Table 3: Quality Indicator appraisal results
|
|
Quality Indicator for Review
|
QI Class
|
Relevance
|
Scientific Soundness
|
Feasibility
|
Appraisal Tool
Score
|
Total
criteria
Applies
|
Applicable CPG
|
Supported
in CPG
|
Clarity
|
Necessity
|
Acceptability
|
Technical Feasibility
|
RAND
Score
|
Total categories ≥7
|
|
ACS/STEMI
|
|
Patients with a provisional diagnosis of ACS/STEMI who had an ALS practitioner in attendance
|
Process
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
Yes
|
No
|
9.0
|
7.0
|
9.0
|
9.0
|
8.5
|
4
|
|
Patients with a provisional diagnosis of ACS/STEMI who had a set of defined cardiac risk factors assessed and recorded
|
Process
|
3.3
|
3.8
|
3.1
|
3.4
|
16
|
Yes
|
Yes
|
5.0
|
5.0
|
7.0
|
4.0
|
5.3
|
1
|
|
Patients with a provisional diagnosis of ACS/STEMI who had a 12 lead ECG obtained
|
Process
|
3.7
|
4.0
|
2.4
|
3.1
|
10
|
Yes
|
Yes
|
9.0
|
6.0
|
6.0
|
6.0
|
6.8
|
1
|
|
Patients with a provisional diagnosis of ACS/STEMI who were administered Aspirin
|
Process
|
3.7
|
4.0
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of ACS/STEMI who were administered GTN
|
Process
|
3.7
|
4.0
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of ACS/STEMI who were assessed for suitability for thrombolysis by defined checklist
|
Process
|
3.7
|
3.8
|
1.8
|
2.8
|
10
|
Yes
|
Yes
|
5.0
|
5.0
|
7.0
|
4.0
|
5.3
|
1
|
|
Patients with a provisional diagnosis of ACS/STEMI who were administered prehospital thrombolysis
|
Process
|
3.7
|
3.8
|
1.8
|
2.8
|
10
|
Yes
|
Yes
|
5.0
|
5.0
|
7.0
|
4.0
|
5.3
|
1
|
|
Patients with a provisional diagnosis of ACS/STEMI who were transported directly to a Facility with PCI capabilities
|
Process
|
3.3
|
4.0
|
1.8
|
2.8
|
9
|
Yes
|
Yes
|
5.0
|
5.0
|
7.0
|
4.0
|
5.3
|
1
|
|
Patients with a provisional diagnosis of ACS/STEMI who had EMS activation of the receiving Cath Lab
|
Process
|
3.7
|
3.8
|
1.8
|
2.8
|
10
|
Yes
|
Yes
|
5.0
|
1.0
|
1.0
|
4.0
|
2.8
|
0
|
|
Patients who received/met all components of a defined ACS/STEMI composite bundle score
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
No
|
No
|
7.0
|
7.0
|
8.0
|
6.0
|
7.0
|
3
|
|
Acute Pulmonary Oedema
|
|
Patients with a provisional diagnosis of APO who were administered GTN
|
Process
|
3.7
|
4.0
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of APO who received CPAP
|
Process
|
3.7
|
4.0
|
2.6
|
3.3
|
11
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
2.0
|
7.3
|
3
|
|
Patients with a provisional diagnosis of APO who had a 12 lead ECG obtained
|
Process
|
3.7
|
4.0
|
2.5
|
3.2
|
11
|
Yes
|
Yes
|
9.0
|
5.0
|
7.0
|
4.0
|
6.3
|
2
|
|
Airway Management
|
|
Patients who received a pre-ETI paralytic, following which there was a decrease in SpO2 > 10% from baseline/or decrease below 70% overall
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
9.0
|
8.5
|
4
|
|
Patients successfully intubated by EMS personnel where EtCO2 monitoring was used post ETI
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients successfully intubated via RSI by EMS personnel where a paralytic agent was administered post-ETI
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients successfully intubated by EMS personnel where a sedative agent was administered post-ETI
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients successfully intubated by EMS personnel where a mechanical ventilator was used post-ETI for ventilation
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients in whom ETI was attempted by EMS personnel who had an alternative airway inserted as a final airway
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
8.0
|
9.0
|
9.0
|
9.0
|
8.8
|
4
|
|
Patients in whom ETI was attempted by EMS personnel who had a surgical airway inserted
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients successfully intubated by EMS personnel with an EtCO2 < 30 mmHg or > 50 mmHg post-ETI > 10 mins during EMS care
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
9.0
|
8.5
|
4
|
|
Patients in whom RSI with ETI was unsuccessful when attempted by EMS personnel
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients in whom Non-RSI ETI was unsuccessful when attempted by EMS personnel
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients in whom RSI with ETI was successful when attempted by EMS personnel
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Total number of patients successfully intubated via RSI by EMS personnel
