keyword
https://read.qxmd.com/read/34387014/quality-assurance-evaluation-and-comparison-of-methods-for-electron-microscopic-measurement-of-gbm-width-and-the-effect-of-in-lab-calibration-in-diagnostic-renal-pathology
#1
JOURNAL ARTICLE
Meral Uner, Secil Demirkol Canlı, Lois J Arend
Replacing equipment and software can improve efficiency and allow updates to laboratory procedures, but has the potential to introduce changes in established values for a laboratory. Replacement of an electron microscope (EM), fitted with an updated digital camera, and use of new software for imaging and analysis prompted this QA study to ensure that new equipment, imaging, and measurement of the glomerular basement membrane (GBM) produced data consistent with the laboratory's established range of normal width...
January 2022: Microscopy Research and Technique
https://read.qxmd.com/read/32915070/can-education-and-enhanced-medical-director-oversight-improve-definitive-airway-control-in-the-prehospital-environment
#2
JOURNAL ARTICLE
Eric D Forney, Nathan A Stokes, Dennis W Ashley, Anne Montgomery, D Benjamin Christie
BACKGROUND: Endotracheal intubation (ETI) is the most definitive technique for airway management. However, supraglottic airway (SGA) may be used when ETI is not feasible. The purpose of this study was to determine the effect of updated field sedation protocols, simulation teaching, robust Quality Assurance/Continuing Quality Improvement (QA/CQI) program, and enhanced emergency medical services (EMSs) medical director oversight on ETI and SGA usage at a Level 1 trauma center. METHODS: After the transition of EMS directors in May 2016, field sedation protocols were updated, a new QA/CQI was instituted, and multiple teaching and simulation sessions were conducted...
January 2021: American Surgeon
https://read.qxmd.com/read/31847923/epidemiological-and-accounting-analysis-of-ground-ambulance-whole-blood-transfusion
#3
JOURNAL ARTICLE
Julian G Mapp, Eric A Bank, Lesley A Osborn, Michael L Stringfellow, David W Reininger, Christopher J Winckler
INTRODUCTION: In October 2017, the American Association of Blood Bankers (AABB; Bethesda, Maryland USA) approved a petition to allow low-titer group O whole blood as a standard product without the need for a waiver. Around that time, a few Texas, USA-based Emergency Medical Services (EMS) systems incorporated whole blood into their ground ambulances. The purpose of this project was to describe the epidemiology of ground ambulance patients that received a prehospital whole blood transfusion...
February 2020: Prehospital and Disaster Medicine
https://read.qxmd.com/read/31779716/dispatcher-identification-of-out-of-hospital-cardiac-arrest-and-neurologically-intact-survival-a-retrospective-cohort-study
#4
JOURNAL ARTICLE
Julian G Mapp, Anthony M Darrington, Stephen A Harper, Chetan U Kharod, David A Miramontes, David A Wampler
INTRODUCTION: To date, there are no published data on the association of patient-centered outcomes and accurate public-safety answering point (PSAP) dispatch in an American population. The goal of this study is to determine if PSAP dispatcher recognition of out-of-hospital cardiac arrest (OHCA) is associated with neurologically intact survival to hospital discharge. METHODS: This retrospective cohort study is an analysis of prospectively collected Quality Assurance/Quality Improvement (QA/QI) data from the San Antonio Fire Department (SAFD; San Antonio, Texas USA) OHCA registry from January 2013 through December 2015...
February 2020: Prehospital and Disaster Medicine
https://read.qxmd.com/read/28669372/observational-study-on-safety-of-prehospital-bls-cpap-in-dyspnea
#5
JOURNAL ARTICLE
Novneet Sahu, Patrick Matthews, Kathryn Groner, Mia A Papas, Ross Megargel
Introduction Continuous positive airway pressure (CPAP) improves outcomes in patients with respiratory distress. Additional benefits are seen with CPAP application in the prehospital setting. Theoretical safety concerns regarding Basic Life Support (BLS) providers using CPAP exist. In Delaware's (USA) two-tiered Emergency Medical Service (EMS) system, BLS often arrives before Advanced Life Support (ALS). Hypothesis This study fills a gap in literature by evaluating the safety of CPAP applied by BLS prior to ALS arrival...
December 2017: Prehospital and Disaster Medicine
https://read.qxmd.com/read/22720900/inappropriate-helicopter-emergency-medical-services-transports-results-of-a-national-cohort-utilization-review
#6
JOURNAL ARTICLE
John William Hafner, Michael Downs, Kelly Cox, Joy E Johncox, Timothy J Schaefer
BACKGROUND: Medical transport using helicopter emergency medical services (HEMS) has rapidly proliferated over the past decade. Because of issues of cost and safety, appropriate utilization is of increasing concern. OBJECTIVE: This study sought to describe the medical appropriateness of HEMS transports, using established guidelines, in a large national patient cohort. METHODS: A review was performed of all flights designated as inappropriate by a large national air medical company, Air Evac EMS Inc...
