African Journal of Emergency Medicine 版面费-刊鹿论文编译

Identifying quality indicators for prehospital emergency care services in the low to middle income setting: The South African perspective

Abstract:

Introduction Historically, performance within the Prehospital Emergency Care (PEC) setting has been assessed primarily based on response times. While easy to measure and valued by the public, overall, response time targets are a poor predictor of quality of care and clinical outcomes. Over the last two decades however, significant progress has been made towards improving the assessment of PEC performance, largely in the form of the development of PEC-specific quality indicators (QIs). Despite this progress, there has been little to no development of similar systems within the low- to middle-income country setting. As a result, the aim of this study was to identify a set of QIs appropriate for use in the South African PEC setting. Methods A three-round modified online Delphi study design was conducted to identify, refine and review a list of QIs for potential use in the South African PEC setting. Operational definitions, data components and criteria for use were developed for 210 QIs for inclusion into the study. Results In total, 104 QIs reached consensus agreement including, 90 clinical QIs, across 15 subcategories, and 14 non-clinical QIs across two subcategories. Amongst the clinical category, airway management (n\u202f=\u202f13 QIs; 14%); out-of-hospital cardiac arrest (n\u202f=\u202f13 QIs; 14%); and acute coronary syndromes (n\u202f=\u202f11 QIs; 12%) made up the majority. Within the non-clinical category, adverse events made up the significant majority with nine QIs (64%). Conclusion Within the South Africa setting, there are a multitude of QIs that are relevant and appropriate for use in PEC. This was evident in the number, variety and type of QIs reaching consensus agreement in our study. Furthermore, both the methodology employed, and findings of this study may be used to inform the development of PEC specific QIs within other LMIC settings.

Author Listing： Ian Howard;Peter Cameron;Lee A. Wallis;Maaret Castrén;Veronica Lindström

Volume： 9

Pages： 185 - 192

DOI： 10.1016/j.afjem.2019.07.003

Language： English

Journal： African Journal of Emergency Medicine

African Journal of Emergency Medicine

AFR J EMERG MED

影响因子：1.2

是否综述期刊：否

是否OA：是

是否预警：不在预警名单内

发行时间：-

ISSN：2211-419X

发刊频率：-

收录数据库：SCIE/Scopus收录/DOAJ开放期刊

出版国家/地区：NETHERLANDS

出版社：ELSEVIER

期刊介绍

年发文量	43
国人发稿量	-
国人发文占比	0%
自引率	8.3%
平均录取率	-
平均审稿周期	17 Weeks
版面费	US$1200
偏重研究方向	EMERGENCY MEDICINE-
期刊官网	http://www.journals.elsevier.com/african-journal-of-emergency-medicine/
投稿链接	-

质量指标占比

研究类文章占比	OA被引用占比	撤稿占比	出版后修正文章占比
95.35%	89.53%	-	-

预警情况

时间	预警情况
2025年03月发布的2025版	不在预警名单中
2024年02月发布的2024版	不在预警名单中
2023年01月发布的2023版	不在预警名单中
2021年12月发布的2021版	不在预警名单中
2020年12月发布的2020版	不在预警名单中

JCR分区 WOS分区等级：Q3区

版本	按学科	分区
WOS期刊SCI分区（2021-2022年最新版）
	EMERGENCY MEDICINE	Q3

中科院分区

版本	大类学科	小类学科	Top期刊	综述期刊
	医学 4区	EMERGENCY MEDICINE 急救医学 4区	否	否
2021年12月基础版	医学 4区	EMERGENCY MEDICINE 急救医学 4区	否	否
2021年12月升级版	医学 4区	EMERGENCY MEDICINE 急救医学 4区	否	否
2022年12月最新升级版	医学 4区	EMERGENCY MEDICINE 急救医学 4区	否	否