Skip to main content
Top
Published in: Systematic Reviews 1/2024

Open Access 01-12-2024 | Emergency Medicine | Protocol

How can quality be measured within a physician-led Community Emergency Medical service? A scoping review protocol

Authors: Jamie Scott, Libby Thomas, Tony Joy, Paddy McCrossan

Published in: Systematic Reviews | Issue 1/2024

Login to get access

Abstract

Background

Quality measurement as part of quality improvement in healthcare is integral for service delivery and development. This is particularly pertinent for health services that deliver care in ways that differ from traditional practice. Community Emergency Medicine (CEM) is a novel and evolving concept of care delivered by services in parts of the UK and Ireland. This scoping review aims to provide a broad overview of how quality may be measured within services delivering CEM.

Methods and analysis

The methodology follows both the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). It is guided by recognised work of Arksey and O’Malley and the guidelines developed by the Joanna Briggs Institute. Several databases will be searched: MEDLINE, EMbase, EMcare, CINAHL, Scopus, the Cochrane Library and grey literature. Search terms have been developed by representatives within Community Emergency Medicine services. Two reviewers will independently screen eligible studies for final study selection. Results will be collected and analysed in descriptive and tabular form to illustrate the breadth of quality indicators that may be applicable to CEM services. This scoping review protocol has been registered with the Open Science Framework platform (osf.io/e7qxg).

Discussion

This is the first stage of a larger research study aimed at developing national quality indicators for CEM. The purpose of this scoping review is to provide a comprehensive review of quality indicators that could be used within CEM. The results will be mapped using a framework and identify gaps in the literature to help guide future-focused research.
Appendix
Available only for authorised users
Footnotes
1
Covidence—an internet-based software program that facilitates independent collaboration among reviewers during the study selection process. This software will also identify and allow removal of duplicates and produce a schematic diagram of each of the selection stages.
 
