Quality indicators for post-resuscitation care after out-of-hospital cardiac arrest: A Joint statement from the Association for Acute CardioVascular Care (ACVC) of the European Society of Cardiology, the European Resuscitation Council (ERC), the European Society of Intensive Care Medicine (ESICM), and the European Society for Emergency Medicine (EUSEM).
Por:
Grand J, Schiele F, Hassager C, Nolan JP, Khoury A, Sionis A, Nikolaou N, Donadello K, Behringer W, Böttiger BW, Combes A, Quinn T, Price S, Jorge-Perez P
Publicada:
3 abr 2023
Ahead of Print:
4 feb 2023
Resumen:
Quality of care (QoC) is a fundamental tenet of modern healthcare and has become an important assessment-tool for healthcare authorities, stakeholders and the public. However, QoC is difficult to measure and quantify because it is a multifactorial and multidimensional concept. Comparison of clinical institutions can be challenging when QoC is estimated solely based on clinical outcomes. Thus, measuring quality through quality indicators (QIs) can provide a foundation for quality assessment and has become widely used in this context. QIs for the evaluation of QoC in acute myocardial infarction are now well-established, but no such indicators exist for the process from resuscitation of cardiac arrest and post-resuscitation care in Europe. In this context, the Association of Acute Cardiovascular Care of the European Society Cardiology, the European Resuscitation Council, European Society of Intensive Care Medicine and the European Society for Emergency Medicine, have reflected on the measurement of QoC in cardiac arrest. A set of QIs have been proposed, with the scope to unify and evolve QoC for the management of cardiac arrest across Europe. We present here the list of QIs (6 primary QIs and 12 secondary Qis), with descriptions of the methodology used, scientific justification and motives for the choice for each measure with the aim that this set of QIs will enable assessment of the quality of post-out-of-hospital cardiac arrest management across Europe.
Filiaciones:
Grand J:
Department of Cardiology, Amager-Hvidovre Hospital, University Hospital of Copenhagen, Copenhagen, Denmark
Department of Cardiology, University Hospital of Copenhagen, Rigshospitalet, the heart center, Copenhagen, Denmark
Schiele F:
Cardiology Department, Besançon University Hospital, BesançonFrance
Hassager C:
Department of Cardiology, University Hospital of Copenhagen, Rigshospitalet, the heart center, Copenhagen, Denmark
Nolan JP:
Warwick Medical School, University of Warwick, Coventry, UK
Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK
Khoury A:
Department of Emergency Medicine and Critical Care, Besançon University Hospital, Besançon, France
INSERM CIC 1431, Besançon University Hospital, Besançon, France
Sionis A:
Intensive Cardiac Care Unit, Cardiology Department, Hospital de Sant Pau, IIB-Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBER-CV), Madrid, Spain
Nikolaou N:
Intensive Cardiac Care Unit, Cardiology Department, Konstantopouleio General Hopsital, Athens, Greece
Donadello K:
Department of Anesthesia and Intensive Care Medicine B, Department of Surgery, Dentistry, Gynaecology and Paediatrics, University of Verona, AOUI-University Hospital Integrated Trust of Verona, Policlinico G.B. Rossi, P.le L. Scuro, Verona, Italy
Behringer W:
Department of Emergency Medicine, Medical University Vienna, Vienna, Austria
Böttiger BW:
Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
European Resuscitation Council (ERC), Niel, Belgium
German Resuscitation Council (GRC), Ulm, Germany
Combes A:
Sorbonne Université INSERM Unité Mixte de Recherche (UMRS) 1166, Institute of Cardiometabolism and Nutrition, Paris, France
Service de Médecine Intensive-Réanimation, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition
Quinn T:
Kingston University and St. Georges, University of London, London, United Kingdom
Price S:
Departments of Cardiology and Critical Care, Royal Brompton & Harefield Hospitals, London, UK
National Heart and Lung Institute, Imperial College London, London, UK
Jorge-Perez P:
Department of Cardiology, Canary Islands University Hospital, La Laguna, 38320 Santa Cruz de Tenerife, Spain
Bronze, All Open Access; Bronze
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