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Developing and integrating a destination decision support algorithm into an innovative electronic communication
, Aurore Nishimwe1, Justine Davies1
1University of Birmingham.
Research Square
|January 7, 2025
Summary
Rwanda is developing an electronic system to improve emergency care by guiding ambulance dispatch to the most appropriate hospital. This Destination Decision Support Algorithm aims to reduce delays and improve patient outcomes in pre-hospital settings.
Area of Science:
- Emergency medicine
- Health informatics
- Public health
Background:
- Delays in pre-hospital care increase preventable death and disability in low- and middle-income countries.
- Rwanda faces challenges with efficient pre-hospital communication and patient triage for hospital care.
Purpose of the Study:
- To develop, implement, and evaluate a Destination Decision Support Algorithm (DDSA) integrated into an electronic communication platform ('912Rwanda').
- To improve the timely linkage of injured patients to appropriate health facilities for effective treatment.
Main Methods:
- The study involves developing interfaces for patient and facility data capture, feeding into a guideline-based electronic DDSA.
- Qualitative and quantitative assessments of existing trauma care processes will be conducted.
- Consensus workshops will inform triage guidelines and data variables, with DDSA development and testing against historical data and expert opinion.
Main Results:
- The protocol outlines a phased approach: development, training/roll-out, and evaluation.
- The DDSA will be tested for performance using established thresholds.
- User interfaces will be refined based on human-computer interaction principles.
Conclusions:
- A collaborative approach involving experts, developers, and Rwandan stakeholders is crucial.
- The '912Rwanda' system with DDSA is expected to enhance ambulance communication, utilization, and effectiveness.
- Successful implementation can lead to sustained improvements in emergency medical services in Rwanda.
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