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Trimestre	Paese	Ospedale	Stato del premio
1° TRIMESTRE 2023	Italia	CENTRALE OPERATIVA 118 EMILIA EST BOLOGNA	Diamante
4° trim. 2022	Italia	CENTRALE OPERATIVA 118 EMILIA EST BOLOGNA	Platino
3° trim. 2022	Italia	CENTRALE OPERATIVA 118 EMILIA EST BOLOGNA	Oro
2° trim. 2022	Italia	CENTRALE OPERATIVA 118 EMILIA EST BOLOGNA	Diamante
1° trim. 2022	Italia	CENTRALE OPERATIVA 118 EMILIA EST BOLOGNA	Diamante
4° trim. 2021	Italia	CENTRALE OPERATIVA 118 EMILIA EST BOLOGNA	Platino
2° trim. 2022	Italia	CENTRALE OPERATIVA 118 FIRENZE-PRATO - USL TOSCANA CENTRO	Oro
1° trim. 2022	Italia	CENTRALE OPERATIVA 118 FIRENZE-PRATO - USL TOSCANA CENTRO	Platino
4° trim. 2021	Italia	CENTRALE OPERATIVA 118 FIRENZE-PRATO - USL TOSCANA CENTRO	Platino
2° trim. 2022	Italia	CENTRALE OPERATIVA 118 LECCE - ASL LECCE	Platino
4° trim. 2021	Italia	CENTRALE OPERATIVA 118 LECCE - ASL LECCE	Platino
2° trim. 2021	Italia	CENTRALE OPERATIVA 118 LECCE - ASL LECCE	Diamante
4° trim. 2022	Italia	CENTRALE OPERATIVA 118 NOVARA	Diamante
2° trim. 2022	Italia	CENTRALE OPERATIVA 118 NOVARA	Platino
2° TRIMESTRE 2023	Italia	CENTRALE OPERATIVA 118 PISTOIA-EMPOLI - USL TOSCANA CENTRO	Platino
1° TRIMESTRE 2023	Italia	CENTRALE OPERATIVA 118 PISTOIA-EMPOLI - USL TOSCANA CENTRO	Diamante
4° trim. 2022	Italia	CENTRALE OPERATIVA 118 PISTOIA-EMPOLI - USL TOSCANA CENTRO	Platino
2° TRIMESTRE 2023	Ucraina	COMMUNAL ENTERPRISE "VOLYN REGIONAL CENTER OF EMERGENCY MEDICAL AID AND DISASTER MEDICINE" OF THE VOLYN REGIONAL COUNCIL	Diamante
1° TRIMESTRE 2023	Ucraina	COMMUNAL ENTERPRISE "VOLYN REGIONAL CENTER OF EMERGENCY MEDICAL AID AND DISASTER MEDICINE" OF THE VOLYN REGIONAL COUNCIL	Platino
4° trim. 2022	Ucraina	COMMUNAL ENTERPRISE "VOLYN REGIONAL CENTER OF EMERGENCY MEDICAL AID AND DISASTER MEDICINE" OF THE VOLYN REGIONAL COUNCIL	Platino
1° trim. 2022	Ucraina	COMMUNAL ENTERPRISE "VOLYN REGIONAL CENTER OF EMERGENCY MEDICAL AID AND DISASTER MEDICINE" OF THE VOLYN REGIONAL COUNCIL	Platino
2° trim. 2022	Italia	CENTRALE OPERATIVA 118 EMILIA EST MODENA	Oro
1° trim. 2022	Italia	CENTRALE OPERATIVA 118 EMILIA EST MODENA	Oro
4° trim. 2022	Malesia	EMS (EMERGENCY MEDICAL SERVICES) HOSPITAL TUANKU JA'AFAR	Platino
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (CENTRAL HUNGARY REGION)	Diamante
2° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (CENTRAL HUNGARY REGION)	Oro
1° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (CENTRAL HUNGARY REGION)	Oro
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (CENTRAL TRANSDANUBIA REGION)	Diamante
2° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (CENTRAL TRANSDANUBIA REGION)	Oro
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (NORTHERN GREAT PLAIN REGION)	Diamante
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (NORTHERN HUNGARY REGION)	Diamante
2° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (NORTHERN HUNGARY REGION)	Oro
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (SOUTHERN GREAT PLAIN REGION)	Diamante
2° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (SOUTHERN GREAT PLAIN REGION)	Diamante
1° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (SOUTHERN GREAT PLAIN REGION)	Platino
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (SOUTHERN TRANSDANUBIA REGION)	Diamante
2° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (SOUTHERN TRANSDANUBIA REGION)	Oro
1° TRIMESTRE 2023	Ungheria	NATIONAL AMBULANCE SERVICE (WESTERN TRANSDANUBIA REGION)	Diamante
2° trim. 2022	Ungheria	NATIONAL AMBULANCE SERVICE (WESTERN TRANSDANUBIA REGION)	Oro
2° TRIMESTRE 2023	Polonia	POGOTOWIE RATUNKOWE W WAŁBRZYCHU	Platino
1° TRIMESTRE 2023	Polonia	POGOTOWIE RATUNKOWE W WAŁBRZYCHU	Platino
4° trim. 2022	Polonia	POGOTOWIE RATUNKOWE W WAŁBRZYCHU	Diamante
3° trim. 2022	Polonia	POGOTOWIE RATUNKOWE W WAŁBRZYCHU	Platino
1° TRIMESTRE 2023	Slovacchia	RZP, A.S. (EMS)	Diamante
4° trim. 2022	Slovacchia	RZP, A.S. (EMS)	Diamante
2° trim. 2022	Slovacchia	RZP, A.S. (EMS)	Diamante
