Paramedic PapersHome Operations & systems Few quality indicators for prehospital post-ROSC care
Operations & systems
Few quality indicators for prehospital post-ROSC care
Identifying Quality Indicators for Prehospital Care Following Out-of-Hospital Cardiac Arrest: A Focused Scoping Review
Prehospital Emergency Care · Added 25 August 2026
Scoping review identified 16 potential quality indicators for prehospital post-ROSC care across five domains, highlighting a major evidence gap since only two existing studies listed formal indicators.
- Study type
- Systematic review
- Design
- Focused scoping review (PRISMA-guided)
- Participants
- 46 studies included from 337 records
- Main finding
- Only 2 included studies listed formal quality indicators; 16 potential prehospital post-ROSC quality indicators were extracted across five domains
- Caveat
- Most included studies were in-hospital; scoping review without formal consensus yet
- Bottom line
- Context only
Why it matters in Australia (High relevance). transferability — Directly addresses prehospital practice gap — quality indicators could standardise post-ROSC care and benchmark performance
Learning goal
Understand how quality indicators for prehospital post-ROSC care can strengthen systems-level cardiac arrest practice.
More
- Topic: Operations & systems
- Daily scan: 25 August 2026
Related papers on Operations & systems
-
What makes paramedic teleconsultation work
Qualitative study of 12 UK critical care and clinical advisory paramedics on teleconsultation — its effectiveness hinges on a 'teleconsultation competence gap' in training, organisational culture and whether governance feels punitive rather than supportive.
-
Indirect ICU admissions from Australian ED
Australian observational study found indirect ICU admissions (ED admission to non-critical care ward requiring ICU transfer within 24 hours) accounted for 11.3% of ED-to-ICU admissions, with circulatory insufficiency as the most common reason and hospital mortality of 12.8%.
-
Campus EMS naloxone and harm reduction survey
National survey examined harm reduction programs in collegiate-based EMS agencies, assessing naloxone distribution, overdose response, and substance use support services.
-
Defining diagnostic excellence in the ED
Consensus study using a modified RAND/UCLA panel method to define diagnostic excellence and missed diagnostic opportunity in emergency departments — diagnostic excellence is accurate, timely, evidence-based, and patient-centered communication of a diagnosis based on available information, while a missed diagnostic opportunity is a measurable divergence from optimal practice that may lead to inaccurate/delayed explanations or communication failures.