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Developing EMS Quality Assessment Indicators

Published online by Cambridge University Press:  28 June 2012

Michel Dagher*
Affiliation:
Director of Emergency Services, Memorial Medical Center of Jacksonville, Florida.
Robert J. Lloyd
Affiliation:
Emergency Consultants Inc., Jacksonville, Fla.
*
P.O. Box 5706 Jacksonville, Florida 32247USA

Abstract

An emergency medical service (EMS) system is part of a broad health care system which no longer can be concerned exclusively with patient transportation. Integration of prehospital and in-hospital emergency care must be achieved to provide quality patient care. This article suggests modifications in the Joint Commission on Accreditation of Healthcare Organization's (JCAHO) 10-Step Model indicators that should help in an evaluation of the issues associated with the diversion of patients from Emergency Departments. The JCAHO model is one that can be used to help integrate prehospital and inhospital care.

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

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References

1. Joint Commission on Accreditation of Healthcare Organizations: Characteristics of clinical indicators. Quality Review Bulletin 1989;15:330339.Google Scholar
2. Joint Commission on Accreditation of Healthcare Organizations: Development and application of indicators in emergency care. Illinois, 1991; pp 6,8,1516.Google Scholar
3. O'Leary, M, Smith, MS, O'Leary, D et al. : Application of clinical indicators in the emergency department. JAMA 1989;262:34443447.Google Scholar
4. Joint Commission on Accreditation of Healthcare Organizations: Accreditation Manual for Hospitals, 1992, Quality Assessment and Improvement. Illinois, 1991, p141.Google Scholar
5. Donabedian, A: The quality of care: How can it be assessed? JAMA 1988;260:17431748.Google Scholar
6. Benson, D, Townes, P Jr: Excellence in Ambulatory Care. San Francisco: Jossey-Bass, 1990, pp 86124.Google Scholar
7. Garza, M: Dangerous detours—Ambulance diversions stall patient delivery. JEMS 1989;14:42–43,45–46,48.Google Scholar
8. O'Sullivan, G: Protecting the rights of emergency patients. Business and Health 1987;5:3031.Google Scholar
9. Annas, G: Your money or your life: Dumping uninsured patients from hospital emergency wards. Am J Pub Health 1986;76:7477.Google Scholar
10. Chaffin, T: Department of Health Service, County of Los Angeles. Guide-lines for hospitals requesting diversion of mobile intensive care units. February 15, 1990; Ref 503.Google Scholar
11. Heide, E: Disaster response: Principle of preparation and coordination. New York;C.V. Mosby Co., 1989; pp 165194.Google Scholar