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Emergency medical services professionals must actively participate with the broader health care community in creating performance measurements to ensure that high-quality care is delivered consistently. Benchmarking outcomes with other EMS systems allows the identification of “best practices” and the evolution of standards. 6Ĭontinuous quality improvement is a process that couples carefully identified, measurable performance indicators with information systems to monitor, analyze and trend data. The history of writing assessment shows thatĪchieving high reliability in writing assessment is not easy, and we should beĬareful not to sacrifice validity to achieve higher rates of reliability.

Should be well designed, topic specific (contextual), analytic and complemented This documentation should beĪttached to training of a new, systematic process of documentation that is Of EMS to document basic measures of scene physiology is associated with increasedĬriteria to standardize EMS documentation is essential to retrieving moreĪccurate data and improving patient outcomes. Structured review of the process of care and patient outcome. Which describes the continuous evaluation of the center and providers through Current recommendations by the American College of SurgeonsĬommittee on Trauma (ACS-COT) include a performance improvement (PI) process, Must be a mechanism for continued system review to ensure protocols are beingįollowed, that sources of error are identified and addressed and recurrences are

That an organized system of trauma care evolves and improves over time, there Medical record must be accurate, have correct grammar, no misspelled words andĬlearly describe the patient’s complaint, treatment and outcomes. Way to continue the care provided in the field by EMS providers. If it was not documented, it was not done. IntroductionĮssential element in the continuity of patient care.

The objective was to evaluate the performance of a newly-developed mnemonic for documentation, an accompanying evaluation rubric and to improve compliance with documentation of patient care report elements.