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients who received/met all components of the defined Airway management composite Bundle score
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
No
|
No
|
7.0
|
8.0
|
9.0
|
7.0
|
7.8
|
4
|
|
Anaphylaxis
|
|
Patients with a provisional diagnosis of Anaphylaxis and evidence of bronchoconstriction documented who were administered a B2 agonist
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Anaphylaxis and evidence of bronchoconstriction documented who were administered an Anti-cholinergic bronchodilator
|
Process
|
3.7
|
3.7
|
3.0
|
3.3
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Anaphylaxis who were administered an antihistamine
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
7.0
|
9.0
|
9.0
|
8.5
|
4
|
|
Patients with a provisional diagnosis of Anaphylaxis who were administered a corticosteroid
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
6.0
|
9.0
|
9.0
|
8.3
|
3
|
|
Patients with a provisional diagnosis of Anaphylaxis and signs of a severe systemic response recorded who were administered IM Adrenaline
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
6.0
|
9.0
|
9.0
|
9.0
|
8.3
|
3
|
|
Asthma/Bronchoconstriction
|
|
Patients with a provisional diagnosis of Asthma/Bronchoconstriction with lung sounds assessed and documented (pre and post treatment)
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Asthma/Bronchoconstriction with a SpO2 documented (pre and post treatment)
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Asthma/Bronchoconstriction who were administered a B2 agonist bronchodilator
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Asthma/Bronchoconstriction who were administered an anticholinergic bronchodilator
|
Process
|
3.7
|
3.7
|
3.0
|
3.3
|
15
|
Yes
|
Yes
|
8.0
|
9.0
|
9.0
|
9.0
|
8.8
|
4
|
|
Patients with a provisional diagnosis of Asthma/Bronchoconstriction who were administered a corticosteroid
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Asthma/Bronchoconstriction recorded with documented severe wheezes/silent chest/BP < 90 mmHg systolic BP who were administered IM Adrenalin
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
9.0
|
8.5
|
4
|
|
Patients who received/met all components of the defined Asthma/Bronchoconstriction composite bundle score
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
No
|
No
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Burns
|
|
Patients with a provisional diagnosis of Burns with burns dressings applied
|
Process
|
3.3
|
3.8
|
3.0
|
3.3
|
14
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Burns with body surface area and burns type assessed and recorded
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
General
|
|
Serviceable suction unit devices available per defined area and/or time period
|
Structure
|
3.7
|
3.8
|
3.1
|
3.5
|
16
|
No
|
No
|
7.0
|
8.0
|
8.0
|
5.0
|
7.0
|
3
|
|
Serviceable 3 lead ECG monitoring devices available per defined area and/or time period
|
Structure
|
3.7
|
3.8
|
3.1
|
3.5
|
16
|
No
|
No
|
7.0
|
8.0
|
8.0
|
5.0
|
7.0
|
3
|
|
Serviceable 12 lead ECG monitoring devices available per defined area and/or time period
|
Structure
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
8.0
|
8.0
|
5.0
|
7.0
|
3
|
|
Serviceable portable oxygen cylinders available per defined area and/or time period
|
Structure
|
3.7
|
3.8
|
3.1
|
3.5
|
16
|
No
|
No
|
7.0
|
8.0
|
8.0
|
5.0
|
7.0
|
3
|
|
Serviceable Defibrillator/AED devices available per defined area and/or time period
|
Structure
|
3.7
|
3.8
|
3.1
|
3.5
|
16
|
No
|
No
|
7.0
|
8.0
|
8.0
|
5.0
|
7.0
|
3
|
|
Serviceable mechanical ventilators available per defined area and/or time period
|
Structure
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
8.0
|
8.0
|
5.0
|
7.0
|
3
|
|
Patients with reduced level of consciousness with a blood glucose measured
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
16
|
Yes
|
Yes
|
9.0
|
9.0
|
8.0
|
9.0
|
8.8
|
4
|
|
Patients with a recorded SpO2 < 95% who were administered supplemental Oxygen
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
8.0
|
9.0
|
8.8
|
4
|
|
Patients with a provisional diagnosis recorded
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
No
|
No
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Hypoglycaemia
|
|
Patients with a blood glucose level < 5 mmol who were administered Glucose
