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A Standardized Pre-Hospital Electronic Patient Care System

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Nội dung chi tiết: A Standardized Pre-Hospital Electronic Patient Care System

A Standardized Pre-Hospital Electronic Patient Care System

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care System PhD in Computer Science from Harvard University and is an Assistant Professor in the Graduate School Management at Boston University. His research in

terests include distributed sensor networks for medical applications, innovation with distributed architecture, IT/HealthCare standardization, designi A Standardized Pre-Hospital Electronic Patient Care System

ng network based-services, IT for healthcare, emergency medical services. He has been Co-PI on several grants from NSF, NIH. and the US army. He is te

A Standardized Pre-Hospital Electronic Patient Care System

chnical director and network architect at lOBlade. He His first book, Network Services Investment Guide: Maximizing R01 in Uncertain Markets, is in pr

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care SystemApplication Development at lOBIade, Inc., where he is the lead architect for i Revive. Dan graduated with an AB in computer science from Harvard Unive

rsity. Dan's role at lOBIade has since shifted to one of consultation on architectural and technical matters. Since 2007, Dan has been Senior Engineer A Standardized Pre-Hospital Electronic Patient Care System

at Dimagi, Inc in Boston, MA where he has continued to build upon his portfolio of critical engineering for medical records system.Recently his proje

A Standardized Pre-Hospital Electronic Patient Care System

cts have included:1•Core engineering for (he smartcard-based national medical records system for the Republic of Zambia funded by the US Centers for D

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care Systemer in Zambia•Core engineer for a system for anonymous text message reminders for HIV patients, an NIH-funded study on ART adherence•Core engineer for

an Android phone based SMS monitoring and alert system for asset and crisis managementAmar Gupta is Tom Brown Endowed Chair of Management and Technolo A Standardized Pre-Hospital Electronic Patient Care System

gy; Professor of Entrepreneurship, Management Information Systems, Management of Organizations, and Computer Science; all at the University of Arizona

A Standardized Pre-Hospital Electronic Patient Care System

. In addition, he is Visiting Professor at MIT for part of the year. Earlier, he was with the MIT Sloan School of Management (1979-2004); for half of

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care System100 papers, and serves as Associate Editor of ACM Transactions on Internet Technology. At the University of Arizona, Professor Gupta is the chief arch

itect of new multi-degree graduate programs that involve concurrent study of management, entrepreneurship, and one specific technical or scientific do A Standardized Pre-Hospital Electronic Patient Care System

main. He has nurtured the development of several key technologies that are in widespread use today, and is currently focusing on the area of the 24-Ho

A Standardized Pre-Hospital Electronic Patient Care System

ur Knowledge Factory.Steve Moulton is Professor of Surgery at University of Colorado, School of Medicine. He is board certified in general and pediatr

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care System one patent. Dr. Moulton is also the Founder and Chairman of lOBIade, Inc. (www.10blade.com.2March 2009), a startup company developing application sof

tware, sensors and sensor network infrastructure for the management of critically ill and injured patients.AbstractThis paper describes the design, de A Standardized Pre-Hospital Electronic Patient Care System

velopment and testing of a pre-hospital documentation and patient monitoring application culled i Revive. The application utilizes a sensor gateway an

A Standardized Pre-Hospital Electronic Patient Care System

d data mediator to enable semantic interoperability with a wide variety of medical devices and applications. Initial test results indicate that comple

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care Systemrds: Electronic Medical Records. Interoperability, Clinical Documentation. Emergency Medical Response, Trauma, Standards, Data mediation.IntroductionW

e have designed and developed a robust pre-hospital patient care application to improve the quality, distribution and value ot pre-hospital patient ca A Standardized Pre-Hospital Electronic Patient Care System

re information. The application, called iRevive. uses wireless sensors to automatically collect and store vital sign data on a timeline, in parallel w

A Standardized Pre-Hospital Electronic Patient Care System

ith manually entered patient care information. It adheres to current and emerging health care standards lor the storage and transler OÍ elec ironic pa

