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HomeMy WebLinkAboutQA-QI Report Review CriteriaBEAUMONT FIRE -RESCUE QUALITY ASSURANCE PROGRAM QA-QI REPORT REVIEW CRITERIA (If possible prior to reviewing dispatch tapes or transcripts have the accompanying SFRF available.) 1. FH # of transporting ambulance 2. Transporting Ambulance Service 3. Date in MM/DD/YY format AND time in AM/PM or military time 4. Name of Dispatcher (if available) 5. Name and ID# of EMT attendant in charge (if known) 6. Check off as reviewed and filled in 7. Priority based on the SFRF if available, otherwise based on the tape. Check which is used. 8. Nature of Call (not what it was dispatched as but what the call really was, if known) 9. Dispatched As (what the dispatcher said the call was) 10. Dispatch Time (subtract "Dispatched" from "Call Received") 11. If any of the time is excessive and there is an explanation in the narrative, check "Yes", otherwise check 'No". 12. If you check "Yes" to #12 write the explanation here. 13. Age of Patient 14. Gender of Patient 15. Check the highest level of care provided. A. Clinical Audit 16. Patch Clear and Audible A = All radios could be clearly heard. ti = One or more radios experienced poor reception but it did not adversely affect care. 11 = One or more radios experienced poor or no reception resulting in the potential for adversely affecting care. If'l or IT is noted for this issue, in the comments section indicate which radio(s) experienced the problem if'ascertainable. 17. Priority: A = the priority was consistent with the CIEMSS priority criteria list. I = the priority was given as higher than it should have been. 11 = the priority was lower than it should have been. 18. EMT Name & Level: A = EMT giving the report gave his/her name and EMT level. The level of the EMT giving the report matched the level of care being reported. u = EMT didn't give name or level or the level didn't match the level of care of the report but it did not affect the care. 11 = EMT didn't give name or level or the level didn't match the level of care of the report and it affected care. 19. Patient Description: A = the patient's age and gender were clearly given. I = the patient's age or gender were not given but it did not affect care. 11 = the patient's age or gender were not given or were incorrect and it could have potentially affected care. 20. Chief Complaint: A = the chief complaint or problem was clearly given and consistent with assessment findings. u = the chief complaint or problem was not as clear as it could have been but care was not affected. 11 = the chief complaint or problem was missing or incorrect and care could have been affected. 21. Description of Condition: A = the description of the patient's condition was clear, accurate and as detailed as appropriate for the priority (very brief in priority 3). u = the description of the patient's condition could have been clearer and more accurate but did not affect care or the report was too detailed for a priority 3 patient. I = the description of the patient's condition was missing or inaccurate potentially affecting care. 22. Treatment Provided: A = the description of the treatment provided was clear, accurate and as detailed as appropriate for the priority (very brief in priority 3). u = the description of the treatment provided could have been clearer and more accurate but did not affect care or the report was too detailed for a priority 3 patient. I = the description of the treatment provided was missing or inaccurate potentially affecting care. 23. Orders Requested: A = orders requested were clear to the physician and appropriate for the patient's condition. I = the orders requested needed to be clarified but were appropriate for the patient's condition. I = the orders requested were not clear to the physician or inappropriate for the patient's condition. 24. ETA: A = a close ETA was given. I = the ETA was within 10 minutes of being correct. I = an ETA was not given or was more than 10 minutes off. 25. Overall Performance: A = the overall performance of the report was consistent with industry standards, Statewide protocols, Region V and service policies. u = the overall performance should be reviewed for circumstances or could be improved. I = the overall performance was not consistent with industry standards, Statewide protocols, Region V and service policies. 26. Other: List any other issues pertinent to the call. It could be something that was done well that should be pointed out as well as something that needs improving. A = the item was consistent with industry standards, Statewide protocols, Region V and service policies. u = the item should be reviewed for circumstances or could be improved. I = the item was not consistent with industry standards, Statewide protocols, Region V and service policies. 27. Other: List any other issues pertinent to the call. It could be something that was done well that should be pointed out as well as something that needs improving. A = the item was consistent with industry standards, Statewide protocols, Region V and service policies. u = the item should be reviewed for circumstances or could be improved. I = the item was not consistent with industry standards, Statewide protocols, Region V and service policies. 28. B. Notes: Write any additional notes needed. Check the box if there additional pages added from this section. 29. C. Action Taken By Dispatch: Check the first box if the Coordinator is notified but takes no action. If action is taken describe it here. 30. D. Action Taken By QA Committee: Check the first box if the Committee is notified but takes no action. If action is taken describe it here. 31. E. Action Taken By the EMS Medical Director: Check the first box if the Director is notified but takes no action. If action is taken describe it here. 32. F. Action Taken By the Region: Check the first box if the Region is notified but takes no action. If action is taken describe it here. 33. G. Follow-up Requested: Check the first box if no follow-up is necessary, otherwise describe any follow- up requested by any agency.