Polsky S S, Weigand J V
Northeastern Ohio Universities College of Medicine, Akron.
Emerg Med Clin North Am. 1990 Feb;8(1):75-84.
EMS quality assurance programs can help guarantee that the provision of prehospital care is medically accountable. The establishment and management of such a program, although time consuming, are critically important. It is essential that the medical director or a designee responsible for quality assurance activities be allotted the necessary time to carry them out properly. Incident reports, critique sessions, audits, education (training) sessions, observation or debriefing in the emergency department, as well as on-line medical control all play a role in inputting data into the system. The quality assurance program forms a continuous action loop starting and ending with protocols and education. Documentation of variance or compliance with protocols forms the basis for analysis of the quality of care delivered. Any intervention must be based on carefully documented information and should include praise for good work, as well as education when needed, and restriction of function when necessary.
紧急医疗服务（EMS）质量保证计划有助于确保院外护理的医疗责任。尽管建立和管理这样一个计划很耗时，但至关重要。必须为负责质量保证活动的医疗主任或其指定人员分配必要的时间，以便他们妥善开展这些活动。事件报告、评估会议、审核、教育（培训）会议、在急诊科的观察或汇报，以及在线医疗控制，都在将数据输入系统方面发挥作用。质量保证计划形成一个以协议和教育开始并结束的持续行动循环。对协议差异或合规情况的记录构成了所提供护理质量分析的基础。任何干预都必须基于详细记录的信息，应包括对出色工作的赞扬，以及在需要时进行教育，并在必要时限制职责。
