Designing Information Displays to Support Awareness in Ad Hoc, Interdisciplinary Emergency Medical Teamwork

2021 ◽  
Author(s):  
Diana Sachiko Kusunoki
Keyword(s):  
Ad Hoc ◽  
Information Displays ◽  
Emergency Medical

Clinical Audit on Short Stay Emergency Medical Admission

2003 ◽  
Vol 10 (1) ◽  
pp. 30-36 ◽  
Author(s):  
CM Lo ◽  
SH Leung ◽  
CS Lam ◽  
HH Yau
Keyword(s):  
Ad Hoc ◽  
Clinical Audit ◽  
Care Service ◽  
Health Care Service ◽  
Admission Rate ◽  
Initial Assessment ◽  
Short Stay ◽  
Evaluation Protocol ◽  
Emergency Medical ◽  
Inappropriate Admission

The growth rate of emergency department visit locally is disproportionate to the population growth. The number of emergency hospital admission has also increased leading to congested ward environment. A retrospective clinical audit on short stay (discharged within 24 hours) emergency medical and geriatric admission was done to look at the appropriateness of our emergency medical and geriatric admission. This study was carried out in April 2000. The Appropriateness Evaluation Protocol was employed as an objective tool for initial assessment. A peer panel, composed of Fellows from the Colleges of Physicians and Emergency Medicine, was formed to check for appropriateness of admission for those cases without objective admission criteria. Thirteen out of the 177 cases (7.3%) available for analysis were considered as “inappropriate” admission. If we assume that those emergency admissions that stayed for longer than 24 hours were appropriately admitted, the “inappropriate” admission rate for medical and geriatric cases would be 0.67% (13 out of 1930). Suggestions for further improvement include: (1) longer and intensive observation for selected patients before admission; (2) access to early specialist outpatient review; (3) ad-hoc clinics to be run by other specialists for selected “old” cases; and (4) strengthening of the primary health care service.

scholarly journals Binary Programming Model for Rostering Ambulance Crew-Relevance for the Management and Business

Mathematics ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 64
Author(s):  
Aleksandra Marcikic Horvat ◽  
Branislav Dudic ◽  
Boris Radovanov ◽  
Boban Melovic ◽  
Otilija Sedlak ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medical Services ◽  
Health Care Services ◽  
Ad Hoc ◽  
Programming Model ◽  
Medical Services ◽  
Binary Programming ◽  
Staffing Levels ◽  
Regulatory Constraints ◽  
Emergency Medical

The nature of health care services is very complex and specific, thus delays and organizational imperfections can cause serious and irreversible consequences, especially when dealing with emergency medical services. Therefore, constant improvements in various aspects of managing and organizing provision of emergency medical services are vital and unavoidable. The main goal of this paper is the development and application of a binary programming model to support decision making process, especially addressing scheduling workforce in organizations with stochastic demand. The necessary staffing levels and human resources allocation in health care organizations are often defined ad hoc, without empirical analysis and synchronization with the demand for emergency medical services. Thus, irrational allocation of resources can result in various negative impacts on the financial result, quality of medical services and satisfaction of both patients and employees. We start from the desired staffing levels determined in advance and try to find the optimal scheduling plan that satisfies all significant professional and regulatory constraints. In this paper a binary programming model has been developed and implemented in order to minimize costs, presented as the sum of required number of ambulance crews. The results were implemented for staff rostering process in the Ambulance Service Station in Subotica, Serbia. Compared to earlier scheduling done ad hoc at the station, the solution of the formulated model provides a better and equable engagement of crews. The developed model can be easily modified and applied to other organizations with the same, stochastic, nature of the demand.

Large-Scale Coordination in Emergency Response

2005 ◽  
Vol 49 (3) ◽  
pp. 534-538 ◽  
Author(s):  
Laura G. Militello ◽  
Emily S. Patterson ◽  
Robert Wears ◽  
Jill A. Ritter
Keyword(s):  
Emergency Response ◽  
Situation Awareness ◽  
Large Scale ◽  
Ad Hoc ◽  
Time Pressure ◽  
Lessons Learned ◽  
Governmental Agencies ◽  
Information Displays ◽  
Emergency Operations Center ◽  
Reference Tools

Coordination is a key element in emergency response. This paper focuses on coordination as it occurred in a county-level Emergency Operations Center (EOC) during a simulated tornado. The EOC is responsible for locating, purchasing, and transporting resources to the disaster scene(s). The EOC is an ad hoc team made up of government agencies, private companies (i.e., hospitals, utilities, etc.), and non-governmental agencies. These decision makers come together to engage in creative problem solving in order to solve often complex logistics and coordination problems generally under intense time pressure during a rapidly evolving situation. Lessons learned from this exercise highlight coordination challenges including asymmetric information flow, natural fault lines, roles and functions, co-location benefits, emergent leadership, fragmented situation awareness, information displays, room design, and quick reference tools.

