The implementation of an innovative emergency medical services system for solitary elderly in Nantou county, Taiwan...9th World Conference of the International Society for Gerontechnology (ISG), June 18-21, 2014, Taipei, Taiwan.
Purpose Pre-hospital emergency medical care had been administered to only about 20% of elderly patients who had experienced a severe coma1. In addition, patients who were compromised in other ways, such as patients with hearing loss, dementia, and patients with no immediate family to care for them c...
| Publicado en: | Gerontechnology Vol. 13; no. 2; pp. 309 - 310 |
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| Autores principales: | , , |
| Formato: | abstract proceedings research tables/charts Journal Article |
| Publicado: |
International Society for Gerontechnology
2014 Special Issue
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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=180444943&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180444943 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15691101 904R jtl: Gerontechnology issn: 15691101 maglogo: N pubinfo: dt: 2014 Special Issue vid: 13 iid: 2 pid: 54298 pub: International Society for Gerontechnology artinfo: ui: 180444943 180444943 180444943 10.4017/gt.2014.13.02.340.00 180444943 ppf: 309 ppct: 1 formats: tig: atl: The implementation of an innovative emergency medical services system for solitary elderly in Nantou county, Taiwan...9th World Conference of the International Society for Gerontechnology (ISG), June 18-21, 2014, Taipei, Taiwan. aug: au: WU, H.-N. CHENG, Y.-T. PEI, C. affil: Nai-Kai University of Technology, Nantou, Taiwan sug: subj: Emergency Medical Service Communication Systems In Old Age Risk Assessment Program Implementation Congresses and Conferences Taiwan Taiwan Aged Aged: 65+ years ab: Purpose Pre-hospital emergency medical care had been administered to only about 20% of elderly patients who had experienced a severe coma1. In addition, patients who were compromised in other ways, such as patients with hearing loss, dementia, and patients with no immediate family to care for them care seriously affect the professional judgment of emergency medical technicians (EMTs)2. This increases the evacuation time and difficulty of medical care during treatment provided by emergency medical services (EMS) personnel. In 2007, Professor T. Okamoto proposed modifications to the current EMS system with the goal of assisting EMTs during their initial patient assessment. The system provides the EMTs relevant medical history and related information about the patient at the time of first contact. The system is expected to simplify the process of identification medical treatment and decreases the rate of patient morbidity. This goal will be achieved mainly through improving in-service EMS continuing education, training and other factors. Moreover, this revised EMS system can be integrated with existing telemedicine technology creating a multi-functional EMS system. The system was adopted by the Nantou County Fire Department, Taiwan. This research explores the risk factors associated with the implementation of the EMS system in Nantou County. Method A literature review established a preliminary mind map to analyze and compile key factors that affect the operations, procedures, and quality of the EMS system; key factors were confirmed using a questionnaire. Twelve experts in the fields of medicine, business administration, and academia were invited to participate in a Delphi method expert survey. Results & Discussion The result ranked 18 key risk factors with an average ≥ 7, indicating they were significant factors influencing this type of medical care. These experts reached a consensus opinion, and four key factors related to implementation of the system were obtained through a mind map3 (Figure 1). They are: (i) data gathering, (ii) process design, (iii) telecare, and (iv) education and training. Figure 1 also shows the fourteen secondary factors. In the future, two analytic methods known as the Decision Making Trial and Evaluation Laboratory (DEMATEL) and an Analytical Hierarchy Process (AHP)4 will be adopted to explore the causal relationships among the factors. pubtype: Academic Journal doctype: abstract proceedings research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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