Standardized protocols, policies, performance, and documentation are invaluable in constructing a successful CQI process. Quality evaluation is prospective, concurrent, and retrospective. Prospective evaluation is the most effective process to ensure quality in EMS, because it has the potential to prevent mistakes. The system must be scrutinized constantly to determine areas requiring refinement and improvement. When goals and standards are not met, CQI staff members must identify the problem, establish and implement a corrective course of action, and measure the outcome.
Concurrent evaluation occurs on scene or on-line.
Staff members observe performance, encourage positive behavior, and correct problems before bad habits develop. Retrospective evaluation is the least valuable and most time-consuming review. It includes critique sessions and reviews of patient encounter tapes and charts. The EMS system is an integral element of disaster preparedness and planning. It plays an important role in initial response and transportation and is essential in establishing a regional disaster preparedness plan in coordination with public safety agencies, government, and the medical community.