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The North Carolina EMS Data System: a comprehensive integrated emergency medical services quality improvement program.

机译：北卡罗莱纳州EMS数据系统：全面的综合紧急医疗服务质量改进计划。

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BACKGROUND: The EMS Agenda for the Future describes emergency medical services (EMS) as the intersection between public health, public safety, and health care. The most comprehensive method to describe, evaluate, and optimize these systems of care is using a state EMS data system. A centralized EMS data system can be a valuable tool to identify, evaluate, target, and improve EMS service delivery and patient care. Significant barriers, however, still exist to the standardization of EMS data systems and infrastructure nationally. Indeed, there is no comprehensive measurement of EMS service delivery or patient volume at the national level. OBJECTIVE: In this article, we describe the successful development of a fully integrated, statewide EMS data system for quality improvement of EMS service delivery and patient care in North Carolina. The article also provides a platform for linking EMS with emergency physicians, other health care providers, and public health agencies responsible for planning, disease surveillance, and disaster preparedness. RESULTS AND CONCLUSION: The North Carolina EMS Data System represents the successful development of a large, fully integrated, comprehensive statewide EMS database and quality improvement effort. The North Carolina EMS Data System applications include the Prehospital Medical Information System (PreMIS), the Credentialing Information System (CIS), the State Medical Asset Resource Tracking Tool (SMARTT), and the EMS Performance Improvement Toolkits. The system provides a quality and performance improvement program consistent with the idealized EMS design described in the EMS Agenda for the Future. The program has already achieved significant improvements in the quality of EMS service delivery, patient care, and integrated systems of care. Consistent with the goals of the 2007 Institute of Medicine's recommendations for EMS, the linkage of the North Carolina EMS Data System with other health care registries has created an environment that can evaluate larger systems of care and ultimate patient outcomes.
机译：背景：《 EMS未来议程》将紧急医疗服务（EMS）描述为公共卫生，公共安全和医疗保健之间的交叉点。描述，评估和优化这些护理系统的最全面方法是使用状态EMS数据系统。集中式EMS数据系统可以是识别，评估，定位和改善EMS服务交付和患者护理的宝贵工具。但是，在全国范围内，EMS数据系统和基础设施的标准化仍然存在重大障碍。的确，在国家层面上还没有对EMS服务交付或患者数量的全面衡量。目的：在本文中，我们描述了北卡罗来纳州成功开发的全集成，全州范围的EMS数据系统，以改善EMS服务的提供和患者护理的质量。本文还提供了一个平台，用于将EMS与急诊医师，其他医疗服务提供者以及负责规划，疾病监视和灾难准备的公共卫生机构联系起来。结果与结论：北卡罗莱纳州EMS数据系统代表了大型，完全集成，全面的州范围EMS数据库的成功开发和质量改进工作。北卡罗莱纳州EMS数据系统应用程序包括院前医疗信息系统（PreMIS），证书信息系统（CIS），州医疗资产资源跟踪工具（SMARTT）和EMS性能改进工具包。该系统提供了与EMS未来议程中所述的理想EMS设计一致的质量和性能改进计划。该计划已经在EMS服务交付，患者护理和综合护理系统的质量方面取得了重大改进。与2007年美国医学会针对EMS的建议的目标一致，北卡罗莱纳州EMS数据系统与其他医疗保健注册机构的链接创造了一个可以评估更大的护理系统和最终患者预后的环境。

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