Abstract
The practice of risk management and corporate governance relates to all aspects of an organisation’s business and activities. The current focus within the health service is primarily around improving quality by putting the patient first and protecting them from harm and developing a culture of transparency and openness (for instance, the National Health Service (NHS) Outcome Framework). The measurement of quality within ambulance services has also been traditionally limited to operational activities and presents significant challenges due to the unique environment they operate within, in comparison to other types of healthcare providers. Ambulance services across England use the Clinical Performance Indicator Care Bundle to measure and monitor the quality of care given to patients. Reviewing the current state of development of ambulance quality indicators, the authors conclude that the care received by patients in the pre-hospital arena could be measured and monitored using the Clinical Leadership Education Accountability and Responsibility (CLEAR) framework.
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References
Association of Ambulance Chief Ambulance Officers. (2011). Taking healthcare to the patient 2: A review of 6 years progress and recommendations for the future. London: AACE.
Brice, J. H., Studnek, J. R., Bigham, B. L., et al. (2012). EMS provider and patient safety during response and transport: Proceedings of an ambulance safety conference. Prehospital Emergency Care, 16, 3–19.
Department of Health (DH) (2000). An organisation with a Memory. London: The Stationery Office.
Department of Health (DH). (2005). Taking healthcare to the patient. Transforming NHS Ambulance Services. London: The Stationery Office.
Department of Health (DH) (2008). High quality care for all. London: The Stationery Office.
Department of Health (DH) (2013a). A promise to learn—a commitment to act: Improving the safety of patients in England. London: Department of Health.
Department of Health (DH) (2013b). Review into the quality of care and treatment provided by 14 hospital trusts in England: Overview report. Leeds: NHS England.
HMSO (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office.
Hegg-Deloye, S., Brassard, P., Jauvin, N., Prairie, J., Larouche, D., Poirier, P., Tremblay, A., & Philippe, C. (2014). Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics. Emergency Medicine Journal, 31, 242–247.
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.
National Audit Office. (2011). Transforming NHS Ambulance Services. London: The Stationery Office.
National Patient Safety Agency. (2011). Patient Safety First: 2008 to 2010, the campaign review. London: National Patient Safety Agency.
Price, R., Bendall, J. C., Patterson, J. A., & Middleton, P. M. (2013). What causes adverse events in prehospital care? A human-factors approach. Emergency Medicine Journal, 30, 583–588.
Resar, R., Pronovost, P., Haraden, C., Simmonds, T., et al. (2005). Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Joint Commission Journal on Quality and Patient Safety, 31(5):243–248.
Shaban, R., Wyatt-Smith, C. M., & Cumming, J. J. (2004). Uncertainty, error and risk in human clinical judgment: Introductory theoretical frameworks in paramedic practice. Journal of Emergency Primary Health Care, 2, 1–11.
Siriwardena, A. N., Shaw, D., Donohoe, R., Black, S., & Stephenson, J. (2010). Development and pilot of clinical performance indicators for English ambulance services. Emergency Medicine Journal, 27, 327–331.
Siriwardena, A. N., Shaw, D., Essam, N., Togher, F. J., Davy, Z., Spaight, A., & Dewey, M. (2014). The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England. Implementation Science, 9, 17.
Teasdale, G. M. (2008). Quality in healthcare and the quest for improvement. Scottish Medicine Journal, 53, 3–6.
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Peters, M., Barnard, S., Dorrian, M., Mackway-Jones, K. (2015). A Strategy for Managing Quality in Ambulance Services. In: Wankhade, P., Mackway-Jones, K. (eds) Ambulance Services. Springer, Cham. https://doi.org/10.1007/978-3-319-18642-9_3
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DOI: https://doi.org/10.1007/978-3-319-18642-9_3
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