Simon French, Naomi Chambers, Duncan Shaw, Alan Boyd, Russell King, & Alison Whitehead. (2012). A scoping study of R&D needs in emergency planning in UK healthcare systems. In Z.Franco J. R. L. Rothkrantz (Ed.), ISCRAM 2012 Conference Proceedings – 9th International Conference on Information Systems for Crisis Response and Management. Vancouver, BC: Simon Fraser University.
Abstract: Driven by events such as terrorist outrages and pandemics, the 21 st century has seen substantial changes in how countries plan for and manage emergencies across health care systems. Aside from changes in the pattern, type and scale of emergency, emergency preparedness must respond to developments in medical knowledge and treatment, and in information and communication technologies, particularly social networking. This report describes a scoping study of research and development (R&D) needs with regard to emergency planning in health care undertaken by the authors in the UK. We discuss the design of the study, difficulties in its conduct and, via a reference to the published final report, indicate its conclusions. © 2012 ISCRAM.
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Robert Lawatscheck, Stephan Düsterwald, Carsten Wirth, & Torsten Schröder. (2012). ALARM: A modular IT solution to support and evaluate mass casualty incident (MCI) management. In Z.Franco J. R. L. Rothkrantz (Ed.), ISCRAM 2012 Conference Proceedings – 9th International Conference on Information Systems for Crisis Response and Management. Vancouver, BC: Simon Fraser University.
Abstract: ALARM is a modular IT-solution to support emergency medical service (EMS) providers and rescue staff in mass casualty incident response and training. Seven modules were implemented, covering the entire process from preliminary triage, treatment support and resource management to tactical information and registration. Communication technology is used to close information and documentation gaps. The system uses medical algorithms and telemedicine to improve patient treatment. The ALARM system generates logs automatically including procedural time stamps and outcome factors such as triage and transport categories. This allows an objective analysis and comparison of missions and opens a new approach to evidence based MCI management and training. © 2012 ISCRAM.
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Oliver Schmitt, & Tim A. Majchrzak. (2012). Using document-based databases for medical information systems in unreliable environments. In Z.Franco J. R. L. Rothkrantz (Ed.), ISCRAM 2012 Conference Proceedings – 9th International Conference on Information Systems for Crisis Response and Management. Vancouver, BC: Simon Fraser University.
Abstract: Healthcare and crisis management are pervaded by the usage of Information Systems (IS). Virtually all IS rely on data storage. Despite the document-oriented nature of medical datasets, the prevailing kind of database used are relational (RDBMS) ones. In order to find a more adequate solution in a development project for a patientregistry, we evaluated a document-based database incorporated into the data storage layer of a system. To foster the understanding of this technology, we present the background of form-originated data storage in healthcare, introduce document-based databases, and describe our scenario. Based on our findings, we generalize the results with a focus on crisis management. We found that document-based databases such as CouchDB are well-suited for IS in medical contexts and might be a feasible option for the future implementation of systems in various fields of healthcare, crisis response, and medical research. © 2012 ISCRAM.
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Anton Donner, Thomas Greiner-Mai, & Christine Adler. (2012). Challenge patient dispatching in mass casualty incidents. In Z.Franco J. R. L. Rothkrantz (Ed.), ISCRAM 2012 Conference Proceedings – 9th International Conference on Information Systems for Crisis Response and Management. Vancouver, BC: Simon Fraser University.
Abstract: Efficient management of mass casualty incidents is complex, since regular emergency medical services structures have to be switched to a temporary “disaster mode” involving additional operational and tactical structures. Most of the relevant decisions have to be taken on-site in a provisional and chaotic environment. Data gathering about affected persons is one side of the coin; the other side is on-site patient dispatching requiring information exchange with the regular emergency call center and destination hospitals. In this paper we extend a previous conference contribution about the research project e-Triage to the aspect of patient data and on-site patient dispatching. Our considerations reflect the situation in Germany, which deserves from our point of view substantial harmonization. © 2012 ISCRAM.
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Alison J. Hayes, Jessica Lancaster, Zeno Franco, & Anne Kissack. (2012). Disaster medical education & simulated crisis events: A translational approach. In Z.Franco J. R. L. Rothkrantz (Ed.), ISCRAM 2012 Conference Proceedings – 9th International Conference on Information Systems for Crisis Response and Management. Vancouver, BC: Simon Fraser University.
Abstract: This review addresses current educational and research efforts in disaster medical education (DME) in the United States. Since the events of 9/11, DME has received greater attention. However substantial problems remain in terms of ensuring that large numbers of medical students and residents are exposed to high quality DME – not only Emergency Medicine residents. Barriers to widespread adoption of DME include lack of performance metrics, disagreement task areas, and lack of emphasis on physician leadership. Further, such efforts must ensure retention of key information over periods that are disaster free; utilize objective training metrics that will allow for an evidence base to form; and develop low cost, scalable training approaches that offer greater fidelity to the disaster environment than classroom based instruction. To improve the state of the art, we argue that DME research must move toward a translational science model that integrates important advances in basic information science into application that improve the clinical performance of frontline medical staff who are called on to respond to individual and community needs in the aftermath of disaster. Mid-fidelity, team-in-the-loop simulations developed for disaster manager training may provide an avenue toward improved DME by exposing medical students to scenarios that fundamentally challenge their assumptions in real-time game play. This can be accomplished with lower costs and greater scalability than live exercise or mock-up training approaches. © 2012 ISCRAM.
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