Development of computer-assisted patient control for use in the hospital setting during mass casualty incidents

作者: G.J. Noordergraaf , J.H. Bouman , E.J. Van Den Brink , C. Van de Pompe , T.J.F. Savelkoul

DOI: 10.1016/S0735-6757(96)90170-9

关键词: TriageHospital information systemCommand and controlMedical emergencyMass-casualty incidentMedicineIntensive careTrauma centerPatient registrationMedical recordEmergency medicineGeneral Medicine

摘要: Abstract Hospital resolution of mass casualty incidents can have difficulties involving “command and control” information management, ineffective use triage classes, missed diagnostic procedures, leading to lower quality care. A computer system has been developed supply continuously updated group patient data. The uses barcoded identifiers represent patients, injuries, facilities, locations, in order minimize errors make exchange data possible. communicates with the permanent hospital system. This article reports this technology during several experiments real incidents. Computer registration based on bar codes, despite greater number items entered, still showed 25% fewer inaccuracies when compared handwritten medical charts. Extensive training was shown be unnecessary. Paramedical personnel judged automated procedures an improvement admission 143 evacuated patients.

参考文章(13)
Henry G. Lorin, Per E.J. Kulling, THE BHOPAL TRAGEDY-WHAT HAS SWEDISH DISASTER MEDICINE PLANNING LEARNED FROM IT? Journal of Emergency Medicine. ,vol. 4, pp. 311- 316 ,(1986) , 10.1016/0736-4679(86)90008-9
W N Hustinx, R T van de Laar, A C van Huffelen, J C Verwey, J Meulenbelt, T J Savelkoul, Systemic effects of inhalational methyl bromide poisoning: a study of nine cases occupationally exposed due to inadvertent spread during fumigation. Occupational and Environmental Medicine. ,vol. 50, pp. 155- 159 ,(1993) , 10.1136/OEM.50.2.155
Frederick M. Burkle, Craig Newland, Steven Orebaugh, Christopher G. Blood, Emergency Medicine in the Persian Gulf War—Part 2: Triage Methodology and Lessons Learned Annals of Emergency Medicine. ,vol. 23, pp. 748- 754 ,(1994) , 10.1016/S0196-0644(94)70310-8
Richard V Chua, William H Cordell, Kristen L Ernsting, Henry C Bock, Allen W Nyhuis, Accuracy of bar codes versus handwriting for recording trauma resuscitation events Annals of Emergency Medicine. ,vol. 22, pp. 1545- 1550 ,(1993) , 10.1016/S0196-0644(05)81256-9
Kenneth V Iserson, Alan Reeter, Elizabeth Criss, Use of large-bore catheter. Annals of Emergency Medicine. ,vol. 15, pp. 109- ,(1986) , 10.1016/S0196-0644(86)80544-3
T.J.F. Savelkoul, H. P. Leenhouts, B. Sangster, The role of Poison Control Centers in Radiation Accidents Clinical Toxicology. ,vol. 27, pp. 305- 310 ,(1989) , 10.3109/15563658908994428
Daniel P. Walsh, Gary R. Lammert, James Devoll, The effectiveness of the advanced trauma life support system in a mass casualty situation by non-trauma-experienced physicians: Grenada 1983 The Journal of Emergency Medicine. ,vol. 7, pp. 175- 180 ,(1989) , 10.1016/0736-4679(89)90266-7
Sheng-Chuan Hu, Computerized monitoring of emergency department patient flow American Journal of Emergency Medicine. ,vol. 11, pp. 8- 11 ,(1993) , 10.1016/0735-6757(93)90049-H
Henry C Bock, Field verification methodology using bar coding to record data Annals of Emergency Medicine. ,vol. 22, pp. 75- 79 ,(1993) , 10.1016/S0196-0644(05)80254-9
Joshua S Vayer, Raymond P Ten Eyck, Michael L Cowan, New concepts in triage Annals of Emergency Medicine. ,vol. 15, pp. 927- 930 ,(1986) , 10.1016/S0196-0644(86)80677-1