EMS Event Reporting

"Patient Safety and Provider Recognition Program"

The EMS Event Reporting Program is a comprehensive Patient Safety and EMS Provider Recognition program. EMS Events may be reported through the chain of command or anonymously. The policy, forms and instructions are below. Questions and comments about this program can be sent to Pat Frost, EMS QI Coordinator at pfrost@hsd.cccounty.us.

EMS Event policy (Goldenrod #32) (34k PDF, 3p.)

EMS Event report form and instructions (43k PDF, 2pp.)
Use to report a patient safety or provider recognition event

EMS Event QI Review form and instructions (44k PDF, 3pp.)
This form is for EMS Agency QI Coordinators only
Contact Pat Frost at pfrost@hsd.cccounty.us for electronic version

EMS Event Reporting Decision Tree (38k PDF, 1pp.)

EMS Event Reporting Training (730k PPT, 23pp.)