ICT system to compensate for a sudden shortage of emergency department physicians

Tanaka, K. et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. Published online: 23 January 2017

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Background: A sudden shortage of physician resources due to overwhelming patient needs can affect the quality of care in the emergency department (ED). Developing effective response strategies remains a challenging research area. We created a novel system using information and communication technology (ICT) to respond to a sudden shortage, and tested the system to determine whether it would compensate for a shortage.

 

Discussion: After introducing the system, probability of multiple casualties increased. Thus the system may contribute to improvement in the ability to respond to sudden excessive patient needs in multiple causalities.

Conclusions: A novel system using ICT successfully secured immediate responses from needed physicians outside the hospital without increasing user workload, and increased the ability to respond to excessive patient needs. The system appears to be able to compensate for a shortage of physician in the ED due to excessive patient transfers, particularly during off-hours.

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Image-based teleconsultation using smartphones or tablets

Boissin, C. et al. (2017) Emergency Medicine Journal. 34:95-99

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Background: Mobile health has promising potential in improving healthcare delivery by facilitating access to expert advice. Enabling experts to review images on their smartphone or tablet may save valuable time. This study aims at assessing whether images viewed by medical specialists on handheld devices such as smartphones and tablets are perceived to be of comparable quality as when viewed on a computer screen.

 

Conclusion: This study suggests that handheld devices could be a substitute for computer screens for teleconsultation by physicians working in emergency settings.

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Practical Guidelines for the Use of Electronic Applications by Advanced Practice Nurses in the Emergency Department

Morgan, V.A. Journal of Emergency Nursing. Published online: October 20 2016

email-1345921_960_720Although numerous electronic applications are available to health care providers on enabled devices such as smartphones and tablets, these resources remain underutilized. Available literature suggests that utilizing electronic applications provides a number of benefits, including improved ability to make quick yet accurate decisions, improved knowledge of evidence based practices, a corresponding reduction in error rates, and an increase in quality improvement measures. These benefits translated into a reduction in adverse events and hospital lengths of stay.

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