Application/Key learning points: This seven-page paper reviews approaches to measuring quality in health care and EMS with a focus on currently used clinical performance indicators in EMS systems. The various types of performance indicators, the advantages and limitations of each type, and the evidence-based pre-hospital clinical bundles are discussed. This aim of the paper is to introduce 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 programmes in their systems.
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