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dc.contributor.authorHaugland, Helge Nystad
dc.contributor.authorUleberg, Oddvar
dc.contributor.authorKlepstad, Pål
dc.contributor.authorKrüger, Andreas
dc.contributor.authorRehn, Marius
dc.identifier.citationInternational Journal for Quality in Health Care. 2018, 31 (1), 2-10.en_US
dc.description.abstractPurpose Quality measurement of physician-staffed emergency medical services (P-EMS) is necessary to improve service quality. Knowledge and consensus on this topic are scarce, making quality measurement of P-EMS a high-priority research area. The aim of this review was to identify, describe and evaluate studies of quality measurement in P-EMS. Data sources The databases of MEDLINE and Embase were searched initially, followed by a search for included article citations in Scopus. Study selection The study eligibility criteria were: (1) articles describing the use of one quality indicator (QI) or more in P-EMS, (2) original manuscripts, (3) articles published from 1 January 1968 until 5 October 2016. The literature search identified 4699 records. 4543 were excluded after reviewing title and abstract. An additional 129 were excluded based on a full-text review. The remaining 27 papers were included in the analysis. Methodological quality was assessed using an adapted critical appraisal tool. Data extraction The description of used QIs and methods of quality measurement was extracted. Variables describing the involved P-EMSs were extracted as well. Results of data synthesis In the included papers, a common understanding of which QIs to use in P-EMS did not exist. Fifteen papers used only a single QI. The most widely used QIs were ‘Adherence to medical protocols’, ‘Provision of advanced interventions’, ‘Response time’ and ‘Adverse events’. Conclusion The review demonstrated a lack of shared understanding of which QIs to use in P-EMS. Moreover, papers using only one QI dominated the literature, thus increasing the risk of a narrow perspective in quality measurement. Future quality measurement in P-EMS should rely on a set of consensus-based QIs, ensuring a comprehensive approach to quality measurement.en_US
dc.publisherOxford University Press (OUP)en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleQuality measurement in physician-staffed emergency medical services: a systematic literature reviewen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.source.journalInternational Journal for Quality in Health Careen_US
dc.description.localcode© 2020 Author(s) et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See

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Navngivelse 4.0 Internasjonal
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