Medical inspection improves the quality of prehospital emergency care and outcome for cardiopulmnary arrest patients

DOI 32 References

Bibliographic Information

Other Title
  • 事後検証により病院前救護活動の質と心肺停止傷病者の転帰は改善したか

Search this article

Abstract

The Senshu Medical Control Committee has used an audit filter for medical inspections conducted since 1 April 2002. We evaluated whether prehospital emergency care and the outcome for out-of-hospital cardiac arrest (OHCA) patients improved through the use of an audit filters and education for Emergency Medical Technicians (EMT). The OHCA outcome was examined in accordance with the Utstein style. The problems identified in prehospital emergency care were “EMT did not carry equipment for prehospital emergency care” and “EMT did not perform ventilation with 100% oxygen”. These problems gradually improved after the medical inspection, resulting in a quality improvement feedback loop and education for EMTs. A total of 1,159 patients experienced OHCA, between 1 April 2000 and 31 March 2004. We divided these patients into two groups: (1) Those that were not subject to inspection from 1 April 2000 to 31 March 2002 and (2) Those that were subject to inspection from 1 April 2002 to 1 March 2004. In cases in which no inspection was conducted out of 510 patients with OHCA, 84 were returned to spontaneous circulation (ROSC), and 22 (9.1%) were alive at 1 month. In cases in which inspection was conducted out of 649 patients with OHCA, 93 were ROSC, and 27 (10.6%) were alive at 1 month. To outcomes for EMT-witnessed OHCA in which inspection was performed was better than for the period when no inspection was conducted. Improvement in EMT-witnessed OHCA outcome was due to the use of an audit filter during medical inspection, a quality improvement feedback loop and education for EMTs using a comprehensive instruction for the automated external defibrillator. In conclusion, a quality of prehospital emergency care and outcome of OHCA may improve through the use of an audit filter and EMT education.

Journal

References(32)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top