Fry Emory A, Lenert Leslie A
Naval Medical Center, San Diego, CA, USA.
AMIA Annu Symp Proc. 2005;2005:261-5.
Most medical facilities practice managing the large numbers of seriously injured patients expected during catastrophic events. During mass casualty events, as the demands on the healthcare team increase, and the challenges faced by managers escalate, workflow bottlenecks begin to develop and system capacity decreases. This paper describes MASCAL, an integrated software-hardware system designed to enhance management of resources at a hospital during a mass casualty situation. MASCAL uses active 802.11b asset tags to track patients, equipment and staff during the response to a disaster. The system integrates tag position information with data from personnel databases, medical information systems, registration applications and the US Navy's TACMEDCS triage application in a custom visual disaster management environment. MASCAL includes interfaces for a hospital command center, local area managers (emergency room, operating suites, radiology, etc.) and registration personnel. MASCAL is an operational system undergoing functional evaluation at the Naval Medical Center, San Diego, CA.
大多数医疗机构都在练习应对灾难性事件期间预计会出现的大量重伤患者。在大规模伤亡事件中，随着对医疗团队需求的增加以及管理人员面临的挑战升级，工作流程瓶颈开始出现，系统容量下降。本文介绍了MASCAL，这是一个集成的软硬件系统，旨在在大规模伤亡情况下加强医院的资源管理。MASCAL使用有源802.11b资产标签在应对灾难期间跟踪患者、设备和人员。该系统在定制的可视化灾难管理环境中，将标签位置信息与人员数据库、医疗信息系统、挂号应用程序以及美国海军的TACMEDCS分诊应用程序中的数据集成在一起。MASCAL包括医院指挥中心、地区经理（急诊室、手术室、放射科等）和挂号人员的接口。MASCAL是一个正在加利福尼亚州圣地亚哥海军医疗中心进行功能评估的操作系统。
