Noordergraaf G J, Bouman J H, van den Brink E J, van de Pompe C, Savelkoul T J
Department of Intensive Care and Clinical Toxicology, University Hospital Utrecht, The Netherlands.
Am J Emerg Med. 1996 May;14(3):257-61. doi: 10.1016/S0735-6757(96)90170-9.
Hospital resolution of mass casualty incidents can have difficulties involving "command and control" and information management, ineffective use of triage classes, and missed diagnostic procedures, leading to lower quality of care. A computer system has been developed to supply continuously updated group and patient data. The system uses barcoded identifiers to represent patients, injuries, facilities, and locations, in order to minimize errors and make exchange of data possible. The system communicates with the permanent hospital information system. This article reports the use of this technology during several experiments and real incidents. Computer registration based on bar codes, despite the greater number of items entered, still showed 25% fewer inaccuracies when compared with handwritten medical charts. Extensive training was shown to be unnecessary. Paramedical personnel judged the automated procedures to be an improvement during the admission of 143 evacuated patients.
医院解决大规模伤亡事件时可能会在“指挥与控制”及信息管理方面遇到困难，分诊类别使用不当，诊断程序遗漏，从而导致护理质量下降。已开发出一种计算机系统，用于持续提供最新的群体和患者数据。该系统使用条形码标识符来代表患者、伤情、设施和地点，以尽量减少错误并实现数据交换。该系统与医院永久信息系统通信。本文报告了该技术在几次实验和实际事件中的应用情况。基于条形码的计算机登记，尽管输入的项目更多，但与手写病历相比，不准确之处仍减少了25%。结果表明无需进行广泛培训。辅助医疗人员认为，在收治143名疏散患者的过程中，自动化程序有所改进。
