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Emergency Medicine International
Volume 2012, Article ID 161630, 7 pages
Review Article

Measuring Quality in Emergency Medical Services: A Review of Clinical Performance Indicators

EMS and Prehospital Care Program, Department of Emergency Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 110 72020, Lebanon

Received 8 August 2011; Accepted 15 August 2011

Academic Editor: Stephen H. Thomas

Copyright © 2012 Mazen J. El Sayed. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Measuring quality in Emergency Medical Services (EMSs) systems is challenging. This paper reviews the current approaches to measuring quality in health care and EMS with a focus on currently used clinical performance indicators in EMS systems (US and international systems). The different types of performance indicators, the advantages and limitations of each type, and the evidence-based prehospital clinical bundles are discussed. This paper aims at introducing emergency physicians and health care providers to quality initiatives in EMS and serves as a reference for tools that EMS medical directors can use to launch new or modify existing quality control programs in their systems.