Aim, objectives and scope of the Emergency Medicine Airway Registry Ireland
Aim and objectives
EMARI aims to systematically collect, analyse and utilise close to real-time data on high-risk emergency airway management procedures to improve patient outcomes, inform service development, support training and reflection, and enable quality improvement, in pre-hospital and emergency department settings.
| Objectives |
|---|
| Improve safety and quality of care for patients requiring tracheal intubation or advanced airway management. |
| Support reduction of patient morbidity and mortality associated with high-risk, low-frequency emergency airway procedures, through audit and QI. |
| Provide a platform for individual healthcare professionals/Local department/Regional department leads to promote guided training and reflection on practice, in advanced airway management. |
| Improve the practice of logging intubation events and capturing data within 24hrs of intubation. |
| Promote EMARI dataset in the Irish Digital Healthcare landscape. |
| Provide high-quality, timely data to support best practice for patient care in high-risk procedures, health-services improvement, policy, research and training. |
Scope
| Scope Category | Inclusion Criteria |
|---|---|
| Target population | • All patients requiring tracheal intubation in ED resuscitation rooms, in the Republic of Ireland. • All patients requiring tracheal intubation in pre-hospital setting, in the Republic of Ireland. |
| Health Condition Criteria | Any category of illness that requires a tracheal intubation procedure to be performed. |
| Geography | In the Republic of Ireland |
| Healthcare Professionals | Healthcare professionals trained in airway management across all Irish EDs, pre-hospital care. This includes Doctors, Advanced Nurse Practitioners, Advanced and Specialist Paramedics and all Clinicians who can perform tracheal intubation. |
| Health and social care service provider | This includes public and private / independent healthcare provider. |
| Data capture | The model will capture concurrent / retrospective data on patient intubations logged, airway assessment performed, intubation checklist use, number of video laryngoscopies performed for a first attempt intubation, first and second-pass successes, indications for the intubation and adverse events reported. It also provides data on the specialty and location of the healthcare professional who performed the procedure. Airway management data from other legacy systems may potentially be integrated into EMARI, after assessment and analysis of the quality of data in the legacy system, and with proper Information Governance processes. In line with the Digital for Care 2030 strategic plan to modernise Ireland’s health and social care system, data capture will be supported though standarised, interoperable digital health records, complemented by appropriate manual data entry where required. |
| Scope Category | Exclusion Criteria |
|---|---|
| Target population | • All patients who do not require tracheal intubation in ED resuscitation rooms, in the Republic of Ireland. • All patients who do not require tracheal intubation in pre-hospital setting, in the Republic of Ireland. • All patients requiring airway management where intubations are planned e.g. theatre. |
| Geography | All patients requiring airway management outside the defined geographic area of the Republic of Ireland. |