Skip to main content

Table 2 Performance Measurement Framework for collapse in ambulance – CIA

From: Assessment of ambulance interventions; proposal of a performance measurement framework for healthcare improvement in EMS response to patient collapse

Category

Indicator

Likert scale (0–3) – Scoring out of 100

Below expectations (0) 0%

Partially meet expectations (1) 50%

Meet expectations (2) 75%

Exceed expectations (3) 100%

Structure

EMD Compliance (Call Evaluation)

Non-Compliance/Low Compliant

Partially Compliant

Compliant

High Compliant

ETC Compliance (Call Evaluation)

Non-Compliance/Low Compliant

Partially Compliant

Compliant

High Compliant

Call Dispatch Time

More than 90 s

-

Less than 90 s

Management of fleet/biomedical equipment and logistics

Ambulance not ready for an emergency

Real time issues

No fleet/logistic/biomedical issues

The real-time issue was killed efficiently without compromising the patient

Station Supervisor (SS) Remarks **

No intervention of SS (Lack of signature plus remarks)

lack of SS remarks (Only signature present)

SS remarks, properly signed & errors highlighted

SS ME + Action points

Post-intervention procedures **

Post-intervention procedure not done

-

Post-intervention procedure done

Process

Movement Response Time

Moved after 2 min

Moved within 2 min

Moved within 1 min

Movement below or equal to 30 s/staff himself intervened for emergency response

Hospital Handing-Taking

Not done

Vitals taken and handling done

1 + checked IV-line, infusion Status, and documentation

2 + Anticipated management asked for/ done

Patient Counseling

Not Attempted

Partially done

Done properly

Done properly/ Decision of attendant changed

Patient Management

Not done

Partially done

Done Properly as per protocol

2 + Patient revert ROCS achieved

Documentation

Not done/False/fake documentation

Missed some points/overwriting

Adequate documentation

Documented everything, no error, no overwriting, properly readable and matching with the treatment given

Request for Physician supervision

Not asked or asked after 30 min

-

Asked within 15 min

Medical Help by MO (Call Evaluation)

Medical help not provided adequately

Medical help only as per symptoms/sign

History/vitals taken, assessment done and help provided remains on call if needed, CPR protocol and dose if needed

ME + Proactive assessment and instructions

Outcome

Caller Feedback

unsatisfied

Partially satisfied.

satisfied

highly satisfied