty topics were suggested by 31 participants. Topics were collated into 123 statements before participants rated them. Consensus was achieved for 39 statements. The highest-ranked priority in the prehospital group was to determine which prehospital interventions improve outcomes in critically ill patients. The competence of emergency care providers in performing common lifesaving skills was deemed the most important in clinical emergency care. Implementing and reviewing quality improvement systems scored the highest under general systems and safety management. Only 22 statements achieved consensus regarding study design. The National Department of Health was the preferred funding source, while private organisations and emergency care societies were identified as possible collaborative partners. Conclusion. This study provides expert consensus on priority research areas in emergency care in SA as a guide for emergency care providers to ensure evidence-based care that is relevant to the SA population.

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What are the highest priorities for research in emergency prehospital care?

Cited by 63 publications

References 3 publications

Different cultures of management and their relationships with organizational performance: evidence from the UK ambulance service

Different cultures of management and their relationships with organizational performance: evidence from the UK ambulance service

Development of key performance indicators for prehospital emergency care

Emergency care research priorities in South Africap

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