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A consensus-based template for documenting and reporting in physician-staffed pre-hospital services

Krüger, Andreas J.; Lockey, David; Kurola, Juoni; Di Bartolomeo, Stefano; Castrén, Maaret; Mikkelsen, Søren; Lossius, Hans Morten
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/2353182
Date
2011
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  • Institutt for sirkulasjon og bildediagnostikk [1051]
  • Publikasjoner fra CRIStin - NTNU [21058]
Original version
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2011, 19:14   10.1186/1757-7241-19-71
Abstract
Background: Physician-staffed pre-hospital units are employed in many Western emergency medical services (EMS)

systems. Although these services usually integrate well within their EMS, little is known about the quality of care

delivered, the precision of dispatch, and whether the services deliver a higher quality of care to pre-hospital

patients. There is no common data set collected to document the activity of physician pre-hospital activity which

makes shared research efforts difficult. The aim of this study was to develop a core data set for routine

documentation and reporting in physician-staffed pre-hospital services in Europe.

Methods: Using predefined criteria, we recruited sixteen European experts in the field of pre-hospital care. These

experts were guided through a four-step modified nominal group technique. The process was carried out using

both e-mail-based communication and a plenary meeting in Stavanger, Norway.

Results: The core data set was divided into 5 sections: “fixed system variables”, “event operational descriptors”, “

patient descriptors”, “process mapping”, and “outcome measures and quality indicators”. After the initial round, a

total of 361 variables were proposed by the experts. Subsequent rounds reduced the number of core variables to

45. These constituted the final core data set. Emphasis was placed on the standardisation of reporting time

variables, chief complaints and diagnostic and therapeutic procedures.

Conclusions: Using a modified nominal group technique, we have established a core data set for documenting

and reporting in physician-staffed pre-hospital services. We believe that this template could facilitate future

studies within the field and facilitate standardised reporting and future shared research efforts in advanced prehospital

care.
Publisher
BioMed Central
Journal
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

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