Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait

Study Overview
=================
Brief Summary
-----------------
In the Emergency Department Regional Hospital Horsens a monitor will display Geographical Information System data (GIS data) for all ambulances with the hospital as final destination. The location, estimated time of arrival (ETA) and urgency code for the ambulances will be showed. Furthermore the patient's name, personal identification number and the primary message received by the emergency medical dispatch center resulting in ambulance dispatch will be displayed. This may enable the coordinating nurse to optimize timing of the ad hoc trauma team and medical emergency team activation. The teams are activated if the patient's condition is assessed to be of the highest urgency and/or severity - triage 1 or red. The coordinating nurse makes this assessment on the basis of information from the ambulance personnel and makes the decision to activate the team and when to do it. In this study the investigators want to examine if the availability of GIS data in the emergency department results in reduced waiting time for the members of the trauma team and medical emergency team. The study will be conducted as a before and after study.

Official Title
-----------------
Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 4: Application of Geographical Information System Data in the Emergency Department, Effect on Trauma Team and Medical Emergency Team Wait - a Before and After Study

Conditions
-----------------
All Acutely Ill or Injured Patients

Intervention / Treatment
-----------------
* Device: Geographic Information System


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Critically Ill or Severely injured patients transported by ambulance Patients must be in triage category 1/red Emergency Medical Team og Trauma Team must be activated.

Ages Eligible for Study
-----------------
Minimum Age: 15 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Geographical Information System<br>Availability of Geographical Information System data from ambulances destined for the Emergency Department of Regional Hospital Horsens. | Device: Geographic Information System<br>* GIS data is delivered by SimaTech Enterprise System communicating via the mobile network and TETRA (in Denmark called SINE). It is developed as a Java Enterprise application and is executed on a JBOSS application platform<br>* Other names: ADO - AMK Dynamisk Overvågning (Emergency Medical Dispatch Dynamic Surveillance);|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Waiting time | Triage 1 or red of a patient indicates the highest urgency and/or severity of illness. If the coordinating nurse at the emergency department assess that a patient on the to the department is red the trauma team or medical emergency team is activated. The time is registered automatically in the internal telephone system of the hospital. The patient's time of arrival is registered manually. The time from activation to arrival can then be calculated and is defined as Waiting time. | Time from activation of trauma team to arrival of patient, expected assesment within 1 minute after patients arrival, expected to be presented up to 36 months after assesment . | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Geographic Information System, Emergency Care Information Systems, Telemedicine, Emergency Hospital Service