1° trim. 2022	Spagna	SEM (SISTEMA D'EMERGÈNCIES MÉDIQUES) CATALUÑA	Diamante
3° trim. 2021	Spagna	SEM (SISTEMA D'EMERGÈNCIES MÉDIQUES) CATALUÑA	Oro
2° TRIMESTRE 2023	Romania	SERVICIUL DE AMBULANȚĂ JUDEȚEAN BIHOR	Platino
2° trim. 2022	Romania	SERVICIUL DE AMBULANȚĂ JUDEȚEAN BIHOR	Diamante
1° trim. 2022	Spagna	SUMMA (SERVICIO DE URGENCIAS MÉDICAS DE MADRID) 112	Oro
3° trim. 2021	Spagna	SUMMA (SERVICIO DE URGENCIAS MÉDICAS DE MADRID) 112	Oro
1° TRIMESTRE 2023	Spagna	SERVICIO DE EMERGENCIAS SANITARIAS 061 LA RIOJA. C/ PIQUERAS Nº 98	Diamante
4° trim. 2022	Polonia	SZPITAL ŚW. ŁUKASZA W BOLESŁAWCU - ZRM	Diamante
2° trim. 2022	Polonia	SZPITAL ŚW. ŁUKASZA W BOLESŁAWCU - ZRM	Platino
4° trim. 2022	Italia	UOC CENTRALE OPERATIVA 118 SUEM ULSS3 MESTRE-VENEZIA	Diamante
2° trim. 2022	Italia	UOC CENTRALE OPERATIVA 118 SUEM ULSS3 MESTRE-VENEZIA	Oro
2° trim. 2022	Spagna	URGENCIAS SANITARIAS 061 GALICIA	Diamante
3° trim. 2021	Spagna	URGENCIAS SANITARIAS 061 GALICIA	Diamante
2° trim. 2022	Polonia	WOJEWODZKA STACJA RATOWNICTWA MEDYCZNEGO W ŁODZI	Platino
2° trim. 2022	Polonia	WOJEWÓDZKA STACJA POGOTOWIA RATUNKOWEGO W PRZEMYŚLU SPZOZ	Diamante
1° TRIMESTRE 2023	Polonia	WOJEWÓDZKA STACJA POGOTOWIA RATUNKOWEGO W RZESZOWIE	Diamante
3° trim. 2022	Polonia	WOJEWÓDZKA STACJA POGOTOWIA RATUNKOWEGO W RZESZOWIE	Platino
2° TRIMESTRE 2023	Ucraina	ZHYTOMYR REGIONAL CENTER COUNCIL'S COMMUNAL NON-PROFIT ENTERPRISE "EMERGENCY AND CATASTROPHE MEDICAL ASSISTANCE CENTER"	Platino
1° TRIMESTRE 2023	Ucraina	ZHYTOMYR REGIONAL CENTER COUNCIL'S COMMUNAL NON-PROFIT ENTERPRISE "EMERGENCY AND CATASTROPHE MEDICAL ASSISTANCE CENTER"	Oro
4° trim. 2022	Ucraina	ZHYTOMYR REGIONAL CENTER COUNCIL'S COMMUNAL NON-PROFIT ENTERPRISE "EMERGENCY AND CATASTROPHE MEDICAL ASSISTANCE CENTER"	Diamante
1° trim. 2022	Ucraina	ZHYTOMYR REGIONAL CENTER COUNCIL'S COMMUNAL NON-PROFIT ENTERPRISE "EMERGENCY AND CATASTROPHE MEDICAL ASSISTANCE CENTER"	Oro
1° TRIMESTRE 2023	Repubblica Ceca	ZZS JIHOMORAVSKÉHO KRAJE	Diamante
2° trim. 2022	Repubblica Ceca	ZZS JIHOMORAVSKÉHO KRAJE	Diamante
3° trim. 2021	Repubblica Ceca	ZZS JIHOMORAVSKÉHO KRAJE	Diamante
4° trim. 2022	Repubblica Ceca	ZZS JIHOČESKÉHO KRAJE	Platino
3° trim. 2022	Repubblica Ceca	ZZS JIHOČESKÉHO KRAJE	Platino
2° trim. 2022	Repubblica Ceca	ZZS JIHOČESKÉHO KRAJE	Platino
1° TRIMESTRE 2023	Repubblica Ceca	ZZS KRAJE VYSOČINA	Platino
4° trim. 2022	Repubblica Ceca	ZZS KRAJE VYSOČINA	Diamante
2° TRIMESTRE 2023	Repubblica Ceca	ZZS MORAVSKOSLEZSKÉHO KRAJE	Diamante
1° TRIMESTRE 2023	Repubblica Ceca	ZZS MORAVSKOSLEZSKÉHO KRAJE	Diamante
2° trim. 2022	Repubblica Ceca	ZZS MORAVSKOSLEZSKÉHO KRAJE	Diamante
3° trim. 2021	Repubblica Ceca	ZZS MORAVSKOSLEZSKÉHO KRAJE	Diamante
1° TRIMESTRE 2023	Repubblica Ceca	ZZS PARDUBICKÉHO KRAJE	Diamante
4° trim. 2022	Repubblica Ceca	ZZS PARDUBICKÉHO KRAJE	Diamante
2° trim. 2022	Repubblica Ceca	ZZS PARDUBICKÉHO KRAJE	Platino
3° trim. 2021	Repubblica Ceca	ZZS PARDUBICKÉHO KRAJE	Platino
1° TRIMESTRE 2023	Repubblica Ceca	ZZS ZLÍNSKÉHO KRAJE	Diamante
2° trim. 2022	Repubblica Ceca	ZZS ZLÍNSKÉHO KRAJE	Diamante
1° TRIMESTRE 2023	Repubblica Ceca	ZZS ÚSTECKÉHO KRAJE	Diamante
2° trim. 2022	Repubblica Ceca	ZZS ÚSTECKÉHO KRAJE	Diamante
2° TRIMESTRE 2023	Slovacchia	ZAMED (EMS)	Diamante
1° TRIMESTRE 2023	Slovacchia	ZAMED (EMS)	Diamante
4° trim. 2022	Slovacchia	ZAMED (EMS)	Diamante
3° trim. 2022	Slovacchia	ZAMED (EMS)	Diamante
2° trim. 2022	Slovacchia	ZAMED (EMS)	Platino
4° trim. 2021	Slovacchia	ZAMED (EMS)	Platino
3° trim. 2021	Slovacchia	ZAMED (EMS)	Platino
1° TRIMESTRE 2023	Slovacchia	ZÁCHRANNÁ SLUŽBA KOŠICE - REGIÓN POPRAD A MARTIN	Platino
1° TRIMESTRE 2023	Slovacchia	ZÁCHRANNÁ SLUŽBA KOŠICE - REGIÓN TREBIŠOV A MICHALOVCE	Diamante
2° trim. 2022	Slovacchia	ZÁCHRANNÁ SLUŽBA KOŠICE - REGIÓN TREBIŠOV A MICHALOVCE	Diamante
2° TRIMESTRE 2023	Slovacchia	ZÁCHRANNÁ ZDRAVOTNÁ SLUŽBA BRATISLAVA (EMS)	Platino
2° TRIMESTRE 2023	Ucraina	GOLD AWARD	Diamante
1° TRIMESTRE 2023	Ucraina	GOLD AWARD	Platino
4° trim. 2022	Ucraina	GOLD AWARD	Platino
4° trim. 2021	Ucraina	GOLD AWARD	Oro

