Computerized manufacturing monitoring and dispatch system

1998 ◽  
Vol 35 (1-2) ◽  
pp. 137-140 ◽  
Author(s):  
Tanju Yurtsever ◽  
Neal G. Pierce
Keyword(s):  
Dispatch System ◽  
Computerized Manufacturing

scholarly journals The implementation of a dual dispatch system in out-of-hospital cardiac arrest is associated with improved short and long term survival

2014 ◽  
Vol 3 (4) ◽  
pp. 293-303 ◽  
Author(s):  
Per Nordberg ◽  
Jacob Hollenberg ◽  
Mårten Rosenqvist ◽  
Johan Herlitz ◽  
Martin Jonsson ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Term Survival ◽  
Long Term Survival ◽  
Dispatch System ◽  
Short And Long Term ◽  
Hospital Cardiac Arrest

scholarly journals Eligibility for intravenous thrombolysis in acute stroke: A multicenter prospective study

Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 372-372
Author(s):  
Enrique Mostacero ◽  
Sonia Santos ◽  
Antonio Davalos ◽  
Alberto Gil-Peralta ◽  
Jose Castillo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Acute Stroke ◽  
Life Support ◽  
Advanced Life Support ◽  
Stroke Onset ◽  
Stroke Severity ◽  
Street Hospital ◽  
Modifiable Factors ◽  
Dispatch System

P182 Objective: To elucidate the proportion of patients who would have been eligible for alteplase treatment following the ECASS II criteria in a prospective study conducted in 20 Spanish general or university hospitals. Methods: The first 100 consecutive patients with an acute stroke admitted between 9/98 and 4/99 in each participating hospital were evaluated. Data concerning exclusion criteria for tPA, demographic variables, distance to hospital (<5km,5–20km,>20km), time (0–6am,6–12,12–6pm,6–12pm) and place (home, work/street, hospital) of symptoms onset, subject detecting the event (victim, family member, bystander), dispatch system (own initiative, EMS, primary physician, community hospital), delay and type of transport (own transport, basic, or advanced life support ambulance), cardiovascular risk factors, stroke severity (Canadian scale) and type of stroke were recorded. Results: Out of 1599 screened patients, 166 (10.4%) fulfilled all criteria for tPA treatment. Multiple reasons for exclusion were time from onset >6h in 23%, or unknown in 23%, delay in neurological attention >6h in 39%, TC not available within 6h from onset in 34%, hemorrhage in 14%, early signs of infarction involving >33% MCA in 8%, TIA or rapidly improving symptoms in 24%, coma or hemiplegia plus forced eye deviation in 5%, hypertension >185/110 in 2%, coagulation abnormalities in 1%, and other reasons in 6%. Univariate analyses showed that high eligibility for tPA was associated with type of the first medical intervention (emergency medical system)(p=0.006), type of transport (basic or advanced life support ambulance)(p<0.0001), stroke severity (p<0.001), and type of stroke (cardioembolic) (p=0.0027). Age, distance to hospital, time and place of stroke onset, subject detecting the event, and risk factors were not significantly related to eligibility. Conclusions: Candidates for intravenous tPA treatment within 6 hours from stroke onset are 10% of patients admitted in general hospitals of an EU country. Delay in neurologic attention and CT examination were the main reasons for exclusion. Dispatch system, and type of transport were modifiable factors related to eligibility.

scholarly journals Impact of the Use of Regional Poison Control Centers in an Urban EMS Dispatch System

2016 ◽  
Vol 13 (1) ◽  
pp. 47-51
Author(s):  
Michael Levine ◽  
John Flores ◽  
Seth A. Seabury ◽  
Stephen Sanko ◽  
Marc Eckstein
Keyword(s):  
Poison Control ◽  
Poison Control Centers ◽  
Dispatch System

scholarly journals Modeling Transit Trip Time Using Archived Bus Dispatch System Data

2004 ◽  
Vol 130 (1) ◽  
pp. 56-67 ◽  
Author(s):  
Robert L. Bertini ◽  
Ahmed M. El-Geneidy
Keyword(s):  
Trip Time ◽  
Dispatch System ◽  
System Data

Introduction of information technologies at the disinfection profile enterprise by example Moscow City Disinfection Center

