Ashanti Dantanarayana, Ambulance Victoria, Ashanti.Dantanarayana@ambulance.vic.gov.au
Dr Ziad Nehme, Ambulance Victoria, ziad.nehme@ambulance.vic.gov.au
The VACAR is a clinical quality registry of all out-of-hospital cardiac arrest (OHCA) events in Victoria. The registry captures a comprehensive ‘roadside to recovery’ perspective of the OHCA patient, capturing over 150 data elements across the prehospital, hospital, and recovery journey. It is used extensively to improve systems-of-care for OHCA patients in Victoria and has been recognised internationally for its contribution to the evidence-base in resuscitation science.
Registry data is collected from Triple Zero calls, Communication Centre dispatch records, Emergency Medical Services (EMS) patient care records, real-time CPR quality data from defibrillators, hospital medical records and from telephone interview of adult survivors at 12 months post-arrest. Hospital outcome data is supplemented by death records from the Victorian Registry of Births, Deaths and Marriages. The registry also collects information relating to the causes of death for OHCA patients from the National Coronial Information System (NCIS). Data for all OHCA patients attended by AV has been captured for over 120,000 patients since 1999. Data is collated in the registry based on an internationally agreed template for resuscitation registries (Utstein template).
VACAR provides information for the assessment and benchmarking of EMS performance in relation to the treatment and outcomes of OHCA patients. In particular, a number of key performance indicators (KPIs) have been implemented, which are designed to measure the quality and safety of care. KPIs include ambulance response times, rate of successful defibrillation, CPR quality metrics (various), prehospital return of spontaneous circulation, event survival and survival to hospital discharge.
- Feedback to contributing clinicians - team performance reports, quarterly regional reports
- Reported in Annual Report (Public)
- Quarterly Steering Committee Report
- KPIs reported to the Department of Health (Victoria) as part of the Ambulance Victoria Standard Operating Procedures
- European Quality of Life Five Dimension (EQ-5D-5L)
- European Quality of Live visual analog scale (EQ VAS)
- 12-item Short Form Health Survey (Sf-12)
- Modified Fatigue Impact Scale (MFIS)
- Glasgow Outcome Scale (GOS)
- Glasgow Outcome Scale Extended (GOSE)
- Hospital Anxiety and Depression Scale (HADS)
- Return to work
- Living status
Nil
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Department of Health and Human Services Approval (QI initiative) Number 08/02