Leverage mobile technology to create a scalable care system

Content provided by Pursara

Cynthia Bradford Lencioni, EVP Global Business & COO – Pulsara

Imagine you are a local paramedic and have been summoned by a dispatch to the 911 home accident site. All you know is that there is a suspected burn patient who relies on you to save his life. Upon arriving at the scene, the patient is an infant about 8 years old and immediately determines that at least 20% of the body, including the upper body and head, has been burned three times. He is rapidly deteriorating and in shock. Given the extent of his injury, for each protocol, he finds that he needs to be immediately transported to a burn treatment center. When a partner initiates IV, it sends a radio to the local command center to provide patient status and urgently request ambulance ambulance transport. Using the ambulance team’s ETA to wait for a reply from the command center turns precious seconds into minutes …

Clear communication channels between medical teams are important for providing quality care.

Clear communication channels between medical teams are important for providing quality care. (Getty Images)

Meanwhile, the command center in your area unfortunately does not have its own helicopter in your area, so call the command center in the adjacent area to request transportation. The command center in the adjacent area will create a new patient case in the CAD system and finally dispatch a helicopter to you. However, you will not notice the dispatch until you make another call to notify the command center that the helicopter has been dispatched and the command center sends the information over the air.

At the same time, the command center in your area still calls the burn treatment center another Regions that provide all this information again. Since there is no alternative way to communicate in real time, the ambulance team will need to create another radio report at the Burn Treatment Center to establish communication once the patient has begun care and transportation. Additional phone and radio between multiple organizations and teams involved in care to close communication channels from ambulance to command center, command center to command center, command center, even after young patients arrive at the burn treatment center I need a report. From ambulance to burn treatment center from command center, from ambulance to burn treatment center. Nevertheless, despite the urgency of these emergency scenarios, none of these communication channels are open to everyone on the care team, not to mention opening them at the same time as providing care.


When you return to your station, you think about your patient. I wonder if he has arrived at the Burn Treatment Center and what his status is. But that’s one or two more calls, and I wish there was a better way for everyone to be on the same page when preparing for the next run …

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This scenario, unfortunately, is too familiar to those who provide pre-hospital life-saving first aid. Hospital providers can equate it. From missed radio reports to pages sent to the wrong team members, to times when you don’t know if a catheterization room is ready for a patient, most hospital disparate communication approaches are fragmented, delayed, and It contributes to the failure.

Patching together traditional fragmented medical communication channels that open and close during patient events, such as radios, telephones, pagers, faxes, and emails, causes inevitable delays that adversely affect patient care. increase. Check how many communication channels are not connected for a patient event, similar to the one described above.


This is a very inefficient phone / radio game to play when your stakes couldn’t be higher anymore. Transferring a single patient alone requires numerous and often redundant phone calls, radio reports, and other communications, and the most critically ill patients lose valuable time when they need it most, errors. Creates an iterative process that is prone to.

Using traditional communication channels to create a common awareness or effort unity for critical patient events is extremely difficult, if not impossible. If a picture of an injury deserves a thousand words, it is also difficult for healthcare providers to produce accurate clinical images over the radio or phone.

As an industry, we focus on data integration, but often fragmented communications that cannot take full advantage of the latest technology every second due to the continuity of patient care and non-real time. Will occur.Team members need to focus on logistics When Appropriate communication methods that integrate care teams to meet patient needs and accelerate life-saving care.

The solution to this problem is network communication hosted by interconnected mobile and online technologies. This type of system facilitates the rapid multi-directional flow of information between many-to-many relationships and allows care teams to be integrated in a single secure communication channel. Each channel is specially created for each patient event, allowing team members to dynamically build care teams and add other teams, organizations, or individuals on the fly.

As circumstances change, additional team members, such as specialists and mental health providers, may need to be added to the patient channel for consultation and collaboration. As a result, it is the single source of truth for all communications related to the incident. Teams share the situation through the exchange of synchronous and asynchronous information. Data, group messaging, live and recorded audio and video, images, facility capacity and readiness exchanges, push notifications to all team members, alert confirmation Transfer ETAs based on GPS. Anything other than these abilities can create situational awareness and shared awareness throughout the care team.

In addition, the same network communication creates the ability for all care team members to share awareness of patient outcomes after the event and notify all care teams in real time. It also provides the data needed for quality improvement and quality assurance reviews.

Integrating the care team across the care system is essential to ensure the highest quality patient care in the shortest possible time. Flexible communications and telemedicine platforms excel in facilitating the coordination of this level of complex care across organizations and communities.


Networked communications enable a care system that scales across time and region by consolidating care teams for each patient event. Whether it’s a patient who needs a simple one-to-one dialogue or a multi-regional event involving one-to-many or many-to-many communication with multiple organizations, the dynamic interconnect communication system extends as follows: I can do it. Meet the specific needs of the situation. This type of system has been used consistently for regional, regional and national stress events and is far more effective than traditional communication methods. The ability of such a system to bridge communication and coordination between all organizations participating in a patient event reveals the power, flexibility, and scalability of the platform, especially if surge events overwhelm the capacity of the system. ..

Linear communication with siled teams encourages information loss and leads to malpractice. This issue is not specific to the United States or any other state, country, or region. The communication crisis in health care is a global problem where technology has until recently been a limiting factor. More precisely, the lack of an efficient and unified communication system confuses clinical teams, even at the most important and important moments of providing care.

But today, major healthcare systems are improving their risk and safety profiles by eliminating outdated, unintegrated communications technologies. Instead of one-to-one open and closed communications with wireless, telephone, and pagers, networked mobile communications open the door to one-to-many and many-to-many communications within the patient channel. These channels can be created and used simultaneously and during patient events. Also, by connecting previously siled teams and organizations in real time, network communications are available for medical, transportation, and other emergencies across public security, ambulances, hospitals, and related medical teams within the system. Supports faster and better tuning of resources, and other difficult load balancing. The quality and cost improvements shown in the literature can optimize time to treatment and minimize communication errors.


How patients arrive at A & E (ambulance, walk-in, or inpatients) and a scaled care system for all time-sensitive emergencies. Organizations, teams, or individuals can participate in patient channels for communication that enhances team communication within and between organizations. This is the resulting network combined with the flexibility of the system, extending the network beyond everyday interactions and enabling all the interactions and communications needed during stress events. Enhanced communication has been shown to improve time to assessment, transport, and treatment in critically ill patients.

We can do more to prepare for the arrival of patients by providing healthcare providers with greater visibility into the patient’s condition in the field. To help facility staff and remote healthcare providers make decisions about what care is needed and to facilitate the ability to decide if patient transfer is most appropriate and to which facility. And you can do even more. By reducing misunderstandings, you can do much more to help your health team reduce malpractice and delays. More can be done to provide feedback opportunities to improve care.

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.. .. .. You don’t know about it, but you would have wanted to know that your young burn patient was pretty lucky. Despite the many communication passing and care coordination challenges he experienced with siled systems during his care, he arrived alive at the burn treatment center and they made a difference in his results. Is done. He forever remembers the man in uniform on the radio that saved his life.


Now is the time to take a new perspective on changing system planning, performance, and delivery to leverage mobile communication technology to integrate decentralized healthcare teams. Doing so will improve the timeliness and quality of care for those who are most in desperate need of the best coordinated care when seconds are important. Achieving high quality at low cost will undoubtedly bring more value to healthcare systems that seek to maximize their limited resources and achieve their four goals. Now is the time.

Leverage mobile technology to create a scalable care system

Source link Leverage mobile technology to create a scalable care system

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