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Garbage In, Garbage Out

Garbage In, Garbage Out: How Bad Data Is Leading Ambulance Services Astray

Garbage In, Garbage Out:How Bad Data Is Leading Ambulance Services Astray By Kevin Kelley and Paul Girard What Is NEMSIS, and Where Did It Come From? NEMSIS — the National Emergency Medical Services Information System — is a federally supported…

Read MoreGarbage In, Garbage Out: How Bad Data Is Leading Ambulance Services Astray
  • Kevin Kelley
  • May 2, 2025

The Secret of a Successful EMS CQI Coach: Understanding the “Why”

The Secret of a Successful EMS CQI Coach: Understanding the “Why” If you want to up your CQI game, perhaps a change in strategy is in order. Many, if not most, CQI professionals spend most of their time trying to…

Read MoreThe Secret of a Successful EMS CQI Coach: Understanding the “Why”
  • Paul Girard
  • April 17, 2025

Why is EMS CQI so Hard?

Why is EMS CQI so Hard? One of the most common discussions I have with EMS CQI coordinators is, why is CQI so hard? Coordinators will list a litany of problems. Why do providers not like feedback? Why do the…

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  • Paul Girard
  • March 23, 2025

The Art of Auditing a Run Report

The Art of Auditing a Run Report It all starts with a good audit. Understanding the art of auditing a run report is crucial for thorough analysis and insights. The art of auditing an EMS run report is about identifying…

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  • Paul Girard
  • March 6, 2025
CQI and the Stroke Patient

CQI And the Stroke Patient: What Could Possibly Go Wrong?

CQI And the Stroke Patient: What Could Possibly Go Wrong? Ask many EMS CQI professionals how they CQI stroke calls and you are likely to hear their efforts revolve around recognition, treatment, and stroke alert notifications. Certainly, that is a…

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  • Paul Girard
  • June 5, 2024

Do I Really Need To Document How I Moved My Patient?

Do I Really Need To Document How I Moved My Patient? In the EMS world, there is increased importance placed on the need for proper documentation. For anyone paying attention for the past several years, many EMS experts have been…

Read MoreDo I Really Need To Document How I Moved My Patient?
  • Paul Girard
  • May 13, 2024
Preventing provider induced patient refusals

Preventing the Provider Induced Patient Refusal (PIPRs)

Preventing the Provider Induced Patient Refusal (PIPRs) It has often been said that one of the riskier things an EMS provider can do is to accept and write up a patient refusal. In many cases patients refuse care and later,…

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  • Paul Girard
  • April 12, 2024
The ACS Patient

Timely Topics in EMS CQI: The ACS Patient

When most people consider how best to CQI cardiac/ACS patients, most consider the monitoring and reporting of STEMI recognition, STEMI point of entry, and the timely administration of ASA as their criteria for measurement. While these are common and certainly…

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  • Paul Girard
  • March 29, 2024

The 4C’s of EMS CQI Leadership

The 4C’s of EMS CQI Leadership Look up EMS CQI on the internet and you will find a wide variety of material related to how to perform CQI. What to measure, how to measure it, what and who you should…

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  • Paul Girard
  • October 25, 2023

Timely Topics in EMS CQI: The ALS Downgrade Note

Timely Topics in EMS CQI: The ALS Downgrade Note A 76-year-old male complaining of chest pain after a motor vehicle crash is assessed by the paramedic/basic crew on scene and the medic determines the patient is low likelihood for an…

Read MoreTimely Topics in EMS CQI: The ALS Downgrade Note
  • Paul Girard
  • October 6, 2023
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Recent Articles

Garbage In, Garbage Out: How Bad Data Is Leading Ambulance Services Astray

May 2, 2025

The Secret of a Successful EMS CQI Coach: Understanding the “Why”

April 17, 2025

Why is EMS CQI so Hard?

March 23, 2025
CQI Who Needs It & Why
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