scholarly journals The National Emergency Medical Service Role During the COVID-19 Pandemic in Sierra Leone

2020 ◽  
Vol 35 (6) ◽  
pp. 693-697
Author(s):  
Marta Caviglia ◽  
Riccardo Buson ◽  
Sara Pini ◽  
Amara Jambai ◽  
Matthew Jusu Vandy ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Sierra Leone ◽  
Medical Service ◽  
Ad Hoc ◽  
The Novel ◽  
Emergency Medical ◽  
Service Role ◽  
Communication Flow ◽  
Novel Coronavirus ◽  
National Emergency

AbstractThis report describes the main adaptive and transformative changes adopted by the brand-new National Emergency Medical Service (NEMS) to face the novel coronavirus disease 2019 (COVID-19) in Sierra Leone, including ambulance re-distribution, improvements in communication flow, implementation of ad-hoc procedures and trainings, and budget re-allocation. In a time-span of four months, 1,170 COVID-19 cases have been handled by the NEMS through a parallel referral system, while efforts have been made to manage the routine emergencies of the country, causing a substantial intensification of daily activities.

scholarly journals Sketching Awareness: A Participatory Study to Elicit Designs for Supporting Ad Hoc Emergency Medical Teamwork

2014 ◽  
Vol 24 (1) ◽  
pp. 1-38 ◽  
Author(s):  
Diana Kusunoki ◽  
Aleksandra Sarcevic ◽  
Zhan Zhang ◽  
Maria Yala
Keyword(s):  
Ad Hoc ◽  
Emergency Medical

Die COVID-19-Pandemie im akutstationären Setting aus Sicht von Führungspersonen und Hygienefachkräften in der Pflege

Pflege ◽  
2020 ◽  
Vol 33 (5) ◽  
pp. 289-298
Author(s):  
Katharina Silies ◽  
Angelika Schley ◽  
Janna Sill ◽  
Steffen Fleischer ◽  
Martin Müller ◽  
...  
Keyword(s):  
Ad Hoc ◽  
Qualitative Studie ◽  
Skill Mix ◽  
Task Forces

Zusammenfassung. Hintergrund: Die COVID-19-Pandemie ist eine Ausnahmesituation ohne Präzedenz und erforderte zahlreiche Ad-hoc-Anpassungen in den Strukturen und Prozessen der akutstationären Versorgung. Ziel: Ziel war es zu untersuchen, wie aus Sicht von Führungspersonen und Hygienefachkräften in der Pflege die stationäre Akutversorgung durch die Pandemiesituation beeinflusst wurde und welche Implikationen sich daraus für die Zukunft ergeben. Methoden: Qualitative Studie bestehend aus semistrukturierten Interviews mit fünf Verantwortlichen des leitenden Pflegemanagements und drei Hygienefachkräften in vier Krankenhäusern in Deutschland. Die Interviews wurden mittels qualitativer Inhaltsanalyse ausgewertet. Ergebnisse: Die Befragten beschrieben den auf die prioritäre Versorgung von COVID-19-Fällen hin umstrukturierten Klinikalltag. Herausforderungen waren Unsicherheit und Angst bei den Mitarbeiter_innen, relative Ressourcenknappheit von Material und Personal und die schnelle Umsetzung neuer Anforderungen an die Versorgungleistung. Dem wurde durch gezielte Kommunikation und Information, massive Anstrengungen zur Sicherung der Ressourcen und koordinierte Steuerung aller Prozesse durch bereichsübergreifende, interprofessionelle Task Forces begegnet. Schlussfolgerungen: Die in der COVID-19-Pandemie vorgenommenen Anpassungen zeigen Entwicklungspotenziale für die zukünftige Routineversorgung auf, z. B. könnten neue Arbeits- und Skill Mix-Modelle aufgegriffen werden. Für die Konkretisierung praktischer Implikationen sind vertiefende Analysen der Daten mit zeitlichem Abstand erforderlich.

Tests und Tools

2006 ◽  
Vol 5 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Simone Kauffeld
Keyword(s):  
Ad Hoc ◽  
Non Profit

Zusammenfassung. Der FEO, der in Kooperation mit betrieblichen Praktikern entwickelt wurde, dient der Erfassung des Organisationsklimas. Er umfasst 82 Items und bildet 12 Skalen ab. Eine Stärke des FEO im Gegensatz zu ad hoc entwickelten Befragungsinstrumenten sind die Vergleichsdaten, die für Profit- und Non-Profit-Organisationen bereit gestellt werden. Kritisch diskutiert wird die theoretische Verortung, die Anwenderfreundlichkeit sowie der Nutzen der individuellen Auswertung. Die konsensuale, konvergente, diskriminante und kriterienbezogene Validierung steht aus.

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