Development of an Implementation Plan for a STEMI Quality Assurance Surveillance Program Within Delray Beach Fire-Rescue [open pdf - 115KB]
"The problem was that Delray Beach Fire-Rescue (DBFR) did not have a surveillance program within its Emergency Medical Services (EMS) Division for ST Segment Elevated Myocardial Infarction (STEMI) patient care, protocol review, and procedures. This problem resulted in the agency's inability to document the efficacy of the various EMS programs, training initiatives, patient care protocols, treatment modalities, or analysis of patient mortality and/or morbidity. The purpose of this research was to identify the criteria needed to measure the efficacy of a STEMI quality assurance (QA) surveillance program within the EMS Division of DBFR. The research was conducted using descriptive research methods to answer the following research questions: (1) What hospital-based industry standards for documenting STEMI patient outcomes exist; (2) How do other Fire/EMS agencies document STEMI patient outcomes; (3) What components need to be included in a STEMI surveillance program; and (4) What are the perceived costs benefits of conducting these assessments?"
United States. Federal Emergency Management Agency, Learning Resource Center: http://www.lrc.fema.gov/