IRevive: a pre-hospital database system for emergency medical services. (3rd May 2005)

• Record Type: Journal Article
• Authors: Tollefsen, William W.; Gaynor, Mark; Pepe, Marissa; Myung, Dan; Welsh, Matt; Moulton, Steven
• Is Part Of: International journal of healthcare technology and management. Volume 6:Number 4-6(2005)
• Page Start: 454
• Page End: 469
• Publication Date: 2005-05-03
• Subjects: computerised patient care records -- emergency medical services -- healthcare data integration -- iRevive -- electronic reports -- patient reports -- medical reports -- mobile databases -- handheld devices -- pre-hospital information -- hospital records -- data collection -- data management -- data capture -- patient sensors -- wireless transmission -- wireless communications -- mobile communications -- web service standards -- interoperability -- EMS workflow -- EMS documentation; Medical technology -- Periodicals; Medical technology -- Management -- Periodicals; 610.28
• Languages: English
• ISSNs: 1368-2156

Abstract

Most emergency medical service (EMS) events are documented by hand. We have implemented a new paradigm: the electronic Patient Care Record (PCR) for emergency medical field usage with a system called iRevive that functions as a mobile database application. This paper discusses a field trial of iRevive in the context of improving the design and usability of the handheld device by incorporating feedback from users. Also included is a brief overview of our nation's EMS system, emphasising the urgent need to adopt new types of information technology to link pre-hospital information with the hospital record, a description of iRevive and a discussion on barriers to implementation. iRevive is a mobile database application that is designed to facilitate the collection and management of pre-hospital data. It allows point-of-care data capture in an electronic format and is equipped with individual patient sensors to automatically capture vital sign data. Patient information from the field is wirelessly transmitted to a back end server, which uses web service standards to promote interoperability with disparate hospital information systems, various billing agencies, and a wide variety of research applications.