Thailand medical mobile application for patients triage base on criteria based dispatch protocol.
Background: Before patients are admitted into the emergency department, it is important to undertake a pre-hospital process, both in terms of treatment performance and a request for resources from an emergency unit. The existing system to triage patients in Thailand is not functioning to its full ca...
| Publicado en: | BMC Medical Informatics & Decision Making Vol. 20; no. 1; pp. 1 - 14 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
4/9/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142647836&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142647836 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726947 1CI0 jtl: BMC Medical Informatics & Decision Making issn: 14726947 maglogo: N pubinfo: dt: 4/9/2020 vid: 20 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 142647836 142647836 NLM32272928 142647836 10.1186/s12911-020-1075-6 NLM32272928 142647836 ppf: 1 ppct: 13 formats: tig: atl: Thailand medical mobile application for patients triage base on criteria based dispatch protocol. aug: au: Sutham, Krongkarn Khuwuthyakorn, Pattaraporn Thinnukool, Orawit affil: Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, 50200, Chiang Mai, Thailand sug: subj: Emergency Medical Services Mobile Applications Triage Human Reproducibility of Results Thailand Retrospective Design Patients Validation Studies Comparative Studies Evaluation Research Multicenter Studies ab: Background: Before patients are admitted into the emergency department, it is important to undertake a pre-hospital process, both in terms of treatment performance and a request for resources from an emergency unit. The existing system to triage patients in Thailand is not functioning to its full capacity in either the primary medical system or pre-hospital treatment with shortcomings in the areas of speed, features, and appropriate systems. There is a high possibility of issuing a false Initial Dispatch Code (IDC), which will cause the over or underutilisation of emergency resources, such as rescue teams, community hospitals and emergency medical volunteers.Methods: A usability system design, together with a reliability test, was applied to develop an application to optimise the pre-hospital process, specifically to sort patients, using an IDC to improve the request for emergency resources. The triage mobile application was developed on both iOS and Android operating systems to support patient triage based on Criteria Based Dispatch (CBD). The 25 main symptom categories covered by CBD were used to design and develop the application, and 12 emergency medical staff, including doctors and nurses, were asked to test the system in the aspects of triage protocol correction, triage reliability, usability and user satisfaction.Results: The results of testing the proposed triage application were compared with the time used to triage by experienced staff and it was found that, in non-trauma cases, it was faster and more effective to use the application for emergency operations and to correct the IDC code representation.Conclusions: The triage application will be utilised to support the pre-hospital process and to classify patients' conditions before they are admitted to the Emergency Department (ED). The application is suitable for users who are not medical emergency staff. Patients with non-trauma symptoms may be a suitable group to use the application in terms of time used to identify IDC for their own symptoms. The use of the application can be beneficial for those who wish to self-identify their symptoms before requesting medical services. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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