The reliability and accuracy of operational system data in a nationwide helicopter emergency medical services mission database

Show full item record

Permalink

http://hdl.handle.net/10138/306835

Citation

Heino , A , Iirola , T , Raatiniemi , L , Nurmi , J , Olkinuora , A , Laukkanen-Nevala , P , Virkkunen , I & Tommila , M 2019 , ' The reliability and accuracy of operational system data in a nationwide helicopter emergency medical services mission database ' , BMC Emergency Medicine , vol. 19 , no. 1 , 53 . https://doi.org/10.1186/s12873-019-0265-y

Title: The reliability and accuracy of operational system data in a nationwide helicopter emergency medical services mission database
Author: Heino, A.; Iirola, T.; Raatiniemi, L.; Nurmi, J.; Olkinuora, A.; Laukkanen-Nevala, P.; Virkkunen, I.; Tommila, M.
Contributor: University of Helsinki, HUS Emergency Medicine and Services
Date: 2019-10-15
Number of pages: 6
Belongs to series: BMC Emergency Medicine
ISSN: 1471-227X
URI: http://hdl.handle.net/10138/306835
Abstract: Aim 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. Methods 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. Results 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. Conclusion 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.
Subject: Clinical quality registry
HEMS
Pre-hospital
Documentation
Data reliability
DATA QUALITY
REGISTRY
SCALE
3126 Surgery, anesthesiology, intensive care, radiology
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
document_3.pdf 598.5Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record