Appl Clin Inform - Development and validation of a portable platform for deploying decision-support algorithms in prehospital settings.

Tópicos

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Resumo

CKGROUND: Advanced decision-support capabilities for prehospital trauma care may prove effective at improving patient care. Such functionality would be possible if an analysis platform were connected to a transport vital-signs monitor. In practice, there are technical challenges to implementing such a system. Not only must each individual component be reliable, but, in addition, the connectivity between components must be reliable.OBJECTIVE: We describe the development, validation, and deployment of the Automated Processing of Physiologic Registry for Assessment of Injury Severity (APPRAISE) platform, intended to serve as a test bed to help evaluate the performance of decision-support algorithms in a prehospital environment.METHODS: We describe the hardware selected and the software implemented, and the procedures used for laboratory and field testing.RESULTS: The APPRAISE platform met performance goals in both laboratory testing (using a vital-sign data simulator) and initial field testing. After its field testing, the platform has been in use on Boston MedFlight air ambulances since February of 2010.CONCLUSION: These experiences may prove informative to other technology developers and to healthcare stakeholders seeking to invest in connected electronic systems for prehospital as well as in-hospital use. Our experiences illustrate two sets of important questions: are the individual components reliable (e.g., physical integrity, power, core functionality, and end-user interaction) and is the connectivity between components reliable (e.g., communication protocols and the metadata necessary for data interpretation)? While all potential operational issues cannot be fully anticipated and eliminated during development, thoughtful design and phased testing steps can reduce, if not eliminate, technical surprises.

Resumo Limpo

ckground advanc decisionsupport capabl prehospit trauma care may prove effect improv patient care function possibl analysi platform connect transport vitalsign monitor practic technic challeng implement system must individu compon reliabl addit connect compon must reliableobject describ develop valid deploy autom process physiolog registri assess injuri sever apprais platform intend serv test bed help evalu perform decisionsupport algorithm prehospit environmentmethod describ hardwar select softwar implement procedur use laboratori field testingresult apprais platform met perform goal laboratori test use vitalsign data simul initi field test field test platform use boston medflight air ambul sinc februari conclus experi may prove inform technolog develop healthcar stakehold seek invest connect electron system prehospit well inhospit use experi illustr two set import question individu compon reliabl eg physic integr power core function endus interact connect compon reliabl eg communic protocol metadata necessari data interpret potenti oper issu fulli anticip elimin develop thought design phase test step can reduc elimin technic surpris

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