Asset Details
Do you wish to reserve the book?
Progressing patient safety in the Emergency Medical Services
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Progressing patient safety in the Emergency Medical Services
Do you wish to request the book?
Progressing patient safety in the Emergency Medical Services
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Progressing patient safety in the Emergency Medical Services
2023
Overview
[...]hospital avoidance’ does not remove the need for EMS patients to be provided with definitive care but rather places increased responsibility on EMS to ensure definitive care is provided or that appropriate referral is assured.4 Alternative care pathways that enable EMS to ‘hear and treat’ or ‘treat and refer’ patients are highly desirable, but EMS agencies must ensure that systems are safe and acceptable to patients, and result in similar or better clinical outcomes. In this issue of the journal Wilson et al’s7 systematic review and meta-analysis illustrates the important effects that feedback in the EMS can have on safety-relevant processes such as ambulance response times, protocol adherence and documentation. Within healthcare, there has been a predominant focus on ‘lagging indicators’, or reactive measures of safety captured after an incident has occurred.8 A shift in focus to identifying precursors to safety events (referred to as ‘leading’ indicators of safety) is required.8 Proactive engagement with safety assessment may take various forms including safety culture surveys and safety walk-arounds.8 This proactive approach might also usefully see EMS employ failure modes and effects analysis (FMEA) to identify vulnerability within systems.9 Hospital-based research has already demonstrated that FMEA can be applied to improve many processes key to EMS including medication administration, communication and handover, and treatment delivery.9 Second, systems of assessing safety in EMS must be inclusive of patients. Improving safety in the Emergency Medical Services Although measuring and monitoring safety is important, what is also essential is that these data are used to identify and evaluate the effectiveness of interventions to improve patient safety and quality of care.13 In fact, it could be argued that there is little point in collecting safety data that are not then used to bring about improvement.
Publisher
BMJ Publishing Group LTD
