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Implementation of a Regional Medical Control Audit System

Published online by Cambridge University Press:  28 June 2012

Paul McCarthy*
Affiliation:
Solano County EMS Administrator, Fairfield, Calif.
*
Solano County Health Department, 717 Missouri Street, Fairfield, CA 94533

Extract

The growth and development of emergency medical services (EMS) has been both impressive and extensive since the late 1960s. Since that time, there has been much discussion and debate regarding the level and quality of care that patients receive from the EMS system. In the United States, this has resulted in a wide variety of emergency medical technician (EMT) certification levels that determine which personnel administer an extensive range of medications, procedures, and medical protocols. Because of these differences, the care a patient receives varies not only from state to state but from community to community. Even though there are many different EMS system configurations, EMS professionals generally believe die level of care they provide in their local community is effective. It is unfortunate that very often, opinions about EMS system effectiveness are not based on studies of EMS system performance or patient outcome data, but upon subjective assessments of ongoing activities by those individuals providing the services.

Type
Administrator
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1992

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References

1. California Administrative Code, Title 22 Social Security, Division 9, Prehospital Emergency Medical Services, Chapter 4 (Register 89, No. 29, 7–22–89).Google Scholar
ACEP Emergency Medical Services Committee: Medical Control of Emergency Medical Services: An Overview for the Emergency Physician. Dallas: ACEP Publications, 1984.Google Scholar
Cleary, V: Prehospital Care: Administrative and Clinical Management. Rockville, Md.: Aspen Publishers, 1987.Google Scholar
Meisenheimer, CG: Quality Assurance: A Complete Guide to Effective Programs. Rockville, Md.: Aspen Publishers, 1985.Google Scholar
Overton, DT: A computer-assisted emergency department chart audit. Ann Emerg Med 1987;16:1.CrossRefGoogle ScholarPubMed
Schneiderman, N: Quality Assurance Manual for Emergency Medicine. Dallas: ACEP Publication, 1987.Google Scholar
Subcommittee on Medical Control, Committee on Emergency Medical Services Assembly of Life Sciences National Research Council: Medical Control in Emergency Medical Services Systems. Washington, D.C.: National Academy Press, 1981.Google ScholarPubMed
Valenzuela, T: Implementation of a computerized management information system in an urban fire department. Ann Emerg Med 1989;18:573578.CrossRefGoogle Scholar
Van de leuv, JH: Management of Emergency Services. Rockville, Md.: Aspen Publishers, 1987.Google Scholar
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