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Should we fly or drive? The use of a computer-based system (ANTSS) for resource utilization
Michael D Weiss1, Linda J Young
1Department of Pediatrics, University of Florida, Gainesville, Florida 32601-0296, USA. weissmd@peds.ufl.edu
Air Medical Journal
|March 10, 2007
Summary
A new system, ANTSS (Assessment of Neonates for Transport Scoring Software), uses physiologic scores to guide transport vehicle selection for critically ill neonates. It improves data accuracy and information for transport teams.
Area of Science:
- Medical Informatics
- Neonatal Medicine
- Emergency Medicine
Background:
- Accurate resource allocation is crucial for critically ill patient transport.
- Existing methods for patient assessment and transport vehicle selection lack objectivity.
- A standardized, objective system is needed to optimize emergency medical transport.
Purpose of the Study:
- To implement and evaluate a novel internet-based charting system, ANTSS (Assessment of Neonates for Transport Scoring Software), for critically ill neonates.
- To assess the system's impact on physician workload, data completeness, and transport team information quality.
- To determine if ANTSS can objectively guide the selection of appropriate transport vehicles based on patient acuity.
Main Methods:
- Development of ANTSS, an internet-based system incorporating a background physiologic acuity scoring system.
- Color-coding patients (red, yellow, green) based on scores to recommend transport vehicles.
- Evaluation through physician surveys on workload and scoring usefulness.
- Comparison of data field completion rates between ANTSS and a previous handwritten method.
- Second survey administered to transport teams to assess ANTSS chart information quality.
Main Results:
- Physician surveys indicated ANTSS provides useful objective information for transport decisions.
- Objective data showed an increase in completed fields within the transport record using ANTSS compared to the handwritten method.
- Transport team surveys confirmed improved patient information delivery via ANTSS-generated charts.
- The system successfully assigns color codes and recommends transport vehicles based on acuity.
Conclusions:
- ANTSS enhances the quality and completeness of patient information for emergency medical transport.
- The system offers objective guidance for transport vehicle selection, improving resource allocation.
- Implementation of ANTSS demonstrates a significant improvement in neonatal transport record-keeping and communication.
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