Quality Assurance / Professional Standards Review Organization EMS Incident Form

NOTE: This form is for use by healthcare and public safety personnel. Members of the general public or patients should use the 'Submit a Question or Complaint' form. ---- KCEMS EMS Incident Quality Assurance / Quality Improvement Report Form: This is a confidential professional standard review organization and/or quality assurance document of Kent County Emergency Medical Services, Inc. It is protected from disclosure pursuant to the provisions of Michigan law including: MCL 330.1143A, MCL 330.1748, MCL 331.531, MCL 331.532, MCL 331.20175, MCL 333.21513, MCL 333.21515 and all other applicable laws.








(Please include events surrounding, and contributing to, this incident)











Please upload a copy of the ePCR for reference. You may black out the Protected Health Information (PHI): name, address, DOB. etc.

 



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Educational Calendar

Educational Calendar

The education calendar is a location for instructors to post new provider classes, CEUs and training opportunities for EMS providers throughout the area. To submit classes, please click on the Learn More link.

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Protocols by County

Protocols by County

Please select this link to view shared educational materials by topic area.

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Trauma Network

Trauma Network

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Contact Us

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