1 University of California, San Diego Health System, UCSD EM Department, San Diego, California USA.
Prehosp Disaster Med. 2013 Oct;28(5):498-501. doi: 10.1017/S1049023X13008686. Epub 2013 Jul 26.
Electronic medical records (EMRs) are considered superior in documentation of care for medical practice. Current disaster medical response involves paper tracking systems and radio communication for mass-casualty incidents (MCIs). These systems are prone to errors, may be compromised by local conditions, and are labor intensive. Communication infrastructure may be impacted, overwhelmed by call volume, or destroyed by the disaster, making self-contained and secure EMR response a critical capability. Report As the prehospital disaster EMR allows for more robust content including protected health information (PHI), security measures must be instituted to safeguard these data. The Wireless Internet Information System for medicAl Response in Disasters (WIISARD) Research Group developed a handheld, linked, wireless EMR system utilizing current technology platforms. Smart phones connected to radio frequency identification (RFID) readers may be utilized to efficiently track casualties resulting from the incident. Medical information may be transmitted on an encrypted network to fellow prehospital team members, medical dispatch, and receiving medical centers. This system has been field tested in a number of exercises with excellent results, and future iterations will incorporate robust security measures.
A secure prehospital triage EMR improves documentation quality during disaster drills.
电子病历(EMR)被认为在医疗实践中对护理记录更具优势。当前的灾难医疗响应涉及到用于大规模伤亡事件(MCIs)的纸质跟踪系统和无线电通信。这些系统容易出错,可能会受到当地条件的影响,并且劳动强度大。通信基础设施可能会受到影响,呼叫量过大,或者被灾难破坏,因此,独立且安全的 EMR 响应是一项关键能力。报告指出,由于院前灾难 EMR 可以包含更丰富的内容,包括受保护的健康信息(PHI),因此必须采取安全措施来保护这些数据。无线互联网医疗应急信息系统(WIISARD)研究小组开发了一种利用现有技术平台的手持式、链接式、无线 EMR 系统。可以使用连接到射频识别(RFID)读取器的智能手机来有效地跟踪事件造成的伤亡情况。医疗信息可以通过加密网络传输到其他院前急救团队成员、医疗调度和接收医疗中心。该系统已在多次演习中进行了实地测试,效果非常好,未来的迭代版本将纳入强大的安全措施。
安全的院前分诊 EMR 可提高灾难演练期间的文档质量。