Evidence map›Paper›PMID 28202076›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2017

Developing quality indicators for physician-staffed emergency medical services: a consensus process.

Helge Haugland, Marius Rehn, Pål Klepstad, Andreas Krüger, EQUIPE-collaboration group

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Data variables reported during neonatal transport: a systematic literature review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Pooled it
  2. Pooled it
  3. 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 · 2019
    Pooled it
  4. Observational
  5. Article
  6. Post-mission debriefs in helicopter emergency medicine services- introducing "The compassionate debrief".Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Review
  13. Article
  14. The development of emergency medical services benefit score: a European Delphi study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Article
  15. Article
  16. Article
  17. Analgesia in adult trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Observational
  18. Article
  19. Mortality and quality of care in Nordic physician-staffed emergency medical services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020
    Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Helge HauglandDepartment of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway. helge.haugland@norskluftambulanse.no.ORCID http://orcid.org/0000-0002-5869-6675
Marius RehnDepartment of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway.
Pål KlepstadDepartment of Circulation and Medical Imaging, Medical Faculty, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Andreas KrügerDepartment of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway.
EQUIPE-collaboration group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing interest for quality measurement in health care services; pre-hospital emergency medical services (EMS) included. However, attempts of measuring the quality of physician-staffed EMS (P-EMS) are scarce. The aim of this study was to develop a set of quality indicators for international P-EMS to allow quality improvement initiatives.

methodsA four-step modified nominal group technique process (expert panel method) was used.

resultsThe expert panel reached consensus on 26 quality indicators for P-EMS. Fifteen quality indicators measure quality of P-EMS responses (response-specific quality indicators), whereas eleven quality indicators measure quality of P-EMS system structures (system-specific quality indicators). DISCUSSION: When measuring quality, the six quality dimensions defined by The Institute of Medicine should be appraised. We argue that this multidimensional approach to quality measurement seems particularly reasonable for services with a highly heterogenic patient population and complex operational contexts, like P-EMS. The quality indicators in this study were developed to represent a broad and comprehensive approach to quality measurement of P-EMS.

conclusionsThe expert panel successfully developed a set of quality indicators for international P-EMS. The quality indicators should be prospectively tested for feasibility, validity and reliability in clinical datasets. The quality indicators should then allow for adjusted quality measurement across different P-EMS systems.

Indexed as

ConsensusPersonnel Staffing and SchedulingPhysiciansQuality Indicators, Health CareDelphi TechniqueEmergency Medical ServicesQuality ImprovementModified nominal group techniquePhysician-staffed emergency medical servicesQuality indicators

Identifiers

PMID28202076
PMCPMC5311851

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.