Evidence map›Paper›PMID 40457469›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025

Same standards - different outcomes? Why clinical governance is essential to safe and consistent high-quality patient care : A call for a european governance alliance in HEMS.

Johannes Strobel, Leif Rognås, Evi Steen, Dinis Reis Miranda, Jens Schwietring, Florian Reifferscheid, Simone Böbel, Marius Rehn

Abstract readEditorial
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Observational
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

8 authors.

Johannes StrobelPrehospital Emergency Medicine Board, German Society for Interdisciplinary Emergency and Acute Care Medicine (DGINA), Berlin, Germany. johannes.strobel@maastrichtuniversity.nl.
Leif RognåsDanish Air Ambulance, Aarhus, Denmark.
Evi SteenInstituut voor Medische Dringende Hulpverlening, Brugge, Belgium.
Dinis Reis MirandaTraumacenter & Department of Intensive Care, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jens SchwietringGerman Helicopter Emergency Medical Services (ADAC Luftrettung gGmbH), Munich, Germany.
Florian ReifferscheidGerman Air Rescue (DRF Stiftung Luftrettung gAG), Filderstadt, Germany.
Simone BöbelHealth, Ethics and Society Department, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Marius RehnAir Ambulance Department, Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Europe is facing major challenges in security, health, and climate, which place increasing demands on emergency medical systems. While European cooperation is advancing in sectors like defence and energy, emergency medicine remains largely nationally or regionally structured. Despite significant differences in funding, staffing and mission profiles, HEMS systems across Europe share many similarities, especially regarding patient population and professional standards. The newly founded European Governance Alliance in HEMS aims to use these commonalities to foster cross-border learning and collaboration, based on the principles of Clinical Governance. Through regular international "Debrief & Discussion" (D&D) meetings and peer learning visits, the Alliance promotes a culture of open reflection, shared learning, and continuous improvement. The long-term goal is to define and implement common governance standards and establish sustainable structures for peer-based quality development. This initiative offers a first concrete step towards structured, international cooperation in European air rescue- with the aim of improving systems, not individuals.

Indexed as

Clinical GovernanceEmergency Medical ServicesPatient SafetyQuality of Health CareEuropeHumans

Identifiers

PMID40457469
PMCPMC12128384

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.