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Emergency medical coordination using a web platform: a pilot study.

Mário Sérgio Adolfi Júnior1, Fábio Marcon Pallini, Hugo Pessotti

  • 1Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Revista De Saude Publica
|November 26, 2010
PubMed
Summary
This summary is machine-generated.

A web-based emergency medical coordination system proved feasible and reliable for managing requests. This system enhances transparency and provides data for process improvement in healthcare management.

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Area of Science:

  • Health Informatics
  • Emergency Medical Services Management
  • Web-based System Development

Background:

  • Effective emergency medical coordination is crucial for timely patient care.
  • Existing systems may lack the integration and accessibility needed for efficient management.
  • The worldwide web offers a platform for developing robust and accessible coordination tools.

Purpose of the Study:

  • To describe a novel management system for emergency medical coordination utilizing worldwide web technologies.
  • To evaluate the feasibility, reliability, and impact of this system on emergency medical coordination processes.

Main Methods:

  • Development of a prototype system using an evolving software model and web technologies.
  • Implementation on a personal homepage with a MySQL database.
  • Pilot testing in 26 municipalities in São Paulo, Brazil, over four weeks in September 2009.
  • Focus on chronological request documentation, data integrity, and hierarchical access control.

Main Results:

  • The system demonstrated 100% availability, reliability, and information integrity.
  • 1,046 requests were processed, with 68% completion rate.
  • High adherence (98%) from solicitants within the first week; service provider adherence increased to 37% by the fourth week.
  • Increased system usage observed in municipalities closer to Ribeirão Preto lacking high-complexity providers.

Conclusions:

  • Web-based emergency medical coordination is a feasible and reliable approach.
  • The system enhances process transparency and provides direct manager access to information.
  • Facilitates the development of monitoring indicators for process improvement and semi-automated coordination.