2021 ◽  
pp. 68-74
Author(s):  
Pavel Yurevich Bychkov ◽  
◽  
Pavel Alexandrovich Mochalkin ◽  
Keyword(s):  
Information Technologies ◽  
Health And Safety ◽  
Information Support ◽  
Biological Risk ◽  
Biological Safety ◽  
Dispatch System ◽  
Moscow City ◽  
The Cost ◽  
The City ◽  
Analytical Center

In accordance with the national strategy "Sanitary Shield of the Country – Safety for Health," tasks were set for the analysis and assessment of risks in the field of biological safety. To do this: the Moscow City Disinfection Center is connected to a single dispatch system of the UNIT of the Department of Housing and Communal Services of Moscow, an Algorithm for working on the UNIT portal has been developed and uniform deadlines and procedure for fulfilling applications have been determined, the form of primary documentation has been determined. A unit is organized – the Unified Information and Analytical Center, whose tasks include organizing and conducting a single centralized reception, analysis and processing of incoming information (applications for unscheduled disinfection, deratization and disinsection, summary of rodent bites), generation and compilation of reports, as well as consulting support for real-time requests and appeals of the population, customers of the State Unitary Enterprise of the Moscow State Central Executive Committee, regulatory bodies through all available communication channels (telephone, e-mail, etc.). The scoring information system of assessment of a sanitary and sanitary and hygienic condition of objects is developed: apartment houses of the city of Moscow with the territories adjoining to them. The introduction of integrated work of these systems as a whole will allow organizations of the disinfection profile: to reduce the cost of deratizations, to reduce the number of disinfectants without reducing the quality of work, to avoid the excessive use of poisoned decoys, which will dramatically increase public health and safety of the population, as well as reduce the burden on the environment of the city of Moscow. Keywords: sanitary shield of the country, information and analytical center, scoring system of assessment of sanitary and epidemiological condition, electronic systems of rodent monitoring, biological safety, biological risk assessment, biological risk analysis, information support of disinfection activities, digitalization of disinfection measures.

scholarly journals Symptom-Based Dispatching in an Emergency Medical Communication Centre: Sensitivity, Specificity, and the Area under the ROC Curve

2020 ◽  
Vol 17 (21) ◽  
pp. 8254
Author(s):  
Robert Larribau ◽  
Victor Nathan Chappuis ◽  
Philippe Cottet ◽  
Simon Regard ◽  
Hélène Deham ◽  
...  
Keyword(s):  
Performance Measurement ◽  
Roc Curve ◽  
Test Performance ◽  
Reference Standard ◽  
Emergency Medical Dispatch ◽  
Medical Communication ◽  
Emergency Calls ◽  
Emergency Medical ◽  
Dispatch System ◽  
Specific Assessment

Background: Measuring the performance of emergency medical dispatch tools used in paramedic-staffed emergency medical communication centres (EMCCs) is rarely performed. The objectives of our study were, therefore, to measure the performance and accuracy of Geneva’s dispatch system based on symptom assessment, in particular, the performance of ambulance dispatching with lights and sirens (L&S) and to measure the effect of adding specific protocols for each symptom. Methods: We performed a prospective observational study including all emergency calls received at Geneva’s EMCC (Switzerland) from 1 January 2014 to 1 July 2019. The risk levels selected during the emergency calls were compared to a reference standard, based on the National Advisory Committee for Aeronautics (NACA) scale, dichotomized to severe patient condition (NACA ≥ 4) or stable patient condition (NACA < 4) in the field. The symptom-based dispatch performance was assessed using a receiver operating characteristic (ROC) curve. Contingency tables and a Fagan nomogram were used to measure the performance of the dispatch with or without L&S. Measurements were carried out by symptom, and a group of symptoms with specific protocols was compared to a group without specific protocols. Results: We found an acceptable area under the ROC curve of 0.7474, 95%CI (0.7448–0.7503) for the 148,979 assessments included in the study. Where the severity prevalence was 21%, 95%CI (20.8–21.2). The sensitivity of the L&S dispatch was 87.5%, 95%CI (87.1–87.8); and the specificity was 47.3%, 95%CI (47.0–47.6). When symptom-specific assessment protocols were used, the accuracy of the assessments was slightly improved. Conclusions: Performance measurement of Geneva’s symptom-based dispatch system using standard diagnostic test performance measurement tools was possible. The performance was found to be comparable to other emergency medical dispatch systems using the same reference standard. However, the implementation of specific assessment protocols for each symptom may improve the accuracy of symptom-based dispatch systems.

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