TRAUMA CAREINPREHOSPITAL, EMERGENCY DEPARTMENT, AND INTER-FACILITY TRANSFER: A LITERATURE REVIEW
This study aimed to analyze the quality of trauma care in Thailand at the prehospital, emergency department, and inter-facility transfer settings. Total of 37 articles were reviewed, which composed of 9 studies in prehospital settings, 19 studies in emergency department, and 9 studies in inter-facility transfer settings. The findings showed that contexts related to trauma care in prehospital, emergency department, and inter-facility transfer settings were associated with numbers of rescuers, distance to scene on time to dispatch center, and corporation of community. Inputs to improve quality of care were divided into knowledge, rescuers’ skills, communication skills, and decision-making ability of the rescuers at the scene, emergency department, and inter-facility patient transfer. In addition, an adequate quality of the equipment was other input related to factors. Process of care included communication skills between the senders and recipients, possessing knowledge, experience, skills of the rescuers, available clinical practice guideline, decision-making ability of the rescuers, and organization supporting policy. Outcome indicators include mortality rate, rescue time at a scene and at an emergency department, transportation time, competencies of rescuers, satisfaction and information needs of patients and caregivers. The findings of this review can be used in proposal for policies to improve the quality of prehospital, emergency department, and inter-facility transfer care in Thailand.
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