Quality Indicators for Avalanche Victim Management and Rescue.

avalanche consensus process emergency medical services emergency medicine quality improvement quality indicator rescue resuscitation

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
11 09 2021
Historique:
received: 21 07 2021
revised: 05 09 2021
accepted: 07 09 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 3 11 2021
Statut: epublish

Résumé

Decisions in the management and rescue of avalanche victims are complex and must be made in difficult, sometimes dangerous, environments. Our goal was to identify indicators for quality measurement in the management and rescue of avalanche victims. The International Commission for Mountain Emergency Medicine (ICAR MedCom) convened a group of internal and external experts. We used brainstorming and a five-round modified nominal group technique to identify the most relevant quality indicators (QIs) according to the National Quality Forum Measure Evaluation Criteria. Using a consensus process, we identified a set of 23 QIs to measure the quality of the management and rescue of avalanche victims. These QIs may be a valuable tool for continuous quality improvement. They allow objective feedback to rescuers regarding clinical performance and identify areas that should be the foci of further quality improvement efforts in avalanche rescue.

Identifiants

pubmed: 34574495
pii: ijerph18189570
doi: 10.3390/ijerph18189570
pmc: PMC8464975
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Alexandre Kottmann (A)

Rega-Swiss Air Ambulance, Zürich Airport, 8058 Zürich, Switzerland.
Emergency Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.
International Commission for Mountain Emergency Medicine (ICAR MedCom), 8058 Zürich, Switzerland.

Mathieu Pasquier (M)

Emergency Department, Lausanne University Hospital, 1011 Lausanne, Switzerland.
International Commission for Mountain Emergency Medicine (ICAR MedCom), 8058 Zürich, Switzerland.

Giacomo Strapazzon (G)

International Commission for Mountain Emergency Medicine (ICAR MedCom), 8058 Zürich, Switzerland.
Institute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.
CNSAS-Corpo Nazionale Soccorso Alpino e Speleologico, National Medical School, 20124 Milano, Italy.

Ken Zafren (K)

International Commission for Mountain Emergency Medicine (ICAR MedCom), 8058 Zürich, Switzerland.
Alaska Native Medical Center, Department of Emergency Medicine, 4300 Diplomacy Drive, Anchorage, AK 99508, USA.
Stanford University Medical Center, Department of Emergency Medicine, 900 Welch Road, Palo Alto, CA 94304, USA.

John Ellerton (J)

International Commission for Mountain Emergency Medicine (ICAR MedCom), 8058 Zürich, Switzerland.

Peter Paal (P)

International Commission for Mountain Emergency Medicine (ICAR MedCom), 8058 Zürich, Switzerland.
Department of Anaesthesiology and Intensive Care Medicine, St. John of God Hospital, Paracelsus Medical University, Kajetanerplatz 1, 5020 Salzburg, Austria.

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Classifications MeSH