Criteria

The awards criteria are based on international guidelines and the experience of our international EMS Steering Committee. To qualify for an award, EMS services must:

Have a formal Stroke Protocol in place
Offer an established annual Stroke Educational/refresher program
Make use of specific stroke scales in the management of their stroke patients
Submit data for at least 30 consecutive stroke patients managed by their service during the previous quarter

	Oro Stato	Platino Stato	Diamante Stato
Award level criteria	Criteri di registrazione soddisfatti	Criteri di registrazione soddisfatti	Criteri di registrazione soddisfatti
Median time on scene (Minutes)	31-35 min	25-30 min	<25 min
% Prenotification to hospital	85%	90%	95%
% of patients delivered to stroke ready hospitals	85%	90%	95%
% of patients where medication details are reported	85%	90%	95%
% patients where time last known normal is reported	85%	90%	95%

The process in detail

Once the EMS Service has met the criteria they can begin to follow a simple and fair process to join the awards program. If any of the inclusion criteria is not met by the EMS Services, they can contact their local Angels to assist to put in place.

Their first task is to register with the RES-Q Registry. This helps ensure that all participants are benchmarked against the same criteria.

Data

The EMS Angels Awards spreadsheet is provided to local EMS companies or services. This will be used to standardise the data and to ensure that patient level data is not shared outside of the organisation.

Reports

The EMS Service creates a standardised report that extracts the relevant data from their existing systems. At the end of each quarter they can then export the bulk data from their systems using this report and simply paste the data into the EMS Awards Spreadsheet.

30 Patients

In order to qualify for an award, the data should cover at least 30 consecutive stroke patients in any one quarter.

Premi

The spreadsheet then automatically calculates the Regional EMS Service's award status according to the ESO Angels Award Criteria. It also provides some important visualisations which can be used by EMS services to easily identify areas for improvement.

Secure

To ensure data security and patient anonymity, only the cumulative data from the EMS Service - as calculated by the EMS Awards Spreadsheet - is captured on the RES-Q platform. RES-Q will use this cumulative data to start the awards approval process and to create dashboards for national and international benchmarking.