This workbook supports paramedics and paramedic leaders looking to improve care through quality improvement (QI). Developed by HEC in partnership with Health Quality BC, this resource provides foundational concepts, practical tools and real-world examples to help you identify opportunities, test changes and track impact, whether you're new to QI or already leading initiatives. How to use this workbook Use the workbook on your own or with your team. It’s available in a fillable PDF format, or you can print and complete it by hand. Each section builds on the last, helping you define a problem, engage the right people, test and measure changes using Plan-Do-Study-Act (PDSA) cycles, and plan for sustainability. Worksheets and templates are included to support every step. Who this workbook is for This workbook is designed for paramedics and paramedic service leaders working in any setting who want to improve patient care, safety or system performance. Whether you’re enhancing a clinical protocol, refining workflows or fostering team engagement, this workbook can help guide your efforts.