Show simple item record

dc.contributor.advisorLossius, Hans Morten
dc.contributor.advisorRehn, Marius
dc.contributor.advisorKrüger, Andreas Jørstad
dc.contributor.advisorRingdal, Kjetil Gorseth
dc.contributor.authorTønsager, Kristin
dc.identifier.citationDefining core data for continuous benchmarking in pre-hospital critical care by Kristin Tønsager, Stavanger : University of Stavanger, 2021 (PhD thesis UiS, no. 567)en_US
dc.description.abstractThe aim of medical research is to improve patient care through evidence-based practice. Currently, the evidence base in physician-staffed emergency medical services (p-EMS) is weak and we remain uncertain for which patients p-EMS assistance is essential to and for which patients p-EMS is not needed. To increase the evidence-base of p-EMS and to evaluate its potential effects, high quality data is pivotal. Currently, data is not reported uniformly, thereby complicating research. Furthermore, we should make better use of routinely collected data as these are readily available, thereby facilitating research. The aim of this thesis was to increase the quality of routinely reported data in p-EMS by focusing on accuracy and completeness. We did this through the following objectives: 1. Explore the feasibility of collecting template data according to a predefined template 2. Explore whether pre-hospital physicians can score a reliable pre-event American Society of Anesthesiologists Physical Scale (ASA-PS) on-scene 3. Describe the quality of reported Glasgow Coma Score (GCS) and Systolic Blood Pressure (SBP) data in studies depicting p-EMS 4. Revise and update a template for reporting in p-EMS We conducted four studies; one feasibility study, one prospective observational study, one systematic literature review and one qualitative consensus project. Accuracy and completeness are two important attributes describing quality in medical research. Without accurate data, research will be inaccurate and erroneous conclusions can be drawn. Furthermore, high completeness rates are always preferable to incomplete data. Based on the four studies we can conclude that the use of a template is feasible in p-EMS, that the quality of reported GCS and SBP is variable and that a reliable pre-event ASA-PS can be scored on-scene. We also created an updated template for reporting in p-EMS. The findings are important because highlighting the varying quality of reporting in p-EMS may increase awareness which may further increase both accuracy and completeness. Furthermore, we argue for incorporation of a full pre-event ASA-PS when reporting from p-EMS, thereby enabling us to take comorbidity into account in p-EMS research. By reporting according to the updated template, we may, in the future, enable comparisons and further development of p-EMS.en_US
dc.description.sponsorshipNorwegian Air Ambulance Foundationen_US
dc.publisherUniversity of Stavanger, Norwayen_US
dc.relation.ispartofseriesPhD thesis UiS;
dc.rightsCopyright the author
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectpre-hospital critical careen_US
dc.titleDefining core data for continuous benchmarking in pre-hospital critical careen_US
dc.typeDoctoral thesisen_US
dc.rights.holder© Kristin Tønsageren_US
dc.subject.nsiVDP::Medisinske Fag: 700en_US

Files in this item


This item appears in the following Collection(s)

Show simple item record

Copyright the author
Except where otherwise noted, this item's license is described as Copyright the author