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care Systemas developed by lOBlade, Inc., the University of Arizona, and Boston MedFlighl (BMP; w ww.bosionmedfliehi.org. Marc h 2009) under a grant from the Nat

ional Institutes of Health. BMF is one of America’s largest, non-profit critical care transport services,3and as such, plays a central role in our loc A Standardized Pre-Hospital Electronic Patient Care System

al and regional Emergency Medical Services (EMS) systems. Boston MedFlight uses three helicopters, a fixed wing aircraft, and two specially equipped g

A Standardized Pre-Hospital Electronic Patient Care System

round vehicles to transport approximately 2700 critically ill and injured patients to the major academic medical centers in Boston each year.Maintaini

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care Systemeviews its internal functions and protocols to identify and address all patient care and transport-related problems. This cyclical quality management

activity demands complete and accurate end-to-end documentation. To date, this documentation process has been earned out by manually reviewing and abs A Standardized Pre-Hospital Electronic Patient Care System

tracting data from every handwritten transport record, maintaining verbal lines of communication with receiving hospitals, and following up on all adv

A Standardized Pre-Hospital Electronic Patient Care System

erse outcomes. This painstaking review process has led to the creation of a large database with disparate tables of information (e.g. dispatch, patien

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care System infrastructure is therefore plagued by two major problems: 1) the standing clinical record is a handwritten piece of paper, and 2) the clinical recor

d is incompletely captured, poorly accessible, and unable to support a rigorous QA.'QI process. iRevive was designed to address these specific problem A Standardized Pre-Hospital Electronic Patient Care System

s.The i Revive system consists of several components that work together to create a complete electronic patient care record based on emerging standard

A Standardized Pre-Hospital Electronic Patient Care System

s. These components include a flexible graphical user interface (GUI) to guide data entry, a sensor gateway enabling automatic collection of real-time

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care Systemhange4between overlapping documentation standards. The data mediator promotes interoperability. It allows pre-hospital patient care information collec

ted in the /Revive system to be made available to in-hospital providers prior to patient arrival, so that acute patient care needs can be anticipated A Standardized Pre-Hospital Electronic Patient Care System

and planned for. It also allows pre-hospital patient care information to become part of each patient’s in-hospital record. This will facilitate creati

A Standardized Pre-Hospital Electronic Patient Care System

ng an end-to-end record of each illness event, thus allowing for comprehensive data sharing and quality assurance. This is accomplished using linguist

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care Systemlls within the early resuscitative phase of patient care, when a patient’s physiology is in constant flux due to acute injury or major illness, and cl

inicians are attempting to intervene and stabilize the patient. The pre-hospital phase of patient care is characterized by excitement, high levels of A Standardized Pre-Hospital Electronic Patient Care System

concentration, occasional life and death decisionmaking, and high expectations for performance. This phase demands an accurate assessment of physical

A Standardized Pre-Hospital Electronic Patient Care System

exam findings, collect interpretation of physiological changes, and an understanding of treatment priorities. These actions occur over a relatively sh

A standardized Pre-Hospital Electronic Patient Care SystemMark Gaynor, Dan Myung. Amar Gupta, Steve MoultonBiographical notes:Mark Gaynor PhD holds a

A Standardized Pre-Hospital Electronic Patient Care System conveyed to a coordinated group of local and downstream healthcare providers.The potential benefits of electronic medical records are numerous and mu

lti-faceted, with direct and indirect advantages to heath care providers, vendors of health care goods and services, insurance companies, medical rese A Standardized Pre-Hospital Electronic Patient Care System

archers, and most importantly, those receiving medical and surgical treatment. In aggregate, savings from existing EMRs have been estimated5to be as h

A Standardized Pre-Hospital Electronic Patient Care System

igh as $77 billion per year [Walker et al 2005]. Hospitals benefit from safer, more efficient systems, which reduce medical errors while cutting costs

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