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Background <p>The broadened competencies and the increasingly independent work of nonphysician emergency medicine staff pose new challenges for quality management. In order to do these challenges justice, there is a&#xa0;need for innovations, such as a&#xa0;feedback system.</p> Objective <p>This study aims to assess the need for a&#xa0;feedback system among paramedical staff, identify key requirements for its design, and derive inputs for a&#xa0;practical and needs-based concept.</p> Methods <p>In the first quarter of 2023, a&#xa0;nationwide online survey was completed by paramedical staff. The questions determined the interest in and effects of feedback within the emergency service as well as a&#xa0;self-estimate of the accuracy of their own suspected diagnosis.</p> Results <p>A&#xa0;total of 605 questionnaires were analyzed. Almost all the participants showed great interest in knowing the accuracy of their own suspected diagnosis (586; 96.6%). The feedback of mistakes was seen as motivation to close gaps in their own knowledge (560; 92.6%). For 15&#xa0;participants, the fear of negative feedback served as a&#xa0;reason to not use the feedback system (2.5%). A&#xa0;feedback system should contain information on the development of the case and the patient outcome as well as assessing the choice of hospital. The increasing digitalization is seen as an opportunity; data protection as the greatest hurdle for implementation of such a&#xa0;system. The clear focus should be on the training effect.</p> Conclusion <p>The survey shows that a&#xa0;feedback system would be a&#xa0;sensible addition to pre-existing quality-assuring measures in emergency services. An information technology (IT)-based solution would offer the paramedical team a&#xa0;cost-effective way of checking the accuracy of their suspected diagnoses and to retrospectively analyze the clinical symptoms with greater accuracy.</p>

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Bedarf und Potenzial eines Feedbacksystems zwischen Rettungsdienst und Klinik

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月2日

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  • Marten Villis,
  • Marina Keimer,
  • Insa Seeger,
  • Jan Christoph

摘要

Background

The broadened competencies and the increasingly independent work of nonphysician emergency medicine staff pose new challenges for quality management. In order to do these challenges justice, there is a need for innovations, such as a feedback system.

Objective

This study aims to assess the need for a feedback system among paramedical staff, identify key requirements for its design, and derive inputs for a practical and needs-based concept.

Methods

In the first quarter of 2023, a nationwide online survey was completed by paramedical staff. The questions determined the interest in and effects of feedback within the emergency service as well as a self-estimate of the accuracy of their own suspected diagnosis.

Results

A total of 605 questionnaires were analyzed. Almost all the participants showed great interest in knowing the accuracy of their own suspected diagnosis (586; 96.6%). The feedback of mistakes was seen as motivation to close gaps in their own knowledge (560; 92.6%). For 15 participants, the fear of negative feedback served as a reason to not use the feedback system (2.5%). A feedback system should contain information on the development of the case and the patient outcome as well as assessing the choice of hospital. The increasing digitalization is seen as an opportunity; data protection as the greatest hurdle for implementation of such a system. The clear focus should be on the training effect.

Conclusion

The survey shows that a feedback system would be a sensible addition to pre-existing quality-assuring measures in emergency services. An information technology (IT)-based solution would offer the paramedical team a cost-effective way of checking the accuracy of their suspected diagnoses and to retrospectively analyze the clinical symptoms with greater accuracy.