• Scand J Trauma Resus · May 2014

    Editorial Review

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

    • Marius Rehn and Andreas J Krüger.
    • Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway. marius.rehn@norskluftambulanse.no.
    • Scand J Trauma Resus. 2014 May 29; 22: 3434.

    AbstractPre-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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