Literature
1.
go back to reference Hanks A, Ramage L, Leech C. Community emergency medicine throughout the UK and Ireland: a comparison of current national activity. Emerg Med J. 2021; Hanks A, Ramage L, Leech C. Community emergency medicine throughout the UK and Ireland: a comparison of current national activity. Emerg Med J. 2021;
5.
go back to reference Nutbeam TMBM. ABC of Prehospital Emergency Medicine. Somerset, UK: John Wiley & Sons, Incorporated; 2013. Nutbeam TMBM. ABC of Prehospital Emergency Medicine. Somerset, UK: John Wiley & Sons, Incorporated; 2013.
6.
go back to reference Joy T, et al. Community emergency medicine: taking the ED to the patient: a 12-month observational analysis of activity and impact of a physician response unit. Emerg Med J. 2020;37(9):530–9.CrossRefPubMed Joy T, et al. Community emergency medicine: taking the ED to the patient: a 12-month observational analysis of activity and impact of a physician response unit. Emerg Med J. 2020;37(9):530–9.CrossRefPubMed
8.
go back to reference Mason SM. Physician response units: is taking care to the patient the right thing to do? Emerg Med J. 2020;37(9):528.CrossRefPubMed Mason SM. Physician response units: is taking care to the patient the right thing to do? Emerg Med J. 2020;37(9):528.CrossRefPubMed
9.
go back to reference Raleigh V, Foot C. Getting the measure of quality: Opportunities and challenges. The Kings Fund; 2010. p. 36. Raleigh V, Foot C. Getting the measure of quality: Opportunities and challenges. The Kings Fund; 2010. p. 36.
11.
go back to reference Davies SM, et al. AHRQ Technical Reviews, in Refinement of the HCUP Quality Indicators. Rockville (MD): Agency for Healthcare Research and Quality (US); 2001. Davies SM, et al. AHRQ Technical Reviews, in Refinement of the HCUP Quality Indicators. Rockville (MD): Agency for Healthcare Research and Quality (US); 2001.
12.
go back to reference Fevang E, et al. The top five research priorities in physician-provided pre-hospital critical care: a consensus report from a European research collaboration. Scand J Trauma Resusc Emerg Med. 2011;19(1):57.CrossRefPubMedPubMedCentral Fevang E, et al. The top five research priorities in physician-provided pre-hospital critical care: a consensus report from a European research collaboration. Scand J Trauma Resusc Emerg Med. 2011;19(1):57.CrossRefPubMedPubMedCentral
13.
go back to reference Howard I, et al. Quality indicators for evaluating prehospital emergency care: a scoping review. Prehosp Disaster Med. 2018;33(1):43–52.CrossRefPubMed Howard I, et al. Quality indicators for evaluating prehospital emergency care: a scoping review. Prehosp Disaster Med. 2018;33(1):43–52.CrossRefPubMed
14.
go back to reference Haugland H, et al. Developing quality indicators for physician-staffed emergency medical services: a consensus process. Scand J Trauma Resusc Emerg Med. 2017;25(1):14.CrossRefPubMedPubMedCentral Haugland H, et al. Developing quality indicators for physician-staffed emergency medical services: a consensus process. Scand J Trauma Resusc Emerg Med. 2017;25(1):14.CrossRefPubMedPubMedCentral
15.
go back to reference Garrison HG, et al. Emergency Medical Services Outcomes Project III (EMSOP III): The role of risk adjustment in out-of-hospital outcomes research. Ann Emerg Med. 2002;40(1):79–88.CrossRefPubMed Garrison HG, et al. Emergency Medical Services Outcomes Project III (EMSOP III): The role of risk adjustment in out-of-hospital outcomes research. Ann Emerg Med. 2002;40(1):79–88.CrossRefPubMed
16.
go back to reference Maio RF, et al. Emergency Medical Services Outcomes Project (EMSOP) IV: pain measurement in out-of-hospital outcomes research. Ann Emerg Med. 2002;40(2):172–9.CrossRefPubMed Maio RF, et al. Emergency Medical Services Outcomes Project (EMSOP) IV: pain measurement in out-of-hospital outcomes research. Ann Emerg Med. 2002;40(2):172–9.CrossRefPubMed
17.
go back to reference Spaite DW, et al. Emergency Medical Services Outcomes Project (EMSOP) II: Developing the foundation and conceptual models for out-of-hospital outcomes research. Ann Emerg Med. 2001;37(6):657–63.CrossRefPubMed Spaite DW, et al. Emergency Medical Services Outcomes Project (EMSOP) II: Developing the foundation and conceptual models for out-of-hospital outcomes research. Ann Emerg Med. 2001;37(6):657–63.CrossRefPubMed
18.
go back to reference Types of Health Care Quality Measures. Agency for Healthcare Research and Quality, Rockville, MD. Types of Health Care Quality Measures. Agency for Healthcare Research and Quality, Rockville, MD.
19.
go back to reference Peters MDJ, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–26.CrossRefPubMed Peters MDJ, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–26.CrossRefPubMed
20.
go back to reference Peters MDJ, et al. Best practice guidance and reporting items for the development of scoping review protocols. JBI Evid Synthesis. 2022;20(4) Peters MDJ, et al. Best practice guidance and reporting items for the development of scoping review protocols. JBI Evid Synthesis. 2022;20(4)
22.
go back to reference Lumley HA, et al. A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke. BMC Emerg Med. 2020;20(1):30.CrossRefPubMedPubMedCentral Lumley HA, et al. A scoping review of pre-hospital technology to assist ambulance personnel with patient diagnosis or stratification during the emergency assessment of suspected stroke. BMC Emerg Med. 2020;20(1):30.CrossRefPubMedPubMedCentral
23.
go back to reference Donabedian A. Evaluating the quality of medical care. The Milbank quarterly. 1966;83(4):691–729.CrossRef Donabedian A. Evaluating the quality of medical care. The Milbank quarterly. 1966;83(4):691–729.CrossRef
24.
go back to reference Medicine, R.C.o.E., Improving quality indicators and system metrics for emergency departments in England. 2019: RCEM. Medicine, R.C.o.E., Improving quality indicators and system metrics for emergency departments in England. 2019: RCEM.
25.
go back to reference Desharnais, S.I. The outcome model of quality. 2011. Desharnais, S.I. The outcome model of quality. 2011.
Metadata
Title
How can quality be measured within a physician-led Community Emergency Medical service? A scoping review protocol
Authors
Jamie Scott
Libby Thomas
Tony Joy
Paddy McCrossan
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2024
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-023-02424-w

Other articles of this Issue 1/2024

Systematic Reviews 1/2024 Go to the issue