Joe Hayes, NREMT-P, is deputy chief of the Bucks County Rescue Squad in Bristol, PA, and a staff medic at Central Bucks Ambulance in Doylestown. He is the quality improvement coordinator for both of these midsize third-service agencies in northeastern Pennsylvania. He has 30 years' experience in EMS. Contact Joe at
The NAEMSQC is an organization for those committed to continuous quality improvement.
The American Heart Association’s Mission: Lifeline project aims to improve STEMI care across the EMS industry
Technology is now available to measure the performance of CPR in all of its component parts and in real time.
After more than a decade, many systems have or are now in the process of adopting this mode of intubation.
Casual call critique is probably the most common and one of the most effective forms of retrospective quality improvement, and it’s a freebie.
Classic cases of non-classic symptoms
What's every bit as important as credentials—and arguably even more so—is the provider's reputation.
Maybe the time has come to start treating paramedics like the grown-up health care providers we want them to be, with emphasis on responsibility for their actions.
Which strategies will work best with these providers will vary from one to another, but as a matter of fairness the process should be the same.
Can you do the most good in a mass shooting?
EMS providers may sometimes feel like a taxi service, but we should always be more than that
If you don’t consider the potential for serious illness and don’t look for it, it’s unlikely you’ll ever find it.
STEMI treatment driven by Medicare’s D2B requirement is the first time most EMS agencies and hospitals have been forced to work together
There are three easily remembered, simply executed items, which I believe, if followed, will greatly improve the quality of patient care of any EMS provider
EMS must take the lead in becoming more proactive in fighting sudden cardiac arrest; the best way to do this is through community outreach programs
Teaching local businesses to provide basic first aid and CPR until EMS arrives.
Developing personal relationships is still the most effective way to improve interagency relationships, resolve problems and improve customer service
One of the biggest challenges facing quality coordinators of smaller agencies is a lack of resources.
Determining the most common, most serious and most unusual is an excellent way to set immediate priorities for your QI education.
Reviewing events involving combative patients, objectively and remotely from the chaos of the moment, many times helps brings critical issues into focus
In EMS, you don’t win points by guessing right. You win points by maintaining a high index of suspicion, finding problems that aren’t so obvious and always erring on the side of caution.
Failing to fully treat a sick patient is one thing. But leaving a patient behind and not treating them at all after they called 9-1-1 is complete negligence.
Your quality improvement program should be as encouraging as it is educational.
How to communicate changes to the front lines