Electronic Trauma Resuscitation Documentation and Decision Support Using T6 Health Systems Mobile Application: A Combat Trauma Center Pilot Program
59 MDW San Antonio United States
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Trauma resuscitation events are recorded and documented on a handwritten 5-page form in real time in the ED. The document must be scanned later and uploaded in electronic health record EHR to become part of the patient record. Multiple problems illegible handwriting, lost forms, delayed availability. Deployed setting hectic combat environment, multiple transports to different levels of care.ObjectivesMethods. Improve accessibility of trauma record by implementing a software that can Be used on a portable hand held device. Assist with data visualization and real time tracking. Prompt clinical practice guideline compliance. Provide codinggrading of injuries relevant to the NTDB. Export record in searchable PDF that can be uploaded to HER. Sync with prehospital record for comprehensive record. Conduct a head to head comparison of electronic documentation versus handwritten documentation to assess fidelity for time accuracy, data completeness, usability, faster access, success of record capture and efficiency of registry data point capture.
- Medicine and Medical Research
- Information Science