Performance Assessment of Sri Lankan Prehospital Ambulance Service
Background: Ischemic Heart Disease (IHD) is the leading cause of mortality that raised demand for pre-hospital emergency care in Sri Lanka. Understanding the performance of Sri Lanka's 1990 ambulance service is essential to improve its quality and to reduce morbidity and mortality associated wi...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2020-07-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | https://journal.astes.org.al/index.php/AJTES/article/view/113 |
| _version_ | 1828533194186555392 |
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| author | Pamila Sadeeka ADIKAR Ravindra PATHIRATHNA, Dr Chanaka LIYANAGE, Dr Pradeep RATNASEKARE, Dr |
| author_facet | Pamila Sadeeka ADIKAR Ravindra PATHIRATHNA, Dr Chanaka LIYANAGE, Dr Pradeep RATNASEKARE, Dr |
| author_sort | Pamila Sadeeka ADIKAR |
| collection | DOAJ |
| description | Background: Ischemic Heart Disease (IHD) is the leading cause of mortality that raised demand for pre-hospital emergency care in Sri Lanka. Understanding the performance of Sri Lanka's 1990 ambulance service is essential to improve its quality and to reduce morbidity and mortality associated with the disease. This study aims to describe socio-demographic characteristics, evaluate the clinical assessment and management process of patients presenting with acute chest pain of cardiac in origin.
Methods: A descriptive study conducted in Gampaha District, of the Western Province of Sri Lanka. A total of 154 records of patients rang the 1990 call centre over three months with acute chest pain were selected. Composite values for treatment and examinations as a percentage were plotted on run-charts to assess performance and its variations over the study period.
Results: 47.4% of the study group were in 35-65 age group, 53.2% were males and 81.8% had a typical presentation. The median for composite value for examination as a percentage was 89.5% indicating substantial control and alignment with the reference package with normal cause variation. The median composite value for treatment as a percentage was 9.96%, a low value with normal cause variation.
Conclusion: A good control of the processes of clinical examination and treatment is apparent. A higher median for composite value for examination as a percentage attributed to the formal training process of the ambulance staff. Although a low median was obtained for the composite value for treatment as a percentage, it was stable and pointed room for improvement. |
| first_indexed | 2024-12-11T23:05:33Z |
| format | Article |
| id | doaj.art-d8fdf4f1c64b435a8cf4d9a16f3718e9 |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-12-11T23:05:33Z |
| publishDate | 2020-07-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-d8fdf4f1c64b435a8cf4d9a16f3718e92022-12-22T00:46:56ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222020-07-014210.32391/ajtes.v4i2.113Performance Assessment of Sri Lankan Prehospital Ambulance ServicePamila Sadeeka ADIKAR0Ravindra PATHIRATHNA, Dr1Chanaka LIYANAGE, Dr2Pradeep RATNASEKARE, Dr3Fiona Stanley Hospital- Western AustraliaMinistry of Health, Sri LankaPostgraduate Institute of Medicine, University of Colombo, Sri LankaCastle Street Hospital for Women, Colombo, Sri LankaBackground: Ischemic Heart Disease (IHD) is the leading cause of mortality that raised demand for pre-hospital emergency care in Sri Lanka. Understanding the performance of Sri Lanka's 1990 ambulance service is essential to improve its quality and to reduce morbidity and mortality associated with the disease. This study aims to describe socio-demographic characteristics, evaluate the clinical assessment and management process of patients presenting with acute chest pain of cardiac in origin. Methods: A descriptive study conducted in Gampaha District, of the Western Province of Sri Lanka. A total of 154 records of patients rang the 1990 call centre over three months with acute chest pain were selected. Composite values for treatment and examinations as a percentage were plotted on run-charts to assess performance and its variations over the study period. Results: 47.4% of the study group were in 35-65 age group, 53.2% were males and 81.8% had a typical presentation. The median for composite value for examination as a percentage was 89.5% indicating substantial control and alignment with the reference package with normal cause variation. The median composite value for treatment as a percentage was 9.96%, a low value with normal cause variation. Conclusion: A good control of the processes of clinical examination and treatment is apparent. A higher median for composite value for examination as a percentage attributed to the formal training process of the ambulance staff. Although a low median was obtained for the composite value for treatment as a percentage, it was stable and pointed room for improvement.https://journal.astes.org.al/index.php/AJTES/article/view/113AmbulancesIschemic Heart DiseasesPrehospital Emergency Care |
| spellingShingle | Pamila Sadeeka ADIKAR Ravindra PATHIRATHNA, Dr Chanaka LIYANAGE, Dr Pradeep RATNASEKARE, Dr Performance Assessment of Sri Lankan Prehospital Ambulance Service Albanian Journal of Trauma and Emergency Surgery Ambulances Ischemic Heart Diseases Prehospital Emergency Care |
| title | Performance Assessment of Sri Lankan Prehospital Ambulance Service |
| title_full | Performance Assessment of Sri Lankan Prehospital Ambulance Service |
| title_fullStr | Performance Assessment of Sri Lankan Prehospital Ambulance Service |
| title_full_unstemmed | Performance Assessment of Sri Lankan Prehospital Ambulance Service |
| title_short | Performance Assessment of Sri Lankan Prehospital Ambulance Service |
| title_sort | performance assessment of sri lankan prehospital ambulance service |
| topic | Ambulances Ischemic Heart Diseases Prehospital Emergency Care |
| url | https://journal.astes.org.al/index.php/AJTES/article/view/113 |
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