Physician Medical Direction andClinical Performance at an Established Emergency Medical Services System

Abstract

We suggest that implementation of a physician medical direction is associated with improved clinical indicators and overall quality of care at an established EMS system.

Institutional Blood Glucose Monitoring System for Hospitalized Patients: An Integral Component of the Inpatient Glucose Control Program

“…For example, the use of clear protocols has been shown to be associated with greater staff compliance with guidelines and improved patient outcomes. 14,15 The use of multidisciplinary care teams has been demonstrated to improve both glycemic control and patient quality of life. 16 Safe and effective glycemic control, featuring reduced glycemic variability, has been shown to be associated with reduced mortality in hospitalized patients.…”

A survey of front-line paramedics examining the professional relationship between paramedics and physician medical oversight

“…The interaction between paramedics and physician medical oversight is complex but also important for the provision of safe and effective care by paramedics. 3 Errors in paramedicine may be underreported, 4,5 and this is likely to be exacerbated should the professional relationships between paramedics and physician medical oversight be strained. For instance, as medical directors (and their associated programs) are in many ways responsible for the availability, delivery, and delegation of care in paramedic systems, paramedics may experience a tension between seeking additional guidance when needed (or revealing errors) and potential disciplinary action (even when base hospitals are explicit about eliminating or minimizing such action).…”

Recognition of Medical Direction in Emergency Medical Service Personnel in Jeju

“…Qatar introduced a physician medical direction and quality assurance program in 2007, which improved clinical indicators and overall quality of care. Intravenous catheter insertion in unstable cases increased from 67% to 92%, and EMS administration of aspirin to patients with suspected ischemic chest pain improved from 2% to 77% [7]. In addition, after firemen rescuers were controlled under strict medical directions over 4 months in Paris, France, pre-hospital management of stroke seemed to be feasible and effective for patients with stroke, with improved access to thrombolysis [8].…”