Note
"July 2013."
"The Expert Panel consisted of Dr. Craig Muir as Chair, Dr. Dan Cass, Dr. John Tallon and Dr. Jon Dreyer, with executive support from Ms. Emily Coleman and Ms. Dorothy Zwolakowski. The team would like to acknowledge the following for their invaluable contributions to this Review: families of the deceased for providing information to inform our report, Ornge and Ministry of Health and Long-Term Care – Emergency Health Services Branch for their responsiveness to our information requests."
The original document was published on the public website of the Government of Ontario.
© Queen’s Printer for Ontario, 2013. Reproduced with permission
Issued also in French under title: Examen des décès relatifs aux services d’ambulance aérienne d’Ornge.
Summary
The Office of the Chief Coroner conducted a detailed review of deaths in Ontario involving air ambulance transport from January 1st 2006 to June 30th 2012 to systematically identify and review all known cases in which operational issues related to the air ambulance transport may have caused or contributed to the death.
An Expert Panel was formed under the auspices of the Patient Safety Review Committee (PSRC) of the Office of the Chief Coroner. The PSRC provided input to the Expert Panel throughout the process, including the findings and recommendations.
Contents
Executive summary -- Acknowledgments -- Introduction. Air ambulance services in Ontario ; Enhancing public confidence in Ontario's air ambulance system -- Overview. Background leading up to the review ; Purpose ; Statutory basis for the review ; Expert panel ; Terms of reference -- Methodology. Inclusion criteria ; Process for identification of cases ; Vetting process ; Case review process -- Results. Cases identified for consideration ; Final case selection ; Impact on outcome ; Cases with potential impact -- Discussion and themes. Decision-making ; Response processes ; International transports ; Communications ; Aircraft and equipment ; Staffing ; Paramedic education/training/certification ; Investigation and quality assurance -- Limitations of this review -- Review participants -- Consolidated list of recommendations -- References -- Appendix.