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.
|Contact: Sally Garneski|
American College of Surgeons