Evidence map›Paper›PMID 28841252›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2018

Prioritizing novel and existing ambulance performance measures through expert and lay consensus: A three-stage multimethod consensus study.

Joanne E Coster, Andy D Irving, Janette K Turner, Viet-Hai Phung, Aloysius N Siriwardena

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
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

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Prioritizing novel and existing ambulance performance measures through expert and lay consensus: A three-stage multimethod consensus study.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  8. A coproduced patient and public event: An approach to developing and prioritizing ambulance performance measures.Health expectations : an international journal of public participation in health care and health policy · 2018
    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 at 2 institutions in 1 country.

Joanne E CosterUniversity of Sheffield, Sheffield, UK.ORCID 0000-0002-0599-4222
Andy D IrvingUniversity of Sheffield, Sheffield, UK.ORCID 0000-0002-1175-716X
Janette K TurnerUniversity of Sheffield, Sheffield, UK.
Viet-Hai PhungCommunity and Health Research Unit, University Lincoln, Lincoln, UK.
Aloysius N SiriwardenaCommunity and Health Research Unit, University Lincoln, Lincoln, UK.ORCID 0000-0003-2484-8201
University of Sheffield · GBUniversity of Lincoln · GB

Funding

Department of Health RP-PG-0609-10195
6 · The paper itself

Abstract

backgroundCurrent ambulance quality and performance measures, such as response times, do not reflect the wider scope of care that services now provide. Using a three-stage consensus process, we aimed to identify new ways of measuring ambulance service quality and performance that represent service provider and public perspectives.

designA multistakeholder consensus event, modified Delphi study, and patient and public consensus workshop. SETTING AND

participantsRepresentatives from ambulance services, patient and public involvement (PPI) groups, emergency care clinical academics, commissioners and policymakers.

resultsNine measures/principles were highly prioritized by >75% of consensus event participants, including measures relating to pain, patient experience, accuracy of dispatch decisions and patient safety. Twenty experts participated in two Delphi rounds to further refine and prioritize measures; 20 measures in three domains scored ≥8/9, indicating good consensus, including proportion of calls correctly prioritized, time to definitive care and measures related to pain. Eighteen patient/public representatives attended a consensus workshop, and six measures were identified as important. These include time to definitive care, response time, reduction in pain scores, calls correctly prioritized to appropriate levels of response and survival to hospital discharge for treatable emergency conditions.

conclusionsUsing consensus methods, we identified a shortlist of ambulance outcome and performance measures that are important to ambulance clinicians and service providers, service users, commissioners, and clinical academics, reflecting current pre-hospital ambulance care and services. The measures can potentially be used to assess pre-hospital quality or performance over time, with most calculated using routinely available data.

Indexed as

AmbulancesCommunity ParticipationHealth PrioritiesOutcome Assessment, Health CareDelphi TechniqueEmergency Medical ServicesHumansSurveys and Questionnairesambulanceconsensus methodsdelphioutcome measurementpatient and public involvementquality and performance

Identifiers

PMID28841252
PMCPMC5750751
OpenAlexW2742270957

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.