|Project title||Pre-hospital Outcomes for Evidence-Based Evaluation (PhOEBE)|
|Funding body||National Institute for Health Research – Programme Grant for Applied Health Research|
|Overarching aim||The aim of this research programme is to develop new ways of measuring the impact of ambulance service care to support quality improvement through monitoring, auditing and service evaluation.|
|Outcomes||Develop a method for linking healthcare information into a format that can be used to support quality improvement, is acceptable to patients and complies with information legislation. Develop population-based models for measuring the impact of pre-hospital care that can be used to monitor quality and safety, evaluate new service innovations and support quality improvement. Provide added value by using routine information and NHS infrastructure to operationalise the process and outcome models so they will be of use across the NHS.|
Coster J, Irving AD, Turner JK, Phung VH, Siriwardena AN (2017). Prioritizing novel and existing ambulance performance measures through expert and lay consensus: a three-stage multimethod consensus study. Health Expectations 00-1-12 (online).
Irving A, Turner J, Marsh M, Broadway-Parkinson A, Fall D, Coster J, Siriwardena AN (2017). A coproduced patient and public event: an approach to developing and prioritizing ambulance performance measures. Health Expectations 00:1-9 (online).
Siriwardena AN, Togher FJ. Feeling reassured: the glue that holds together patients’ experiences of ambulance service care. Ambulance Today 2015: 33-35.
Togher F, O’Cathain A, Phung VH, Turner J, Siriwardena AN. Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study. Health Expectations 2014 (online).
Coster J, Siriwardena AN, Turner J, Jacques R, Crum A, Nicholl J, OP06 Multi-method development of new amdbulance service quality and performance measures. Emerg Med J 2017 34: e2.
Coster J, Jacques R, Turner J, Crum A, Nicholl J. PP12 New indicators for measuring patient survival following ambulance service care. Emerg Med J 2017 34: e4.
Crum A, Coster J, Turner J, Siriwardena AN. PP16 Creating a linked dataset to explore patient outcomes after leaving ambulance care. Emerg Med J 2017 34: e6.
Togher F, Turner J, Siriwardena AN, O’Cathain A. What do users value about the emergency ambulance service? Emerg Med J 2015;32:e9.
Phung V, Booth A, Coster J, Turner J, Wilson R, Siriwardena AN. Prehospital outcomes for ambulance service care: systematic review. Emerg Med J 2015, 32 (5): e10.2-e10.
Coster J,Wilson R, Siriwardena AN,Phung V-H. Developing new ways of measuring the impact of ambulance service care. 8th European Congress on Emergency Medicine, 28 September -1 October 2014, Westergasfabriek BV, Amsterdam.
Coster J. How should we measure ambulance service quality and performance? Results from a Delphi study. 8th European Congress on Emergency Medicine, 28 September -1 October 2014, Westergasfabriek BV, Amsterdam 8th European Congress on Emergency Medicine, 28 September -1 October 2014, Westergasfabriek BV, Amsterdam. Top scoring abstract: How should we measure ambulance service quality and performance? This was a high scoring abstract (ranked in the top 3 out of 1000) and was presented at the EuSEM 2014 Awards Ceremony and at the Prehospital Emergency Medicine Lightning Session at the European Society of Emergency Medicine (EuSEM).
Turner J,Irving A,Wilson R, Siriwardena AN,Phung VH. How should we measure ambulance service quality and performance? International Conference on Emergency Medicine, 11-14 June 2014, Hong Kong Convention and Exhibition Centre.
Turner J,Irving A,Wilson R, Siriwardena AN,Phung V-H. Moving on from response rates: linking patient level ambulance data to ED, hospital and survival data to assess quality and performance. International Conference on Emergency Medicine, 11-14 June 2014, Hong Kong Convention and Exhibition Centre.
Coster JE, Turner J, Siriwardena AN, Wilson R, Phung VH. OP70 Prioritising outcome measures for ambulance service care: a three stage consensus study. J Epidemiol Community Health 2013;67:A33-A34.
Coster J. Prioritising outcomes measures for ambulance service care: a three stage consensus study. Society for Social Medicine 57th Annual Scientific Meeting 2013.
Coster J. Prioritising pre-hospital outcome measures with a multi-stakeholder group: a consensus methods study. International Forum on Quality & Safety in Health Care 2013.
Togher F. What service users value in their experience of emergency ambulance use. Society for Academic Primary Care Annual Scientific Meeting, Nottingham, 3-5 July 2013.
Togher F. What do users value about the emergency ambulance service? Trent Regional SAPC Meeting, Sheffield, 5 March 2013.
This project will change the way in which the quality of ambulance services is measured. It will enable ambulance services to go beyond just measuring performance in terms of response times. This will impact on the operation of ambulance services from organisations that concentrate on meeting response time targets to those that are geared to improving quality of care and patient outcomes.
The Prehospital Outcomes for Evidence Based Evaluation (PhOEBE) programme has led to the development of new quality measures for ambulance services. The findings have already informed the UK Ambulance Response Programme and shaped the new ambulance standards introduced in 2017.
The programme also featured in a recent National Institute for Health Research Themed Review in 2017, ‘Care at the scene: NIHR research on urgent and emergency care outside hospital’.
The findings have been shared through the National Ambulance Research Steering Group (NARSG), the National Ambulance Services Clinical Quality Group (NASCQG), the National Ambulance Services Medical Director’s group (NaSMed) and the Association of Ambulance Chief Executives (AACE).
The findings will be shared with US Emergency Medical Services physicians at the North American EMS Physicians conferences in San Diego, Ca, in January 2017 and are already influencing the development of ambulance indicators in the US and Canada.