DATAINNSAMLING OG BENCHMARKING AV PREHOSPITALE TJENESTER I NORDEN

Transkript

1 DATAINNSAMLING OG BENCHMARKING AV PREHOSPITALE TJENESTER I NORDEN STATUSRAPPORT 2016 Reykjavik Mars 2016

2 Prehospitale tjenester The black box Responstid et av få kvalitetsmål Liten dokumentert relasjon til overlevelse Liten tradisjon for måling av helseeffeketer Få kvalitetsindikatorer Lite forskning og få vitenskapelige artikler

3 Det Nordiske prosjektet er midtveis

4 Det samarbeides godt

5 Prosjektets risiko vurderes som akseptabel 5

6 Felles Nordiske definisjoner

7 Felles Nordisk datamodell Datastructure ambulance perspective Incident location Home Care unit Another amb Other Destination Patient to another ambulance Ambulance car Ambulance helicopter (hcp) Ambulance (air)plane Other transport Dispatch center Ambulance out Incident Patient Patient to healthcare services Hospital Emergency Room Hospital Clinic/Unit Primary Care Other services Ambulance free for next mission Primary emercency calls for health care Secondary calls from health care units, etc RETTS Treatment on incident location Primary Amb car Prio 1 Red Patient not Referral to other healthcare serv Sex transported transport Amb hcp Prio 2 Orange Refusal with Secondary Amb plane Prio 3 Yellow ambulance Recalled Age transport Other transp Other Green Other cause No patient Patient dead Hospital / Other 7

8 Store forskjeller i forbruk? 3-4 of March

9 Store forskjeller i prioritering? Highest priority 22% 32% Medium priority 33% 51% Low priority 45% 17%

10 Likeverdig tilgjengelighet? 3-4 of March

11 Nasjonal anvendelse - eks fra Norge

12 30 Nordiske indikatorer og nøkkeltall Fokus i 2017: Datainnsamling Pilotering Validering av data, datakilder og kvalitetssikring i hvert enkelt land No Quality Indicators Type of Indicator Working-group 1 EMCC reaction time Process 2 EMS reaction time Process 3 EMS time to Scene Process 4 EMS prehospital time Process 5 Unit reaction time Process 6 Unit response time Process 7 Unit mission time Process 8 Bystander CPR Process STEMI, stroke, CA 9 ROSC to hospital Result STEMI, stroke, CA days survival after cardiac arrest Result STEMI, stroke, CA 11 STEMI Process STEMI, stroke, CA 12 Ischemic stroke Process STEMI, stroke, CA days mortality by diagnosis for the STEMI, stroke, cardiac arrest Result STEMI, stroke, CA 14 Incidents where no ambulance is dispatched Process 15 Incidents where no ambulance is dispatched after advice by MD Process 16 Incidents where no ambulance is dispatched according to EMCC protocol Process 17 Patients left on scene Process 18 Patients left on scene, assessed by a MD on scene Process 19 Patients left on scene, assessed after telephone consultation MD (not on scene, e.g. EMCC MD) Process 20 Patients left on scene, assessed without MD involved Process 21 Patients that are calling back, within 4 hours and 24 hours Result 22 Patients assessed by ambulance personnel and delivered to primary care Process 23 Patients assessed by ambulance personnel and delivered to hospital Process 24 Calls to EMD for health assistance Structure 25 Primary calls to EMD Structure 26 Incidents Structure 27 Ambulance (unit) missions Structure 28 Ambulance (unit) acute missions (including all units) Structure 29 Available ambulance hours per a year and a week Structure 30 Work ambulance work hours per a year and a week Structure Inhabitants per nation (or regional) Structure 12

13 Forslag til intensjonsavtale for deling av data (MOU) mellom de nordiske landene Med utgangpunkt i felles definert deler av det akuttmedisinske området i Norden skal samarbeidet bidra til: Felles sammenligning av kvalitetsindikatorer og nøkkeltall for akuttmedisinske tjenester i de nordiske landene Utveksling av ikke personidentifiserbare data Avtalen er nå til kvalitetssikring hos de nasjonale representantene 13