Purpose:

This SAP provides guidelines for Quality Assurance functions. Quality Assurance functions are to evaluate system effectiveness and regard for established SAP’s, guidelines, and standards of care.

 

Policy:

At the completion of every EMS call the AIC will ensure completion of PPCR. After completion of PPCR, AIC will place the PPCR on top of PPCR drop box marked “Ready for Peer Review”.

 

At the beginning of every shift, the on-coming providers will remove the PPCR and perform a peer review. The peer review will be guided by a peer review form.

 

The peer review form will include the following information:

- Type of Call                               - SOG Adherence                                 

- Documentation Quality              - Treatment

- PPCR Completeness                   - Reviewer Feedback

- Protocol Adherence

 

The peer review is to provide some productive feedback to the CQI Coordinator, which will be reciprocated to the PPCR AIC. This is not an opportunity to “bash” fellow providers. The peer review will be submitted to the CQI Coordinator and NOT to the AIC on the PPCR. ANY AND ALL concerns must be addressed to the CQI Coordinator or Chief of EMS Operations.

 

After completion of peer review, reviewer will attach the peer review form to the PPCR and place in secured portion of PPCR drop box. CQI Coordinator will review all PPCRs and Peer Reviews.

 

In addition to the Peer Review, the Chief of EMS Operations will review Pre-Hospital Patient Care Reports every month on the following incidents:

 

n     Patient or public complaint

n     Death on the scene

n     Death in transit

n     Vehicle extrication incidents

n     Any case of inappropriate action by a heath care provider

n     Any instance of medication error or receipt of inappropriate orders

n     Use of Aeromedical Services

 

If appropriate, the review will be forwarded to the Chief of Fire and Rescue and/or Operating Medical Director for further evaluation and/or action.

 

The Operating Medical Director will conduct an incident review several times during the year in addition to this policy to focus on the following incidents:

 

n     Helicopter incidents

n     Attempted or Successful Resuscitations

n     Incidents as deemed necessary by the Chief of EMS Operation