TY - JOUR
T1 - A consensus based template for reporting of pre-hospital major incident medical management
AU - Fattah, Sabina
AU - Rehn, Marius
AU - Lockey, David
AU - Thompson, Julian
AU - Lossius, Hans Morten
AU - Wisborg, Torben
AU - Major Incidence Reporting Collaborators
AU - Debacker, Michel
AU - Davies, Gareth
AU - Frischknecht Christensen, Erika
AU - Hallikainen, Juhana
AU - Hansen, Troels Martin
AU - Juffermans, Jorine
AU - Kulling, Per
AU - Magnusson, Vidar
AU - Mellin-Olsen, Jannicke
AU - Milke, Kai
AU - Rüter, Anders
AU - JM Sollid, Stephen
AU - Voelckel., Wolfgang
PY - 2014/1/30
Y1 - 2014/1/30
N2 - BACKGROUND: Structured reporting of major incidents has been advocated to improve the care provided at future incidents. A systematic review identified ten existing templates for reporting major incident medical management, but these templates are not in widespread use. We aimed to address this challenge by designing an open access template for uniform reporting of data from pre-hospital major incident medical management that will be tested for feasibility.METHODS: An expert group of thirteen European major incident practitioners, planners or academics participated in a four stage modified nominal group technique consensus process to design a novel reporting template. Initially, each expert proposed 30 variables. Secondly, these proposals were combined and each expert prioritized 45 variables from the total of 270. Thirdly, the expert group met in Norway to develop the template. Lastly, revisions to the final template were agreed via e-mail.RESULTS: The consensus process resulted in a template consisting of 48 variables divided into six categories; pre-incident data, Emergency Medical Service (EMS) background, incident characteristics, EMS response, patient characteristics and key lessons.CONCLUSIONS: The expert group reached consensus on a set of key variables to report the medical management of pre-hospital major incidents and developed a novel reporting template. The template will be freely available for downloading and reporting on http://www.majorincidentreporting.org. This is the first global open access database for pre-hospital major incident reporting. The use of a uniform dataset will allow comparative analysis and has potential to identify areas of improvement for future responses.
AB - BACKGROUND: Structured reporting of major incidents has been advocated to improve the care provided at future incidents. A systematic review identified ten existing templates for reporting major incident medical management, but these templates are not in widespread use. We aimed to address this challenge by designing an open access template for uniform reporting of data from pre-hospital major incident medical management that will be tested for feasibility.METHODS: An expert group of thirteen European major incident practitioners, planners or academics participated in a four stage modified nominal group technique consensus process to design a novel reporting template. Initially, each expert proposed 30 variables. Secondly, these proposals were combined and each expert prioritized 45 variables from the total of 270. Thirdly, the expert group met in Norway to develop the template. Lastly, revisions to the final template were agreed via e-mail.RESULTS: The consensus process resulted in a template consisting of 48 variables divided into six categories; pre-incident data, Emergency Medical Service (EMS) background, incident characteristics, EMS response, patient characteristics and key lessons.CONCLUSIONS: The expert group reached consensus on a set of key variables to report the medical management of pre-hospital major incidents and developed a novel reporting template. The template will be freely available for downloading and reporting on http://www.majorincidentreporting.org. This is the first global open access database for pre-hospital major incident reporting. The use of a uniform dataset will allow comparative analysis and has potential to identify areas of improvement for future responses.
KW - Consensus
KW - Documentation
KW - Emergencies
KW - Emergency Medical Services
KW - Group Processes
KW - Humans
KW - Norway
KW - Quality of Health Care
KW - Research Support, Non-U.S. Gov't
KW - Pre-hospital disaster management
KW - open access template
KW - medical management
U2 - 10.1186/1757-7241-22-5
DO - 10.1186/1757-7241-22-5
M3 - Article
C2 - 24517242
VL - 22
SP - 5
JO - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
JF - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
SN - 1757-7241
M1 - 10.1186/1757-7241-22-5
ER -