Navigating the Pre-hospital to Emergency Room Transition with ... before they do ; pivoting healthcare from reactive to proactive . Several startups are attempting to achieve this , but progress is in its early stages .
Across care we are now starting to see the beginning of a more comprehensive approach to digital ; with technologies that empower patients to better manage their conditions , enable front-line staff to deliver higher quality care , and boost system efficiency .
The digital revolution has the potential to realise our health , quality and efficiency ambitions ; now is the time to embrace it .
About the author
Dr Mahiben Maruthappu is a British doctor , policymaker , academic and entrepreneur . He co-founded the NHS Innovation Accelerator ( NIA ).
Maruthappu also advises the CEO of the National Health Service ( NHS England ), Simon Stevens , on managing £ 100 billion of health spending , focusing on innovation , technology and prevention .
In 2016 , Maruthappu led the groundbreaking study published in the Lancet , linking the global economic crisis to 260,000 additional cancer deaths in
the OECD ( Organisation for Economic Co-operation and Development ), while demonstrating the protective effect of universal health coverage .
He is currently developing a technology solution to transform social care and help cure the UK care crisis . Cera . com •
Navigating the Pre-hospital to Emergency Room Transition with Data Sharing
By Mike Kobneck Overview : The Chaotic Process
The transition in care from Pre-hospital providers to Emergency Room staff has always been a very chaotic process . Highly skilled paramedics start patient care in the field , yet upon arriving to the hospital , there is a gap in communication that leaves much room for improvement . Communication of treatment and findings to Emergency Room staff is often limited and subjective , preventing the ER from thoroughly preparing . When hospital staff are unable to prepare accurately , patients suffer , resources are wasted , and quality of care begins to decline . When paramedics notify the hospital , they typically are in the back of the ambulance by themselves , performing multiple life saving procedures .
Imagine a patient with EMS in cardiac arrest . The patient is intubated , IV ’ s running , shocks have been given , and medications administered . When this patient is being rolled into the facility on a stretcher , no patient care can be done until they are registered . Medications , orders , and labs are all on hold until the patient has an actual record in the EHR .
Patient care has stopped in lieu of formalities . This moment in time is critical to have the most accurate , and concise information to make this transition in care as smooth as possible .
The majority of registration errors happen at this exact moment . So what happens when patient hand off doesn ’ t go smooth ? What happens when the process is rushed because the patient is in cardiac arrest ? What if the ER is busy and an ambulance is overlooked ?
The answer is that patients suffer , EMS is unavailable , and the ER has patient access errors and most concerning -- delays in care .
Problem : From Patient Safety , to Duplicating Efforts , to Money Lost
As a paramedic , I saw this happen on almost every call to varying degrees . Start
Continued on page 6
The Journal of mHealth
5
Industry News
Industry News
New UK NHS Cyber Security
Services to be Rolled Out to
Health and Care
The UK’s NHS Digital is set to start expanding the NHS cyber
security service, according to an announcement made by Innovation Minister Nicola Blackwood at the recent Health and Care
Innovation Expo.
The news comes amid growing pressure on healthcare organisations to ensure that the digital services they deploy are secure
and data sufficiently protected. Cyber security awareness is a
major step in mitigating these risks.
The announcement coincides with the launch of
the new Cyber Security in
Healthcare Briefing, from
the Journal of mHealth,
which combines specialist insider articles from
leading healthcare cyber
security professionals to
provide up-to-the-minute
intelligence and insight
into the threats facing
the healthcare industry
along with ways to protect
against them.
Subscribe now for the Cyber Security in Healthcare Briefing
CareCERT (Care Computer Emergency Response Team),
launched in November last year, and is a national service that
helps health and care organisations to improve their cyber security defences by providing proactive advice and guidance about
digital threats and cyber security best practice.
The service currently sends out broadcasts about known cyber
threats and resolutions, and will now be expanded to include
three new services, which will start being tested from September:
»» CareCERT Knowledge- a new e-learning portal to help all
health and care organisations train their staff in cyber security basics, and build up the first line of defence in ensuring
the security of patient information.
»» CareCERT Assure – a service to help organisations assess
their local cyber security measures against industry standards, and provide recommendations on how organisations
can improve data security measures and reduce vulnerabilities.
»» CareCERT React – a support service to provide professional
guidance and advice on the decisive actions to take to reduce
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