EMS Tool Box CQI-To-Go SAFE-T Analysis

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Presentation transcript:

EMS Tool Box CQI-To-Go SAFE-T Analysis VT District III EMS Continuous Quality Improvement Quality Assurance Program October, 2010

Continuous Quality Improvement Committee Sarita Austin Kirsten Jaquith Chris McCarthy Bethanne Marshall Mike O’Keefe Kate Soons Don Turner Brian Welsh Daniel Wolfson VT District III EMS CQI/QA EMS Service Essex Rescue Colchester Rescue Richmond Rescue Outside Agencies District Membership Survey Special Thanks To: Michael Chiarella Daniel LaPierre

2008: Formation of CQI Committee CQI-IQ: Listening Survey Initial Projects: Pre-Hospital EKG STEMI Combitube vs King Airway Vital Sign Study SIREN Grant Application Development of EMS Tool Box CQI-To-Go SAFE-T

New law requires District and Service level CQI/QA VT State EMS District III EMS District III Medical Advisor CQI Council Service CQI/QA Committee Other EMS Districts Oversees CQI/QA for District Mission to promote, ensure, and enhance pre-hospital emergency services to all people served within District 3, and to assure that the services provided are consistent with best practices and evidence based medicine. Council Representation Individual case analysis SAFE-T Analysis 10-50 (Standard Assessment For EMS – Template) CQI-To-Go – Provides Technical Support

District Wide Continuous Quality Improvement Initiatives Advanced airway: Combitube/King/ETT Chest Pain: EKG STEMI Alert Medications Documentation: Vital sign study SIREN

District III CQI Continued Stroke: Stroke Assessment Stroke Alert Seizure: Fingerstick Glucose Benzo (Paramedic) Cardiac Arrest: AED per protocol ACLS (Paramedic)

District III CQI Continued Asthma: Albuterol Duoneb (Paramedic) Altered Mental Status: Fingerstick glucose D50 Narcan IV Access/IVF IV Indicated IV Attempts/Success IVF administered

District III CQI Continued Pulmonary Edema: Nitroglycerin (Paramed) CPAP (Paramedic) Trauma: Non-entrapment time limited to < 10 mins GCS score calculated Trauma Alert

Dashboarding System for rapid feedback to EMS providers Individual, Service, and District wide summary data and reports SIREN will allow this to occur

SAFE-T Analysis CQI-To-Go EMS Tool Box

SAFE-T Analysis Standard Assessment For EMS Template

SAFE-T Analysis Standard Assessment For EMS Template Service Level CQI/QA Form Completeness Narrative Terminology Interpretive Findings Adherence to Protocols Feedback to Crew Feedback to Individuals Feedback to Service

10-50

SAFE-T Analysis 10-50 10% of EMT-B 50% of EMT-I All Paramedic Runs May do more

CQI-To-Go Presented by Kate Soons Ideas on how to successfully implement CQI/QA and the SAFE-T analysis at your service