ABC: časopis urgentne medicine (Jan 2016)
ICT in institute of emergency medicine the city of Zagreb: Dispatching unit
Abstract
Within the frame of information infrastructure permanent upgrading in the Institute for Emergency Medicine the City of Zagreb, in the year 2009, the new ICT system was put into operation. It is based on the new technological platform in accordance with world standard used in mission critical systems. The new information system comprises a several basic modules and the data entering the central operational system from all segments of working process can be used for various expert analysis and calculation of all provided services or final work reports. Dispatching center module is the backbone of the system and it consists of two parts: receiving and triage of calls and dispatching. The latest feature within the new information system is the ePCR (electronic Patient Care Record) system used in ambulance vehicles in the field, which provides all the relevant data on intervention and patient to be entered directly into computers in vehicles (toughbook) so the patient or hospital is given a printed listing of medical record instead of hand-written form as is used to be done. When finalized, all the data entered in the field and automatically sent to the central database is accessible for further usage. By putting the new system into operation, the possibility for connecting with other health institutions, as well as with Croatian Institute for Health Insurance, was opened. That also created a prerequisite for forming unique database in order to obtain high-quality, precise and faster exchange of data on each patient. University hospital 'Sv. Duh' is the first hospital in Zagreb, connected directly with teams of EMS in the field, by using application CareMonx eTriage. MD in emergency department can see prehospital patient report in emergency room before EMS arrival which provides adequate admission to hospital and more effective treatment of critically ill patient.
