ArticleBMC emergency medicine2019
The reliability and accuracy of operational system data in a nationwide helicopter emergency medical services mission database.
Article in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Prehospital Normoventilation in Critically Ill Anaesthetised Patients Cannot Be Reliably Monitored by Capnography-A Retrospective Observational Study.Acta anaesthesiologica Scandinavica · 2026Observational
- Association of Cerebral Oxygenation During Prehospital Anaesthesia and Functional Outcome: A Prospective, Observational Multi-Centre Cohort Study of 1014 Patients.Acta anaesthesiologica Scandinavica · 2026Observational
- Development and internal validation of an algorithm for estimating mortality in patients encountered by physician-staffed helicopter emergency medical services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- Association among blood pressure, end-tidal carbon dioxide, peripheral oxygen saturation and mortality in prehospital post-resuscitation care.Resuscitation plus · 2024Article
- A 12-month retrospective descriptive analysis of a single helicopter emergency medical service operator in four South African provinces.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Multifaceted implementation and sustainability of a protocol for prehospital anaesthesia: a retrospective analysis of 2115 patients from helicopter emergency medical services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Variables required for the audit of quality completion of patient report forms by EMS-A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Intubation first-pass success in a high performing pre-hospital critical care system is not associated with 30-day mortality: a registry study of 4496 intubation attempts.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Predictive value of shock index variants on 30-day mortality of trauma patients in helicopter emergency medical services: a nationwide observational retrospective multicenter study.Scientific reports · 2022Observational
- Standardised data collection in prehospital critical care: a comparison of medical problem categories and discharge diagnoses.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Article
- The first seven years of nationally organized helicopter emergency medical services in Finland - the data from quality registry.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Reliability of prehospital patient classification in helicopter emergency medical service missions.BMC emergency medicine · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this study was to evaluate the reliability and accuracy of documentation in FinnHEMS database, which is a nationwide helicopter emergency service (HEMS) clinical quality registry.
methodsThis is a nationwide study based on written fictional clinical scenarios. Study subjects were HEMS physicians and paramedics, who filled in the clinical quality registry based on the clinical scenarios. The inter-rater -reliability of the collected data was analyzed with percent agreement and free-marginal multi-rater kappa.
resultsDispatch coding had a percent agreement of 91% and free-marginal multi-rater kappa value of 0.83. Coding for transportation or mission cancellation resulted in an agreement of 84% and free-marginal kappa value of 0.68. An agreement of 82% and a kappa value of 0.73 for dispatcher coding was found. Mission end, arrival at hospital and HEMS unit dispatch -times had agreements from 80 to 85% and kappa values from 0.61 to 0.73. The emergency call to dispatch centre time had an agreement of 71% and kappa value of 0.56. The documentation of pain had an agreement of 73% on both the first and second measurements. All other vital parameters had less than 70% agreement and 0.40 kappa value in the first measurement. The documentation of secondary vital parameter measurements resulted in agreements from 72 to 91% and kappa values from 0.43 to 0.64.
conclusionData from HEMS operations can be gathered reliably in a national clinical quality registry. This study revealed some inaccuracies in data registration and data quality, which are important to detect to improve the overall reliability and validity of the HEMS clinical quality register.
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