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Review
. 2014 May 29:22:34.
doi: 10.1186/1757-7241-22-34.

Quality improvement in pre-hospital critical care: increased value through research and publication

Marius Rehn  1 , Andreas J Krüger
Affiliations
Review

Quality improvement in pre-hospital critical care: increased value through research and publication

Marius Rehn et al. Scand J Trauma Resusc Emerg Med. .

Abstract

Pre-hospital critical care is considered to be a complex intervention with a weak evidence base. In quality improvement literature, the value equation has been used to depict the inevitable relationship between resources expenditure and quality. Increased value of pre-hospital critical care involves moving a system from quality assurance to quality improvement. Agreed quality indicators can be integrated in existing quality improvement and complex intervention methodology. A QI system for pre-hospital critical care includes leadership involvement, multi-disciplinary buy-in, data collection infrastructure and long-term commitment. Further, integrating process control with governance systems allows evidence-based change of practice and publishing of results.

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Figures

Figure 1
Figure 1
Quality assurance versus quality improvement. Source: Institute for healthcare improvement; Dr. Scoville, Dr. Lloyd (permission for reprint granted).
Figure 2
Figure 2
Value equation. Increase value: Increase quality and/or decrease cost.
See this image and copyright information in PMC

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