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Implementing a Patient Tracking System in a Large EMS System.

Andra M Farcas1, Hashim Q Zaidi1, Nicholas P Wleklinski1

  • 1Received July 24, 2020 from Department of Emergency Medicine, McGaw Medical Center of Northwestern University, Chicago, IL (AF, NW); ; Chicago EMS System (Region 11), Chicago, IL (AF, NW, KT);; Department of Emergency Medicine, University of Texas Health Science Center at Houston, Houston, TX (HQZ); ; Section of Emergency Medicine, University of Chicago Medical Center, Chicago, IL (KT). Revision received January 24, 2021; accepted for publication January 25, 2021.

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Summary
This summary is machine-generated.

A new patient barcode tracking system improved patient tracking from prehospital to hospital during planned events. This system enhanced patient identification and destination monitoring, despite some logistical and technological challenges.

Keywords:
EMSbarcodemass gathering eventpatient tracking systemprehospital

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Area of Science:

  • Emergency Medical Services (EMS)
  • Public Health Preparedness
  • Health Informatics

Background:

  • Accurate patient tracking is a critical challenge for prehospital and hospital emergency medical providers during planned and unplanned events.
  • Existing reports on patient tracking systems are often limited to descriptive reviews of post-incident analyses or simulated exercises.
  • There is a need for practical experience and data on implementing patient tracking systems in real-world, large-scale urban EMS environments.

Purpose of the Study:

  • To report the experience of implementing a patient barcode tracking system within a large urban EMS system.
  • To evaluate the effectiveness of a web-based system using barcoded triage tags and wristbands for monitoring patient triage category and hospital destination during planned events.
  • To identify barriers encountered during the implementation and use of the patient tracking system.

Main Methods:

  • A web-based patient tracking system utilizing barcoded triage tags and wristbands was implemented in the Chicago EMS System.
  • Training was provided to representatives from public health, fire department EMS, private EMS agencies, and 27 hospitals.
  • The system was deployed during two planned operational days and three pre-planned mass gathering events, with the primary outcome being the percentage of patients scanned by EMS who were subsequently scanned by the hospital.

Main Results:

  • The percentage of patients initially scanned by EMS who were subsequently scanned by the hospital increased from 57% on the first operational day to 88% on the second.
  • At mass gathering events, hospital scan rates ranged from 79% to 95%.
  • Logistical and technological challenges were documented as barriers to system use, impacting the assignment of final disposition in some cases.

Conclusions:

  • A web-based patient barcode tracking system effectively monitored patients from prehospital to hospital during planned events and mass gatherings.
  • The system demonstrated improved performance after initial implementation, with consistent scanning rates in subsequent events.
  • Logistical and technological limitations were identified, suggesting areas for improvement for wider implementation in other EMS systems.