What is the system of internal and external reviews and audits of all aspects of an EMS system aimed at improving outcomes called?

The correct answer is Continuous Quality Improvement (CQI). This concept is integral to emergency medical services (EMS) as it encompasses a systematic, ongoing effort to enhance services by evaluating all aspects of emergency care and transport. CQI is designed to identify areas that need improvement and implement strategies to optimize outcomes for patients.

The process typically involves collecting and analyzing data related to performance metrics, patient outcomes, and service delivery. Feedback mechanisms are also a key component, allowing EMS personnel to learn from both successes and failures. By using this data-driven approach, organizations can adapt and refine their practices, ultimately leading to better quality care and improved patient safety.

In contrast, Performance Evaluation focuses more on assessing individual staff members or specific programs rather than the entire system of care. Systematic Review refers to a methodical, critical assessment of available research, mainly in the context of academic research rather than operational performance in EMS. Operational Assessment might involve evaluating the efficiency of various operational components within an organization, but it does not encompass the broader, continuous nature of CQI aimed specifically at enhancing patient outcomes and service quality in EMS.