Navigation Links
South African trauma center launches portable electronic trauma health record application
Date:1/2/2014

CHICAGO (January 2, 2014): Electronic health records (EHRs) have become standard practice throughout hospitals in North America, but in countries with fewer resources many front-line clinicians are still collecting data on paper, if they are collecting it at all. But now, surgeons from Vancouver, British Columbia, have developed a way for their peers at a Level I trauma center in South Africa to accurately collect and analyze trauma care data via an iPad app. The study is published in the January issue of the Journal of the American College of Surgeons.

Traumatic injuries are among the world's top public health problems. Each minute, at least nine people die from an accidental or violent injury, reports the U.S. Centers for Disease Control and Prevention,*and 90 percent of trauma deaths occur in low- and middle-income countries where injury surveillance is not accurately performed.

Moreover, the global medical community has been more focused on infectious diseases, even though traumatic injuries account for more deaths than HIV, tuberculosis and malaria combined, according to Morad Hameed, MD, MPH, FACS, FRCSC, associate professor of surgery and critical care medicine at the University of British Columbia, and a trauma surgeon at Vancouver General Hospital.

"People think injuries are accidents, and nothing can be done," Dr. Hameed said, "but most injuries are preventable. With the right data and the right health care standards you can make a favorable impact."

Access to the right data starts with having the right tools. Groote Schuur Hospital in Cape Town, South Africa, provides superb clinical care to the 10,000 patients seeking trauma services each year, Dr. Hameed said, but they were collecting admissions data on paper. No data were being collected on procedures and patient outcomes.

The first step for Dr. Hameed and his team was to help redesign Groote Schuur Hospital's one-page patient admission record. Although the information would still be captured on paper, the new electronic Trauma Health Record record (eTHR), included fields about injury prevention, procedures, and quality of care. It also included a carbon copy that could be torn off the back and sent to the hospital's data collection office.

A year later, when Dr. Hameed and his team returned to Cape Town in 2011, the Groote Schuur surgeons had collected 10,000 admissions records, a full year's worth of patient data. "We knew the new forms worked, but a shortcoming was that it took three months for a grad school student to transcribe all the forms into the database," he said.

In 2012, Dr. Hameed and his team worked with an advisory group of trauma clinicians, data ethnographers, and medical software designers to convert the form into an iPad app. The goal was to ensure that completing the iPad record did not impede clinical workflow and integrated other helpful elements such as safety checklists, evidence-based guidelines, and the ability to easily print, download, and upload the record to a clinical database.

The iPad record captured important information that could be used for later analysis, such as past medical history, residence, demographics, the cause of the injury, the injury severity score, and the patients' drug and alcohol use.

Instead of using the full-sized iPad, Groote Schuur surgeons opted for the iPad mini, which could fit in their lab coat pockets and reduce the risk of theft.

After usability testing, the Groote Schuur Hospital surgeons used the iPad app to capture admissions data for 50 patients who came to the hospital during June 2013 for trauma care for conditions that included limbs that required amputations; gunshot wounds to the head, neck, chest or abdomen; facial burns, and traumatic cardiac arrest.

Dr. Hameed said it took surgeons about 10 to 12 minutes to complete the iPad record, versus 10 minutes or less on paper. Surgeons were then able to upload the data to a server that created a trauma patient registry. "Even though it takes as long or slightly longer on an iPad, the database is very clean and doesn't require a lot of data cleanup," Dr. Hameed said.

Afterwards, Dr. Hameed's team and the Groote Schuur surgeons were able to analyze the data to look for patterns. The data showed that injuries were concentrated in lower income areas and most of the causes of injury were intentional. The predominant injury population was young males. "Of course you know that if you're there," he said, "but now you can quantify it."

Quantifying such data is what can lead to policy interventions, such as determining which highway intersections need traffic lights and which populations should be the target audience for injury prevention programs.