|
Process
|
3.7
|
4.0
|
3.1
|
3.5
|
16
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a blood glucose level measured and recorded following Glucose administration
|
Process
|
3.7
|
4.0
|
3.1
|
3.5
|
16
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Neonate/Paediatric
|
|
One min APGAR score assessed and recorded for newborn patients
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Five min APGAR score assessed and recorded for newborn patients
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Paediatric patients with a provisional diagnosis of Croup who were administered oral/inhaled steroids
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
No
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Paediatric patients with a provisional diagnosis of Croup who were administered nebulised Adrenalin
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
No
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patient transportation to a facility with specialist Paediatric capabilities/resources
|
Process
|
3.3
|
3.7
|
2.3
|
2.9
|
8
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
7.0
|
8.0
|
4
|
|
Obstetrics
|
|
Obstetric patients who deliver prior to EMS arrival
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
6.0
|
8.0
|
9.0
|
8.0
|
3
|
|
Obstetric patients with postpartum haemorrhage who were administered TXA
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Obstetric patients with a provisional diagnosis of Eclampsia or Pre-eclampsia who were administered Magnesium sulphate
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Obstetric patients who deliver during EMS care
|
Outcome
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
8.0
|
9.0
|
9.0
|
8.8
|
4
|
|
OHCA
|
|
Patients with a provisional diagnosis of OHCA with a witnessed collapse documented
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA who received documented bystander CPR
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA who received documented telephonic CPR advice
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
3.0
|
7.0
|
3
|
|
Patients with a provisional diagnosis of OHCA with VF/VT as first presenting rhythm on arrival of EMS
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA with Asystole/PEA as first presenting rhythm on arrival of EMS
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA intubated with alternative airway device
|
Process
|
3.7
|
3.8
|
2.4
|
3.1
|
10
|
Yes
|
Yes
|
8.0
|
9.0
|
9.0
|
9.0
|
8.8
|
4
|
|
Patients with a provisional diagnosis of OHCA for whom resuscitation was cancelled prior to arrival at hospital
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
8.0
|
9.0
|
9.0
|
8.8
|
4
|
|
Patients with a provisional diagnosis of OHCA who were transported to hospital (incl. ROSC and Non-ROSC patients)
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA with ROSC at hospital handover
|
Process
|
3.3
|
4.0
|
2.9
|
3.3
|
13
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA with VF/VT at hospital handover
|
Process
|
3.3
|
4.0
|
2.9
|
3.3
|
13
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA with Asystole/PEA at hospital handover
|
Process
|
3.3
|
4.0
|
3.0
|
3.4
|
14
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of OHCA with survival to Emergency Centre discharge
|
Process
|
3.3
|
3.8
|
1.6
|
2.6
|
8
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
2.0
|
6.8
|
3
|
|
Patients with a provisional diagnosis of OHCA with survival to hospital discharge
|
Outcome
|
3.3
|
3.8
|
1.6
|
2.6
|
8
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
2.0
|
6.8
|
3
|
|
Pain Management
|
|
Patients with level of Pain measured via defined pain score
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
16
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a defined pain score threshold who were administered analgesia
|
Process
|
4.0
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with level of pain measured via defined pain score following analgesia administration
|
Process
|
4.0
|
3.8
|
3.1
|
3.5
|
16
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Seizures
|
|
Patients with a provisional diagnosis of Seizures with a blood glucose measured and recorded
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Seizures who were administered an antiepileptic for ongoing Seizures
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Stroke/TIA
|
|
Patients with a provisional diagnosis of Stroke/CVA/TIA with a blood glucose measured and recorded
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
|
Patients with a provisional diagnosis of Stroke/CVA/TIA with a Stroke screening assessment performed (e.g.: FAST)
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
7.0
|
8.5
|
4
|
|
Patients with a provisional diagnosis of Stroke/CVA/TIA with serial blood pressure measurements recorded (X3)
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
Patients with a provisional diagnosis of Stroke/CVA/TIA delivered to a specialist Stroke Centre
|
Process
|
4.0
|
3.8
|
1.6
|
2.8
|
9
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
1.0
|
6.5
|
3
|
Patients with a provisional diagnosis of Stroke/CVA/TIA with direct delivery to CT scan
|
Process
|
3.3
|
3.8
|
2.3
|
3.0
|
8
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
2.0
|
6.8
|
3
|
Patients who received/met all components of the defined Stroke/CVA/TIA composite bundle score
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
No
|
No
|
7.0
|
7.0
|
9.0
|
7.0
|
7.5
|
4
|
Trauma
|
Patients designated as a trauma case with entrapment on scene documented
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
Patients designated as a trauma case with a BP < 90 mmHg
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
Patients designated as a trauma case with partial/full amputation who had a tourniquet applied
|
Process
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
Patients designated as a trauma case with a femur fracture and traction splint use
|
Process
|
3.7
|
3.8
|
3.0
|
3.4
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
Patients designated as a trauma case with a BP < 90 mmHg who were administered TXA
|
Process
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
Yes
|
Yes
|
9.0
|
9.0
|
9.0
|
9.0
|
9.0
|
4
|
Patients designated as a trauma case with direct transportation to a specialist Trauma Centre
|
Process
|
3.7
|
4.0
|
2.3
|
3.1
|
9
|
Yes
|
Yes
|
7.0
|
9.0
|
9.0
|
9.0
|
8.5
|
4
|
Adverse Events
|
Number of patient deaths while in EMS care
|
Sentinel Event
|
3.7
|
4.0
|
2.4
|
3.1
|
10
|
No
|
No
|
7.0
|
9.0
|
9.0
|
8.0
|
8.3
|
4
|
Number of defined Adverse Events reported during EMS care
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
9.0
|
9.0
|
7.0
|
8.0
|
4
|
Number of defined equipment/technical failures reported during EMS care
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
9.0
|
9.0
|
6.0
|
7.8
|
3
|
Number of accidental or unexpected extubations reported during EMS care
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
8.0
|
9.0
|
9.0
|
4.0
|
7.5
|
3
|
Number of patients with a decrease in GCS of 3 or more points during EMS care
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
9.0
|
9.0
|
9.0
|
8.0
|
8.8
|
4
|
Number of defined failed intubation attempts
|
Sentinel Event
|
3.7
|
4.0
|
2.5
|
3.2
|
11
|
No
|
No
|
9.0
|
9.0
|
9.0
|
6.0
|
8.3
|
3
|
Total number of patient injury reports during EMS care
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
9.0
|
9.0
|
7.0
|
8.0
|
4
|
Number of EMS staff on-duty injury reports
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
9.0
|
9.0
|
7.0
|
8.0
|
4
|
Number of defined medication errors during EMS care
|
Sentinel Event
|
3.7
|
3.8
|
2.5
|
3.1
|
12
|
No
|
No
|
7.0
|
9.0
|
9.0
|
6.0
|
7.8
|
3
|
Communications/Dispatch
|
Number of cases compliant with defined ALS Dispatch criteria
|
Structure
|
3.7
|
4.0
|
3.1
|
3.5
|
15
|
No
|
No
|
8.0
|
8.0
|
9.0
|
6.0
|
7.8
|
3
|
Number of cases with call processing time within defined limits
|
Structure
|
3.7
|
3.8
|
3.1
|
3.5
|
15
|
No
|
No
|
9.0
|
7.0
|
9.0
|
7.0
|
8.0
|
4
|
Number of Service Call Centre calls received per 10000 population
|
Structure
|
3.7
|
4.0
|
3.0
|
3.4
|
15
|
No
|
No
|
7.0
|
9.0
|
9.0
|
5.0
|
7.5
|
3
|
Number of unanswered/missed calls to the Service Call Centre
|
Structure
|
3.7
|
4.0
|
3.1
|
3.5
|
15
|
No
|
No
|
7.0
|
9.0
|
9.0
|
6.0
|
7.8
|
3
|
Number of cases with a delay in dispatch and/or response time waiting for a police/security escort
|
Process
|
3.7
|
4.0
|
2.6
|
3.3
|
11
|
No
|
No
|
8.0
|
9.0
|
9.0
|
7.0
|
8.3
|
4
|
Appraisal Tool Score < or on threshold of validity score
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
RAND Method Score < or on threshold of validity score
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|