Table 2.

Types of prehospital feedback – basic themes and representative quotes

Theme	Representative quotes
Patient outcome feedback (Hospital)	“Sometimes I ask at the hospital if they can look up and see if the patient is alright. I don’t know whether we are supposed to but sometimes, you get quite close to patients and you want to know what has happened. It is a big frustrating part of the job.” (Paramedic, P3906)
Patient-experience feedback (Patients)	“It’s nice when we occasionally get patient thank yous. They get mailed to us, so you open all your boring post that you get at home and then you open this thank you letter. And that’s really sweet, it just lifts your day.” (ECA, P3910)
Peer-to-peer feedback (Peers)	“The nicest thing is if a member of staff after I have helped them out, says ‘Thanks for today’. That is the nicest thing because support and gratitude from your peers is one of the best feelings.” (Clinical supervisor, P3907)
Performance feedback (EMS organization)	“Formal feedback – we get our clinical supervisors out with us several times in the year so they can come and observe you and see how you’re doing.” (Paramedic, P3932)
Feedforward: On-scene advice (EMS organization)	“Sometimes you might be alone and you’re not sure what the best treatment is for this patient. You can always ring the clinical hub and they can give you some advice.” (Paramedic, P3905)
Debriefings (EMS organization)	“If you have been on a serious trauma job, there will be multiple team members there and you will do a debrief after the job. So, you will get feedback on how you did and that is really good moving forward or new things to learn like what you could have done differently, what you could have done better or what you think went well.” (ECA, P3916)
Investigations & coroners court (EMS organization)	“Within the incident reporting system you record a near miss and when it gets investigated you will get an e-mail back from the investigator about what they have found.” (Specialist paramedic, P3904) “Some of the big jobs that the police are involved with and you go off to coroner’s court, you might get a little bit of feedback from there.” (EMT, P3926)