Prehospital Electronic Record with use of Mobile Devices
Prehospital Electronic Record with use of Mobile Devices
Due
to the complexity of knowledge, the large amount of information and clinical
data and their inter-relations in healthcare, the use of computer systems is
necessary and useful in order to assist healthcare professionals in their
activities. Computer systems can be used in conjunction with the electronic
record in pre-hospital and hospital service, clinical course, outpatient care
and general management. With advances in technology and the continuing
development of mobile technologies and wireless, there is a growing need for
mobility in regard to people, companies, objects and information [1]. In the
medical field, the trend is towards the increasing use of mobile technologies,
a new concept called mobile-health (mHealth). Although there is no consensus on
its definition, this term is commonly used to refer to the use of mobile
communication devices, such as smartphones, tablets and personal digital
assistants (PDAs) in health services [2]. Prehospital care is provided by a
specialized team in emergency situations for events occurring outside the
hospital. The process of care is intended for victims of trauma or nontraumatic
cases and performed at the location of occurrence for clinical stabilization
and removal to a close and appropriate health service based upon to the
complexity of features that the patient needs. This service plays an important
role in public health, since some situations are critical, and it helps to
determine the need for emergency and immediate care [3]. Given this context, in
order to address the lack of related systems and mobility required by the
prehospital service, this paper presents the development of an electronic record
system of the patient for prehospital emergency care by ambulance in the Mobile
Emergency Care Service (SAMU), enabling the collection of patient data. The
data will be synchronized with a remote server where it will be stored in a
database for the purpose of analysis and studies. With the awareness that
centralizing information generated in different places can help health
professionals, prehospital clinical data can be made available, integrated into
triage at the Emergency Regulation Center (determines the health service to
which the patient will be taken) and into the hospitals designated to receive
the patient. Quality information is a key factor for decision making by
healthcare teams in any scenario. The goal of the developed systems is to
provide an electronic record system to support prehospital care using mobile
and distributed computing between different systems (interoperability), to
assist in the registration and search into the full patient care system. From
the validation of the solution, the system features will be available and
integrated with an existing solution already deployed in the SAMU.
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