October 2012: Prehospital Emergency Care
https://read.qxmd.com/read/17765091/acres-of-qa-challenges-of-monitoring-a-large-ems-system
#7
JOURNAL ARTICLE
Stephen Rashford
No abstract text is available yet for this article.
September 2007: JEMS: a Journal of Emergency Medical Services
https://read.qxmd.com/read/16770999/success-and-complication-rates-with-prehospital-placement-of-an-esophageal-tracheal-combitube-as-a-rescue-airway
#8
JOURNAL ARTICLE
Thomas R Calkins, Ken Miller, Mark I Langdorf
INTRODUCTION: Previous studies have proven the success of the Esophageal-Tracheal Combitube (ETC) as a primary airway, but not as a rescue airway. OBJECTIVE: The object of this study was to observe success and complication rates of paramedic placement of an ETC as a rescue airway, and to compare success rates with endotracheal tube (ETT) intubation. The primary outcome indicator was placement with successful ventilation. Complication rates, esophageal placement, and return of spontaneous circulation (ROSC) were secondary measures...
March 2006: Prehospital and Disaster Medicine
https://read.qxmd.com/read/10187015/quality-management-tool-for-mass-casualty-emergency-responses-and-disasters
#9
JOURNAL ARTICLE
M S Villarreal
INTRODUCTION AND BACKGROUND: Quality management (QM) principles generally have not been applied to multi-casualty and disaster situations. Quality management incorporates quality assurance (QA) and quality improvement (QI) supported by a management information system (MIS). Since responders to disasters and multi-casualty incidents generally operate on standing orders and/or protocols, the character of the responses lends itself to quality management methods. Standards and indicators of performance readily can be developed for these situations...
July 1997: Prehospital and Disaster Medicine
https://read.qxmd.com/read/10148604/the-utilization-of-quality-assurance-methods-in-emergency-medical-services
#10
JOURNAL ARTICLE
E A Davis, A J Billitier
OBJECTIVE: The concept of the necessity of a good quality assurance (QA) plan for emergency medical services (EMS) is well-accepted; guidelines as how best to achieve this and how current systems operate have have not been defined. The purpose of this study was to survey EMS systems to discover current methods used to perform medical control and QA and to examine whether the existence of an emergency medicine residency affected these components. METHODS: A survey was mailed in 1989 to the major teaching hospitals associated with all of the emergency medicine residency programs (n = 79) and all other hospitals with greater than 350 beds within the 50 largest United States metropolitan areas (n = 172)...
April 1993: Prehospital and Disaster Medicine
https://read.qxmd.com/read/10123069/developing-a-qa-program
#11
JOURNAL ARTICLE
E J Gabriel
EMS administrators and staff must focus as much attention as possible on effective delivery of patient care. In the past, much of our time and many of our resources were spent on administrative activities, neglecting the most basic purpose of EMS organizations: patient care. We, as a nation, already have policies, indicators and procedures to evaluate the care provided in the hospital setting. The development of an EMS QA program will help you set--and meet--those same standards in the field.
August 1992: Emergency Medical Services
https://read.qxmd.com/read/9709356/efficacy-of-an-ems-quality-improvement-program-in-improving-documentation-and-performance
#12
JOURNAL ARTICLE
S M Joyce, K L Dutkowski, T Hynes
OBJECTIVE: Change from quality assurance (QA) to quality improvement (QI) in EMS has been adopted by many systems. This study sought to determine whether QI is effective in this setting. METHODS: A QI program comprised of prospective, concurrent, and retrospective components was instituted in 1994 by the Salt Lake City Fire Department. The retrospective component of the program consisted of monthly random audits of approximately 6% of EMS patient care reports (PCRs), both ALS and BLS...
July 1997: Prehospital Emergency Care
https://read.qxmd.com/read/1628563/quality-assurance-in-ems-systems
#13
REVIEW
R A Swor
QA activities in EMS systems are severely hampered unless a central agency exists to coordinate data collection, funding, and communication between agencies and field providers. EMS systems must address these issues successfully to maximize their efforts. Some regions (San Francisco, King County, Washington, Burbank, California) have developed dedicated organizations for the evaluation of prehospital care. These organizations can greatly reduce the logistic impediments to evaluating EMS care and initiating improvements...
August 1992: Emergency Medicine Clinics of North America
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