Quality assurance in EMS systems.

Abstract

QA activities in EMS systems are severely hampered unless a central agency exists to coordinate data collection, funding, and communication between agencies and field providers. EMS systems must address these issues successfully to maximize their efforts. Some regions (San Francisco, King County, Washington, Burbank, California) have developed dedicated organizations for the evaluation of prehospital care. These organizations can greatly reduce the logistic impediments to evaluating EMS care and initiating improvements. A clear goal of any QA program is improved patient care. This noble goal by itself will not move an EMS system to embrace needed changes. Other compelling reasons for organizations to support quality management activities include decreased costs resulting from improved efficiency. QA programs may improve provider morale as a result of participation in the move toward excellence, and pride in workmanship. One survey found an improved sense of teamwork after initiating these programs. Patients must receive quality emergency medical care from the moment they enter the health care system. Leadership by the medical community is crucial if this goal is to be realized.