StrokePad: An IPad Application Designed for Documentation of Out-of-Hospital Emergency Medical Care
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Abstract
Background:
EMS providers in Germany attend to an average of 31,000 calls a day. Most calls are currently documented on a standardized DIN-A3 paper protocol with copies for the receiving clinic and dispatch units. StrokePad is a tablet application designed to replace and enhance standard documentation. It’s features support the high stress environment of EMS services utilizing an intuitive GUI that maps the typical EMS workflow and allows the immediate electronic transfer of relevant information to the receiving facility as well as mission control centers, thereby saving valuable time in the care of critically ill patients.
Objectives:
Design and build a mobile tablet based application to model EMS workflow and information processing, present a graphical user interface customized to the patient’s initial presentation to capture all pertinent data, offer medical decision support on demand, and streamline the transition process into the hospital emergency department.
Methods and Design:
Tablet-based layout with touch screen interaction
On- and offline modes
Standardized screen architecture assuring steep learning curve for new users.
Four main navigational categories: Logistics; Patient ID; Historical Information and Clinical Findings; Stabilization and Treatment Actions.
Dynamic Iterative Content Expansion (DynamICE): Default display items are context sensitive to the case presentation and offer the user immediate access to the most relevant items regarding clinical findings and actions without the need to search or scroll.
Context sensitive decision support including access to standard protocols.
Development:
Prototype currently under development. GUI architecture and interaction finalized, features defined, database architecture designed, ontologies for medical histories, clinical findings and therapeutic interventions established (this for the most part includes mapping to international standards). Prototype programming in IOS in progress. Language support planned. Information transfer as summary file by e-mail or HL7 messaging directly into the receiving hospitals electronic medical record planned. Security features and audit trail planned.
Outlook:
We expect the prototype to be available at the time of the conference. Further funding will determine the target date for deployment of the StrokePad application in its primary target markets.
EMS providers in Germany attend to an average of 31,000 calls a day. Most calls are currently documented on a standardized DIN-A3 paper protocol with copies for the receiving clinic and dispatch units. StrokePad is a tablet application designed to replace and enhance standard documentation. It’s features support the high stress environment of EMS services utilizing an intuitive GUI that maps the typical EMS workflow and allows the immediate electronic transfer of relevant information to the receiving facility as well as mission control centers, thereby saving valuable time in the care of critically ill patients.
Objectives:
Design and build a mobile tablet based application to model EMS workflow and information processing, present a graphical user interface customized to the patient’s initial presentation to capture all pertinent data, offer medical decision support on demand, and streamline the transition process into the hospital emergency department.
Methods and Design:
Tablet-based layout with touch screen interaction
On- and offline modes
Standardized screen architecture assuring steep learning curve for new users.
Four main navigational categories: Logistics; Patient ID; Historical Information and Clinical Findings; Stabilization and Treatment Actions.
Dynamic Iterative Content Expansion (DynamICE): Default display items are context sensitive to the case presentation and offer the user immediate access to the most relevant items regarding clinical findings and actions without the need to search or scroll.
Context sensitive decision support including access to standard protocols.
Development:
Prototype currently under development. GUI architecture and interaction finalized, features defined, database architecture designed, ontologies for medical histories, clinical findings and therapeutic interventions established (this for the most part includes mapping to international standards). Prototype programming in IOS in progress. Language support planned. Information transfer as summary file by e-mail or HL7 messaging directly into the receiving hospitals electronic medical record planned. Security features and audit trail planned.
Outlook:
We expect the prototype to be available at the time of the conference. Further funding will determine the target date for deployment of the StrokePad application in its primary target markets.
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