ORIGINAL ARTICLE

Development of performance evaluation indicators for pre-hospital emergency centers

Rohollah Askari, Mohammad Amin Bahrami, Saeed Reza Pahlavanpoor, Fatemeh Afzali

Rohollah Askari
Shahid Sadouqhi University of Medical Sciences, Yazd, Iran

Mohammad Amin Bahrami
Shahid Sadouqhi University of Medical Sciences, Yazd, Iran

Saeed Reza Pahlavanpoor
Shahid Sadouqhi University of Medical Sciences, Yazd, Iran

Fatemeh Afzali
Shahid Sadouqhi University of Medical Sciences, Yazd, Iran. Email: raskari@yahoo.com
Online First: January 01, 2018 | Cite this Article
Askari, R., Bahrami, M., Pahlavanpoor, S., Afzali, F. 2018. Development of performance evaluation indicators for pre-hospital emergency centers. Bali Medical Journal 7(1): 182-191. DOI:10.15562/bmj.v7i1.898


Abstract
Introduction
Pre- hospital emergency health care plays an important role in saving people’s lives. Proper performances of various parts of this system result in rapid and timely deployment of ambulance in patient’s place and prevention of death and disability. Thus, the present study was done in order to Compiling of performance evaluation indicators for pre-hospital emergency Centers in 2017.
Methods
The present study is a qualitative- quantitative research which was conducted in 2017. In order to compiling the indexes for evaluating the performance of pre-hospital emergency centers, the study was done in two phases. In phase one of the study, primary items and their fields were identified in accordance with the present literature. In the second phase, Delphi technic in three rounds was used to finalize the items and the fields. In the first round of Delphi technic, the identified items and fields were given to experts in forms of check list. The items and fields with average of >4 and standard deviation of <1 were confirmed, items with average of <2 and standard deviation of <1 were removed, and other items were randomly passed into round two. In the second round, all the items with average of >4 and standard deviation of <1 were confirmed, items with average of <3 and standard deviation of <1 were removed, and other items were randomly passed into round three. In round three, only items with average of >4 and standard deviation of <1 were confirmed and other items were removed.
Results
The results of the study showed that 9 items in field of facilities and physical space, 10 items in field of communication, 10 items in field of ambulance, 8 items in field of human resources, 9 items in field of regulations and protocols, 3 items in field of storing equipment in the center, and 3 items in field of training were identified.
Conclusion
Considering the identification of seven effective factors in improving quantitative and qualitative level of pre-hospital emergency services, it is highly important for authorized managers and decision-makers to plan and enhance all necessary factors.

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