Notfallmedizinischer Kennzahlen- und Benchmarkbericht Tirol: Ein Meilenstein

Abstract

Background: The target of quality management is to improve medical care through a review process of concrete benchmarks. By order of the highest medical authority of the Tyrolean emergency services, the internal indicator analysis (IA) of prehospital treatment in 2013 was developed, followed by the creation of the first Tyrolean benchmark analysis (BA) for the first half of 2015. The aims were to check the validity, determine discrepancies, re-evaluate some of the BA parameters in greater depth, and communicate the BA to the EMS bases. Methods: Tactical deployment intervals and medical benchmarks (MB) relevant for EMS were compared between the IA and BA to identify relevant discrepancies. An error ratio of 10% has been taken into account when the MB target values were defined. Results: A 5% discrepancy between the IA and BA for “symptom onset” and “blood glucose monitoring” in the indicator “stroke” was found. When the treatment period at the emergency location was longer for the indicator “ACS” comparing EMS bases, then it was also longer for the indicator “stroke”. Conclusion: The treatment time is longer for ACS than for stroke because more medical monitoring tasks are needed for ACS. It is unclear why the EMS-base order for the 50th percentile does not correlate with the 90th percentile.