Edward T. Dickinson Test Bank
1) Which of the following refers to a program or process for evaluating
and improving the effectiveness of an EMS system?
A) Quality improvement
B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system - A) CORRECT. Quality improvement (QI) consists of
continuous self-review with the purpose of identifying aspects of the EMS
system that require improvement, with subsequent action plans to make
subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program
of evaluating and improving an EMS system.
C) INCORRECT. A program or process for evaluating and improving the
effectiveness of an EMS system is not referred to as a Process
Improvement Program.
D) INCORRECT. The term "total quality system" does not refer to a program
for improving the effectiveness of EMS systems.
2) Which of the following groups is credited with developing the
earliest documented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French - Explanation: A) INCORRECT. The Spanish did not develop
the first documented emergency medical service; the French did in the 1700s.
B) INCORRECT. Although known for progress in technical areas, the Egyptians
were not responsible for the first documented emergency medical service. In
1790, the French first began transporting wounded soldiers away from
battlefields and to waiting medical care.
C) INCORRECT. The earliest documented emergency medical service was in
France in 1790, nearly a thousand years after the Mayan civilization
disappeared.
,D) CORRECT. The earliest documented emergency medical service was in
1790 when the French began transporting wounded soldiers from the scenes of
battle to waiting physicians.
3) In 1966 the National Highway Safety Act charged which of the
following agencies with the development of emergency medical service
standards?
A) U.S. Department of Transportation
B) U.S. Department of the Interior
C) U.S. Department of Health Services
D) U.S. Department of Homeland Security - Explanation: A) CORRECT. In
1966 the National Highway Safety Act charged the United States Department
of Transportation (DOT) with developing EMS standards and assisting the
states to upgrade the quality of their prehospital emergency care.
B) INCORRECT. The U.S. Department of the Interior is charged with the
management and conservation of federal land and the country's natural
resources. The Department of Transportation was charged with developing
EMS standards.
C) INCORRECT. Although the U.S. Department of Health and Human Services
is charged with protecting the health of all Americans, the United States
Department of Transportation was assigned the task of developing emergency
medical service standards.
D) INCORRECT. Although the U.S. Department of Homeland Security is
tasked with protecting the nation from threats, it was established in 2002 and
did not exist in 1966. It was the U.S. Department of Transportation that was
charged with developing EMS standards.
4) Centralized coordination of emergency medical access, transportation, and
care most refers to which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
, D) Central deployment - Explanation: A) INCORRECT. Emergency
preparedness plans are usually developed to guide the actions of a specific group
of people at the outset of an emergency, with the goal of protecting people
and/or property. They