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Table 5 Quality assurance and quality improvement

From: Overcoming distance: an exploration of current practices of government and charity-funded critical care transport and retrieval organizations

Location

Organization

Quality assurance/quality improvement

Australia

Air Ambulance Victoria

Safer Care Victoria, multiple state and national registries, equipment standardization, routine use of checklists, and monthly clinical governance days including case reviews and various audits

Australia

Greater Sydney Area HEMS

Anesthesia (rapid sequence induction [RSI]), transfusion and ultrasound audits, clinical excellence commission, equipment standardization, routine use of checklists, and physician follow-up for all transported patients

Australia

Retrieval Services Queensland

Quality management system, clinical incident management system, various monthly clinical audits, and equipment standardization

Australia

RFDS Queensland

Mandatory reporting and review of “high-interest events” withing 24 h, quality assurance committee reporting to Queensland Health, bimonthly case reviews, and state-wide aeromedical meeting

Canada

BCEHS

Airway registry

Canada

EHS LifeFlight

Airway registry and transfusion audits

Canada

Ornge

Anesthesia (RSI), CCT and transfusion audits, and equipment standardization

Canada

STARS

Review of all ePCRs by either the base physician or senior clinician; airway and transfusion audits, and equipment standardization

Finland

FinnHEMS

FinnHEMS database was established to record detailed information on all HEMS missions in the country

New Zealand

Northern Helicopter Rescue

Ground Air Medical qUality Transport (GAMUT) quality improvement collaborative, and anesthesia (RSI), transfusion, and ultrasound audits

Norway

Norwegian Air Ambulance

Anesthesia (RSI), CCT and transfusion audits

Wales

EMRTS Cymru

Anesthesia (RSI and procedural sedation), CCT and transfusion audits, equipment standardization, and routine use of checklists

  1. BCEHS: British Columbia Emergency Health Services; EMRTS: Emergency Medical Retrieval and Transfer Service; HEMS: Helicopter Emergency Medical Services; RFDS: Royal Flying Doctor Service; RSQ: Retrieval Services Queensland; STARS: Shock Trauma and Rescue Services