A decade ago the quality of ambulance services was assessed based on response times...
!
!
!
!
!
...but with pressure on emergency services increasing due to a growing number and range of emergencies...
...new measures were needed to assess the quality of ambulance service care
The Community and Health Research Unit (CaHRU)
...carried out research in order to explore:
- Potential outcome measures relevant to patients and the NHS
- Quality, variations and gaps in care
The group developed and piloted the first clinical indicators used by English ambulance services to compare the quality of clinical care
Prehospital Outcomes for Evidence Based Evaluation (PhOEBE)
...which led to the identification of shortfalls in prehospital care for heart attack...
...and informed indicator development and
quality improvement
initiatives in the US,
Middle East and
Canada
a five-year study taking a patient-centred approach to improving ambulance measures...
... and Plan-Do-Study-Act (PDSA) cycles used to educate ambulance staff in Quality Improvement methods and how to implement these changes
The Ambulance Services Cardiovascular Quality Initiative (ASCQI)
The work
was featured
in a national
report...
...led national initiatives to address gaps in care with large improvements in quality and explanations of how these came about...
aimed to improve the delivery of pre-hospital cardiovascular care...
...involved collaboration between ambulance services, higher education institutions and patient groups...
...to develop new ways of measuring the impact of ambulance services in order to support quality improvement
patients suffering severe heart attack were given
aspirin when they needed it...
...while fewer than
The Development and Implementation of Pre-hospital Outcome Measures
95%
of patients in another were given this essential
treatment
The findings have informed the UK Ambulance Response Programme and shaped the new ambulance standards introduced in 2017...
50%
WHAT THIS MEANS FOR ME...
Improvements are being made with input from patients as well as professionals
New measures have been developed to assess ambulance services to improve patient care
WHERE CAN I FIND MORE INFORMATION?
Ambulance Services Cardiovascular Quality Initiative (ASCQI): http://ascqi.co.uk/
Prehospital Outcomes for Evidence Based Evaluation (PHOEBE): http://cahru.org.uk/research/peqo/phoebe/
CaHRU Prehospital Emergency Quality and Outcomes research: http://cahru.org.uk/research/peqo/
It was found that in one ambulance service around
...and have been reported in an online review and animation
Ambulance staff are receiving training to improve the quality of service for patients
P
D
S
A
