ASTM F1224-89(2004)

Standard Guide for Providing System Evaluation for Emergency Medical Services

SCOPE
1.1 This guide covers providing system evaluation for emergency medical services (), including authority, responsibility, objectives, approaches, data, applications, and implementation. Note 1This guide does not address evaluation for individual prehospital, hospital, or posthospital providers. (Related guides will be developed.)

General Information

• Status: Historical
• Publication Date: 31-Mar-2004
• Technical Committee: F30 - Emergency Medical Services
• Drafting Committee: F30.03 - Organization/Management

Relations

• Replaces: ASTM F1224-89(1996)e1 - Standard Guide for Providing System Evaluation for Emergency Medical Services
• Effective Date: 01-Apr-2004
• Replaced By: ASTM F1224-89(2004)e1 - Standard Guide for Providing System Evaluation for Emergency Medical Services (Withdrawn 2012)
• Effective Date: 01-Apr-2004

Standards Content (Sample)

NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation: F 1224 – 89 (Reapproved 2004)
Standard Guide for
Providing System Evaluation for Emergency Medical
1
Services
This standard is issued under the fixed designation F 1224; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1. Scope 5. Authority
1.1 This guide covers providing system evaluation for 5.1 The authority for providing system evaluation for emer-
2
emergency medical services (1), including authority, respon- gency medical services rests with the entity that is utlimately
sibility, objectives, approaches, data, applications, and imple- legally responsible for system operation and evaluation.
mentation.
6. Responsibility
NOTE 1—This guide does not address evaluation for individual prehos-
6.1 The responsibility for providing system evaluation for
pital, hospital, or posthospital providers. (Related guides will be devel-
emergency medical services systems rests with the directors of
oped.)
the entities specified in 5.1.
2. Referenced Documents
6.2 The responsibility for providing adequate financial re-
3
sources and appropriate medical confidentiality for system
2.1 ASTM Standards:
evaluation for emergency medical services rests with the
F 1149 Practice for the Qualifications, Responsibilities, and
entities specified in 5.1.
Authority of Individuals and Institutions Providing Medi-
6.3 Independent evaluation of individual parts of the emer-
cal Direction of Emergency Medical Services
gency medical services system by prehospital, hospital, or
F 1177 Terminology Relating to Emergency Medical Ser-
posthospital providers must be integrated with and must not be
vices
substituted for system evaluation.
3. Terminology
7. Objectives
3.1 Definitions of Terms Specific to This Standard:
7.1 System evaluation of quality for emergency medical
3.1.1 system evaluation—a review of the performance of
services entails five objectives (2) including:
emergency medical services systems by qualified, experienced
7.1.1 Setting priorities,
individuals.
7.1.2 Assessing outcome,
3.1.2 minimum data set—the minimum number of data
7.1.3 Identifying problems,
elements required for system evaluation.
7.1.4 Effecting changes, and
3.2 Definitions—See Terminology F 1177.
7.1.5 Reassessing outcome.
4. Significance of Use
8. Approaches
4.1 This guide establishes system evaluation as an essential
8.1 System evaluation of quality entails approaches of
component of emergency medical services systems.
structure, process, and outcome, singly or combined (3).
4.2 This guide covers the methods and materials that are
8.2 The approaches specified in 8.1 should be applied at
necessary to evaluate quality for emergency medical services
both the system operations and patient care levels.
systems at both the system operations and patient care levels.
8.2.1 Applied at the system operations level (Table 1) these
approaches provide a means of identifying issues that require
1
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
further attention, including:
Medical Services and is the direct responsibility of Subcommittee F30.03 on
8.2.1.1 System operation, and
Organization/Management.
Current edition approved Apr. 1, 2004. Published April 2004. Originally
8.2.1.2 Individual patients.
e1
approved in 1989. Last previous edition approved in 1996 as F 1224 – 89 (1996) .
8.2.2 Applied at the patient care level these approaches
2
The boldface numbers in parentheses refer to the references at the end of this
provide a means of evaluating care for patients that are
guide.
3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or specified in 8.2.1.2.
contact ASTM Customer Service at [e-mail]. For Annual Book of ASTM
8.3 Audits performed using the approaches specified in 8.1
Standards volume information, refer to the standard’s Document Summary page on
should examine two aspects of care, including:
the ASTM website.
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F 1224 – 89 (2004)
TABLE 1 Approaches and Methods for System Evaluation for TABLE 2 Evaluation Criteria
Emergency Medical Services
High-Yield (8)
Deaths
Evaluation Approaches Evaluation Methods
High-Risk
Structure (standards) ASTM guides (to be developed)
Critical care admissions
Process (care) Medical direction (Guide F 1149) (1)
Morbidity
Outcome (results) Intermediate: preventable morbidity (4)
Instability—Symptoms: severe pain, dyspnea, etc.
Final: preventable morbidity
Signs: severe injury, tachypnea, etc.
preventable morta
...