Schatz Anna, Osterhoff Georg, Georgi Christoph, Joeres Fabian, Neumuth Thomas, Rockstroh Max
Innovation Center Computer Assisted Surgery, Faculty of Medicine, University Leipzig, Leipzig, Germany.
Department of Orthopaedics, Trauma and Plastic Surgery, Leipzig University Hospital, Leipzig, Germany.
Int J Comput Assist Radiol Surg. 2025 Feb;20(2):301-310. doi: 10.1007/s11548-024-03256-2. Epub 2024 Sep 11.
This study examines, with clinical end users, the features of a visualization system in transmitting real-time patient data from the ambulance to the emergency trauma room (ETR) to determine if the real-time data provides the basis for more informed and timely interventions in the ETR before and after patient arrival.
We conducted a qualitative in-depth interview study with 32 physicians in six German and Swiss hospitals. A visualization system was developed as prototype to display the transfer of patient data, and it serves as a basis for evaluation by the participating physicians.
The prototype demonstrated the potential benefits of improving workflow within the ETR by providing critical patient information in real-time. Physicians highlighted the importance of features such as the ABCDE scheme and vital signs that directly impact patient care. Configurable and mobile versions of the prototype were suggested to meet the specific needs of each clinic or specialist, allowing for the transfer of only essential information.
The results highlight on the one hand the potential need for adaptable interfaces in medical communication technologies that balance efficiency with minimizing additional workload for emergency medical services and show that the use of pre-notification systems in communication between ambulance and hospital can be supportive. Further research is recommended to assess practical application and support in clinical practice, including a re-evaluation of the enhanced prototype by professionals.
本研究与临床终端用户一起，考察一个可视化系统在将实时患者数据从救护车传输到急诊创伤室（ETR）时的特点，以确定实时数据是否为在患者到达前后在ETR进行更明智、更及时的干预提供依据。
我们对德国和瑞士六家医院的32名医生进行了定性深入访谈研究。开发了一个可视化系统作为原型来展示患者数据的传输，并作为参与研究的医生进行评估的基础。
该原型通过实时提供关键患者信息，展示了改善ETR内工作流程的潜在益处。医生们强调了如ABCDE方案和直接影响患者护理的生命体征等功能的重要性。建议开发该原型的可配置和移动版本，以满足每个诊所或专科医生的特定需求，允许仅传输必要信息。
结果一方面凸显了医疗通信技术中对适应性接口的潜在需求，这种接口要在效率与尽量减少紧急医疗服务的额外工作量之间取得平衡，并且表明在救护车与医院之间的通信中使用预通知系统可能会有帮助。建议进一步开展研究，以评估其在临床实践中的实际应用和支持情况，包括由专业人员对改进后的原型进行重新评估。
