ReviewDeutsches Arzteblatt international2010
The quality of emergency medical care in baden-württemberg (Germany): four years in focus.
Review in Deutsches Arzteblatt international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Quality measurement in physician-staffed emergency medical services: a systematic literature review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2019Pooled it
- Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.Journal of clinical hypertension (Greenwich, Conn.) · 2017Trial
- Evaluating the Impact of a Risk Assessment System With Tailored Interventions in Germany: Protocol for a Prospective Study With Matched Controls.JMIR research protocols · 2020Article
- [Tele-emergency physician : New care concept in emergency medicine].Der Unfallchirurg · 2019Review
- Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Observational
- Cardiopulmonary resuscitation: when guidelines provide no answers.Der Anaesthesist · 2019Article
- The Effect of Ambulance Response Time on Survival Following Out-of-Hospital Cardiac Arrest.Deutsches Arzteblatt international · 2018Article
- The probability of having advanced medical interventions is associated with age in out-of-hospital life-threatening situations.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
- [Potential and effectiveness of a telemedical rescue assistance system. Prospective observational study on implementation in emergency medicine].Der Anaesthesist · 2015Observational
- Trends of pre-hospital emergency medical services activity over 10 years: a population-based registry analysis.BMC health services research · 2014Article
- [Improvement of emergency physician education through simulator training. Consideration on the basis of the model project "NASimSaar25"].Der Anaesthesist · 2014Article
- [Cardiac arrest in spectators in German football stadiums. Precautionary measures, frequency and short-term outcome].Der Anaesthesist · 2014Article
- [Mechanical resuscitation assist devices].Der Anaesthesist · 2014Review
- Delta-MEES is not very practical.Deutsches Arzteblatt international · 2011Article
- Far from reality.Deutsches Arzteblatt international · 2011Article
- Analyses are indispensable.Deutsches Arzteblatt international · 2011Article
- The impact of response time reliability on CPR incidence and resuscitation success: a benchmark study from the German Resuscitation Registry.Critical care (London, England) · 2011Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2004, the German federal state of Baden-Württemberg implemented a quality management system for pre-hospital emergency care. Since then, there has been a semi-annual assessment of the frequency of different types of emergency medical interventions and the quality of care.
methodsThe frequencies of different types of intervention were determined and reported both in absolute numbers and as incidence figures, i.e., interventions per 1000 inhabitants per year. The quality of care was rated with the Mainz Emergency Evaluation Score (MEES), and analyses of resuscitation outcomes and guideline implementation were performed.
resultsFrom 2004 to 2008, there were a total of 524,833 pre-hospital emergency medical interventions in Baden-Württemberg. The annual incidence of emergency interventions rose by 22% over this period (from 16.2 to 19.9 interventions per 1000 inhabitants per year), and the percentage of patients who were severely ill or severely injured rose as well, from 47.3% to 51.1%. The percentage of patients over age 75 rose from 29.1% to 31.3%. 11,858 patients with myocardial infarction (MI) were treated in 2008; the incidence of treatment for MI rose by 60% from 2004 to 2008, from 0.907 to 1.448 interventions per 1000 inhabitants per year. A major improvement in the diagnostic evaluation of MI came about through the purchase of more 12-channel ECG machines. In 2008, the emergency medical teams succeeded in improving the patient's condition in 69.07% of all cases (77.9% for MI, 63.2% for stroke, 74.4% for multiple trauma). 21 patients per 100,000 inhabitants per year arrived in the hospital alive after out-of-hospital cardiac arrest and pre-hospital resuscitation.
conclusionsEven in the face of increasing utilization, the quality of emergency medical care in Baden-Württemberg has remained high. Since a quality management system was introduced in 2004, the physicians in charge of emergency medical teams have had access to the data that they need in order to evaluate and further develop the services that they provide.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.