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Regionalization of EMS Medical Direction for Naval Medical Forces Pacific
Military Medicine ( IF 1.2 ) Pub Date : 2021-09-24 , DOI: 10.1093/milmed/usab384
Emily Raetz 1 , Elliot Ross 1 , Brittany Dickerson 2 , Benjamin Walrath 3
Affiliation  

Introduction Medical direction has been the cornerstone to safe and effective prehospital and enroute care since the establishment of emergency medical services (EMS). Medical oversight by a physician has been shown to improve clinical outcomes in both settings. When the Navy Regional Office of the EMS Medical Director was established in 2016, it brought additional resources, including the addition of a paramedic and nurse EMS analyst and recruitment of additional local medical directors (LMDs). This, combined with the engagement of military leadership, allowed for expansion and improvement of medical direction in our prehospital and enroute care system and the establishment of a continuous quality improvement (CQI) program. Materials and Methods In 2017, a database was created to collect total run volume, acuity of calls, number of certain time-sensitive conditions, and CQI performance. A retrospective review of this database was conducted. This project was deemed institutional review board exempt. Results LMD reports that submission went from 17% for 2017 to 64% for 2018, 91% for 2019, and 79% for 2020. In 2019, 67% of the sites had verifiable CQI programs and, in 2020, this improved to 80% of sites. The review also revealed insight into levels of acuity seen by prehospital and enroute care providers. Conclusion Our results demonstrate that improvement in medical oversight in a large regional prehospital system can be achieved through persistence and engagement of nonmedical leadership.

中文翻译:

太平洋海军医疗部队 EMS 医疗方向的区域化

简介 自紧急医疗服务 (EMS) 成立以来,医疗方向一直是安全有效的院前和途中护理的基石。事实证明,医生的医疗监督可以改善这两种情况下的临床结果。2016 年 EMS 医学主任海军地区办公室成立时,它带来了额外的资源,包括增加一名护理人员和护士 EMS 分析师,以及招聘更多的当地医学主任 (LMD)。这与军事领导的参与相结合,允许扩大和改进我们院前和途中护理系统的医疗方向,并建立持续质量改进 (CQI) 计划。材料和方法 2017 年,创建了一个数据库来收集总运行量、呼叫敏锐度、某些时间敏感条件的数量和 CQI 性能。对该数据库进行了回顾性审查。该项目被认为是机构审查委员会豁免的。结果 LMD 报告称,提交的数据从 2017 年的 17% 增加到 2018 年的 64%,2019 年的 91% 和 2020 年的 79%。2019 年,67% 的站点具有可验证的 CQI 程序,到 2020 年,这一比例提高到 80%的网站。该审查还揭示了对院前和途中护理提供者所见敏锐度水平的洞察。结论 我们的结果表明,通过非医疗领导的坚持和参与,可以改善大型区域院前系统的医疗监督。结果 LMD 报告称,提交的数据从 2017 年的 17% 增加到 2018 年的 64%,2019 年的 91% 和 2020 年的 79%。2019 年,67% 的站点具有可验证的 CQI 程序,到 2020 年,这一比例提高到 80%的网站。该审查还揭示了对院前和途中护理提供者所见敏锐度水平的洞察。结论 我们的结果表明,通过非医疗领导的坚持和参与,可以改善大型区域院前系统的医疗监督。结果 LMD 报告称,提交的数据从 2017 年的 17% 增加到 2018 年的 64%,2019 年的 91% 和 2020 年的 79%。2019 年,67% 的站点具有可验证的 CQI 程序,到 2020 年,这一比例提高到 80%的网站。该审查还揭示了对院前和途中护理提供者所见敏锐度水平的洞察。结论 我们的结果表明,通过非医疗领导的坚持和参与,可以改善大型区域院前系统的医疗监督。
更新日期:2021-09-24
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