Finnell John T, Overhage J Marc
Regenstrief Institute, Inc., Indiana University School of Medicine, Indianapolis, IN.
AMIA Annu Symp Proc. 2010 Nov 13;2010:222-6.
Emergency medical service (EMS) providers routinely lack even basic access to pre-existing patient information when delivering patient care in the field. Improving access to pre-existing patient information could improve the quality, safety and efficiency of care that they can deliver. EMS providers in Indianapolis use an electronic record to document their care. In order to provide access to pre-existing patient information, we integrated the EMS electronic record into the Indiana Network for Patient Care (INPC) --an operational statewide health information exchange (HIE). Over a six month study period, there were 28,986 911 calls to EMS, with 4,332 (16%) requests for patient data. Of the 58 medics surveyed, a substantial majority felt the information delivered was an important tool for delivering quality patient care.
在现场提供患者护理时，紧急医疗服务（EMS）人员通常甚至连获取患者既往信息的基本途径都没有。改善获取患者既往信息的途径可以提高他们所能提供的护理质量、安全性和效率。印第安纳波利斯的紧急医疗服务人员使用电子记录来记录他们提供的护理。为了提供获取患者既往信息的途径，我们将紧急医疗服务电子记录整合到了印第安纳州患者护理网络（INPC）中，这是一个全州范围内运行的健康信息交换（HIE）平台。在为期六个月的研究期间，紧急医疗服务共接到28986次911呼叫，其中有4332次（16%）请求获取患者数据。在接受调查的58名医护人员中，绝大多数人认为所提供的信息是提供高质量患者护理的重要工具。
