98%
921
2 minutes
20
: One of the tasks of a level I trauma center is quality improvement of level II and level III regional hospitals and emergency medical services by means of continuous education and learning processes. One of the tools for this, which provides constant monitoring of the quality of treatment, is feedback. The purpose of the study was to evaluate the effect of feedback on the quality of trauma care. : Retrospective cohort study comprising two periods of time, 2012-2013 and 2017-2018. The study group included physicians and pre-hospital staff who treated patients prior to referral to the level I center. Upon arrival when the trauma teams identified issues requiring improvement, they were asked to fill in feedback forms. Data on patients treated in the trauma shock room for whom feedback forms were filled out were also extracted. : A total of 662 feedback forms were completed, showing a significant improvement ( ˂ 0.0001). The majority of the medical personnel who received the most negative feedback were the pre-hospital staff. A significant increase was revealed in the number of feedbacks with reference to mismanagement of backboard spinal fixation, of the pre-hospital staff, in 2012-2013 compared to 2017-2018 ( < 0.001). Improvement in reducing the time of treatment in the field was also revealed, from 15.2 ± 8.3 min in 2012-2013 to 13.4 ± 7.9 min in 2017-2018. : The findings show that feedback improves the treatment of injured patients. Furthermore, constantly monitoring the quality of treatment provided by the trauma team is vital for improvement.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835460 | PMC |
http://dx.doi.org/10.3390/ijerph19031866 | DOI Listing |
Int Emerg Nurs
September 2025
Düzce University, Vocational School of Health Services, Konuralp Campus, 81620 Düzce, Turkey.
Introduction: Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them.
Objective: Our study aimed to evaluate the effectiveness of the Situation-Background-Assessment-Recommendation (SBAR) method in emergency settings using simulation-based education for nursing and paramedic students.
BMC Health Serv Res
August 2025
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Background: Presenteeism is when individuals despite experiencing illness or discomfort that necessitates rest and absence from work, still attend their jobs. This type of presence poses challenges for both the individual and the organization. Among the strategies for adapting to and coping with workplace challenges is resilience.
View Article and Find Full Text PDFLancet Respir Med
August 2025
Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address:
Background: The benefit of expedited intra-arrest transport with ongoing resuscitation versus more extended on-scene resuscitation for refractory out of hospital cardiac arrest (OHCA) is uncertain. We aimed to determine whether expedited intra-arrest transfer to hospital in adults with refractory OHCA improves favourable neurological outcomes.
Methods: We conducted a prospective, parallel, multi-centre, open-label randomised, superiority trial across greater Sydney, NSW, Australia.
Resusc Plus
September 2025
The Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Kildemosevej 15, 5000 Odense, Denmark.
Background: Out-of-hospital cardiac arrest (OHCA) is a major public health problem. This study aims to describe the international variations in the practices related to the initiation, termination, and refraining from resuscitation of adult patients (≥18 years) with a non-traumatic OHCA.
Methods: An exploratory descriptive study was conducted using a cross-sectional online survey.
Front Public Health
July 2025
School of Basic Medicine, Capital Medical University, Beijing, China.
Purpose: This study aims to understand the major challenges facing China's rural pre-hospital emergency care in terms of coordination and cooperation. We focus particularly on the three-tier emergency care providers and their surrounding support units to explore the systematic and strategic gaps within the system. Based on these findings and general systems theory, we propose construction strategies for China's rural emergency linkage system.
View Article and Find Full Text PDF