Data based integration of critical illness and injury patient care from EMS to emergency department to intensive care unit.

Full Abstract

PURPOSE OF REVIEW: Describe the challenges and opportunities for an integrated emergency care data system for the delivery and care of critical illness and injury. RECENT FINDINGS: Standardized data comparable across geographies and settings of care has been a critical challenge for emergency care data systems. Emergency medical services (EMS), emergency department (ED), ICU and hospital care are integrated units of service in critical illness and injury care. The applicability of available evidence and outcome measures to these units of service needs to be determined. A recently developed fully integrated, emergency care data system for quality improvement of EMS service delivery and patient care has been linked to ED, ICU and in-hospital data systems for myocardial infarction, trauma and stroke. The data system also provides a platform for linking EMS with emergency physicians, other healthcare providers, and public health agencies responsible for planning, disease surveillance, and disaster preparedness. SUMMARY: Given its time-sensitive nature, new data systems and analytic methods will be required to examine the impact of emergency care. The linkage of emergency care data systems to outcomes based systems could create an ideal environment to improve patient morbidity and mortality in critical illness and injury.

Author information

Author/s: Mears, Greg (G); Glickman, Seth W (SW); Moore, Fionna (F); Cairns, Charles B (CB);

Affiliation: EMS Performance Improvement Center, Department of Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.

Journal and publication information

Publication Type: Journal Article; Review

Journal: Current opinion in critical care (Curr Opin Crit Care), published in United States. (Language: eng)

Reference: 2009-Aug; vol 15 (issue 4) : pp 284-9

Dates: Created 2009/07/22; Completed 2009/11/04;

PMID: 19622915, status: MEDLINE (last retrieved date: 11/4/2009)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.