The iPad patient record is now standard practice at Groote Schuur. It has been expanded to include an operations record on which procedures patients receive, and in January 2014, it is being expanded to include a surgical outcomes record.

After this eTHR study won the first-place award for clinical research at the 2013 American College of Surgeons Committee on Trauma meeting, peer surgeons have begun asking Dr. Hameed and his team about other uses for the iPad patient record.

"Natural disasters could be a brilliant application for its use as well," he said. For example, with conflicting reports about injuries and deaths during the recent typhoon in the Philippines, a tool like this could help humanitarian medical brigades collect more definitive data on the injury and death tolls.

"As long as they can set up portable Wi-Fi or access the Internet through cell phone towers," Dr. Hameed said, "this type of application is all within the realm of possibility."


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
American College of Surgeons
Source:Eurekalert

Related medicine news :

1. Deerfield Beach Personal Trainer and South Florida Fit Body Boot Camp Owner Launches Campaign Against New Year's Resolutions
2. New study: High mortality in Central Southern states most likely due to smoking
3. Healthpointe Proudly Offers Flu Vaccines at All Clinics and On-Site to Businesses Throughout Southern California
4. Oakwood Southshore Earns Prestigious Press Ganey Award
5. From Soap to Nuts: Southwest Skin & Cancer Institute Has All Your Skin Care Bases Covered
6. Narconon Southern Europe Celebrates More than Thirty Years of Saving Lives from Addiction
7. Hiscall, Inc. Becomes a Member of the Mid-South Sign Association, an Affiliate of the International Sign Association
8. AlignLife Clinic in West Union, South Carolina Announces Grand Opening
9. The invasive Turkestan cockroach is displacing the oriental cockroach in the southwestern US
10. Grand Opening for Narconon Cancun in the Southern Mexican State of Quintana Roo
11. Orangetheory Fitness Set to Open First Southern Colorado Location in Early 2014
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... A lot has been reported about ... president has access to health and wellness resources most Americans could ever dream of ... individual has a schedule as frenetic as the U.S. President. , In honor ...
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... Basketball is ... and integral part of the Peety PoppersTM series, sign language translation is featured in ... of health and wellness in Peety PoppersTM lessons has a sign language translator to ...
(Date:2/11/2016)... ... ... “ HEALING MIND : Five Steps to Ultimate Healing, Four Rooms ... teaches readers how to become their own therapist. Providing a useful step-by-step process for ... offers an understanding of how to heal one’s inner child using four archetypes of ...
(Date:2/11/2016)... , ... February 11, 2016 , ... ... performing a wide range of cosmetic procedures. Along with performing procedures, the magazine ... and results of many cosmetic procedures. One of the most common procedures he ...
(Date:2/11/2016)... ... February 11, 2016 , ... The Chartis Group, ... top five firms in the “2015/2016 Best in KLAS: Software and Services” report ... is a research and insights firm on a global mission to improve healthcare ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... Calif., Feb. 11, 2016 PRO-DEX, INC. (NasdaqCM: PDEX) ... ended December 31, 2015. The Company also filed its Quarterly ... year 2016 with the Securities and Exchange Commission today. ... 31, 2015 --> --> ... increased $2.6 million, or 95%, to $5.4 million from $2.8 ...
(Date:2/11/2016)... DUNKIRK, N.Y. , Feb. 11, 2016  Governor ... Athenex that will create 1,400 jobs throughout ... by a partnership with the SUNY Polytechnic Institute, includes ... the Conventus Building in Buffalo , ... square foot manufacturing facility in Dunkirk ...
(Date:2/11/2016)... , Feb. 11, 2016  MiMedx Group, Inc. ... utilizing human amniotic membrane and other birth tissues, human ... to develop and market advanced products and therapies, announced ... Markets, 2016 Global Healthcare Conference in New ... and CEO, Michael J. Senken , Chief Financial ...
Breaking Medicine Technology: