The aim of this study was to evaluate the reliability and accuracy of documentation in FinnHEMS database, which is a nationwide helicopter emergency service (HEMS) clinical quality registry. This is a nationwide study based on written fictional clinical scenarios. Study subjects were HEMS physicians and paramedics, who filled in the clinical quality registry based on the clinical scenarios. The inter-rater -reliability of the collected data was analyzed with percent agreement and free-marginal multi-rater kappa. Dispatch coding had a percent agreement of 91% and free-marginal multi-rater kappa value of 0.83. Coding for transportation or mission cancellation resulted in an agreement of 84% and free-marginal kappa value of 0.68. An agreement of 82% and a kappa value of 0.73 for dispatcher coding was found. Mission end, arrival at hospital and HEMS unit dispatch -times had agreements from 80 to 85% and kappa values from 0.61 to 0.73. The emergency call to dispatch centre time had an agreement of 71% and kappa value of 0.56. The documentation of pain had an agreement of 73% on both the first and second measurements. All other vital parameters had less than 70% agreement and 0.40 kappa value in the first measurement. The documentation of secondary vital parameter measurements resulted in agreements from 72 to 91% and kappa values from 0.43 to 0.64. Data from HEMS operations can be gathered reliably in a national clinical quality registry. This study revealed some inaccuracies in data registration and data quality, which are important to detect to improve the overall reliability and validity of the HEMS clinical quality register.

中文翻译：

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全国直升机紧急医疗服务任务数据库中操作系统数据的可靠性和准确性

这项研究的目的是评估FinnHEMS数据库中文档的可靠性和准确性，该数据库是一个全国性的直升机紧急服务（HEMS）临床质量注册中心。这是一项基于书面虚构临床场景的全国性研究。研究对象是HEMS医师和护理人员，他们根据临床情况填写了临床质量注册表。使用百分比一致性和自由边际多评价者kappa对收集到的数据的评价者之间的可靠性进行了分析。调度编码的一致性百分比为91％，自由边际多评定者kappa值为0.83。运输或任务取消的编码达成了84％的协议和0.68的自由边际Kappa值。发现调度程序编码的一致性为82％，kappa值为0.73。任务结束 到达医院和HEMS部门的派遣时间一致率为80％到85％，kappa值从0.61到0.73。紧急呼叫调度中心时间的同意率为71％，kappa值为0.56。在第一次和第二次测量中，疼痛记录的一致性为73％。在首次测量中，所有其他重要参数的一致性均低于70％，kappa值为0.40。次要生命参数测量的文档记录表明，一致性介于72％至91％之间，κ值介于0.43至0.64之间。来自HEMS运营的数据可以在国家临床质量注册中心中可靠地收集。这项研究揭示了数据注册和数据质量方面的一些错误，这对于检测以提高HEMS临床质量注册的整体可靠性和有效性非常重要。