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The Digital Hospital


TitleThe Digital Hospital
Aidamount10.474.556
OrganizationIT-Health Care of the County of North Jutland
ConclusionIngen side valgt
Homepagewww.detdigitalesygehus.dk
ContactMette Mullerup Jensen, Project Manager, u11007@aas.nja.dk
Other participantsThe AIOS Department of the Hospital of Aalborg
Judex A/S
ThemeDigital Admin.
KeywordsDiabetes
Electronic Patient Case Sheet
Hospital
IT-Health
Portals
Systems integration, digital administration
Tele medicine
Project start04 December 2001
Project end31 December 2003
DescriptionThe project has its background in the approx. 300.000 urgent ambulance turn-outs annually in Denmark.
As a growing number of casualty wards are closed down, the transport of patients from the site of damage to the hospital grows in distance, and hence a larger degree of treatment on the damage site and during transportation is desirable. This way the prehospital treatment is no longer just a question of transporting patients to the nearest hospital. Patient treatment is often initiated on the damage site and will continue until the paramedics or salvage people can leave the patient to the doctors at the hospital.
In the County of North Jutland quick reacting units have been established in the way of a doctor's ambulance and emerceny vehicles enabling specialists or especially trained salvage people (paramedics) to quickly reach the casualties and initiate treatment of patients before an ordinary ambulance will be able to reach the location. Neither the doctor's ambulance nor the emergency vehicles are capable of transporting patients.
Today there is no way of receiving any existing information on the patient from any of the hospital's information systems. Patient monitoring on the damage site and during transport is done using mobile monitoring equipment. The data recordings performed during transport can not be electronically transmitted to the hospital during transportation, and the hospital is not able to follow the patient's condition during transport. So the hospital staff has only few means to assist the ambulance personnel in case of complications and in preparing the arrival of the patient.

The PreHospital Effort project has the object of developing an IT and communications system, to enhance the quality of the initial patient treatment on the damage site, during transport and at the reception of the patient on the hospital, thereby reducing the risk of death and permanent injuries to the patient. Wireless communication technology enables a continuous data communications between the hospital and the damage site or ambulance. All the while the course of events is continuously and semiautomatically documented during the transportation, - not manually as up till now.
To a much higher degree the ambulance personnel treating the patient will be able to involve specialists at the hospital and in the doctor's ambulance as these doctors will now have access to updated patient data. Further the ambulance personnel will be able to access any existing patient data from the hospital - data, which will often be vitally important to the patient treatment.
At the hospital the receiving emergency team will have access to information on the patient in the ambulance and be able to optimally prepare the reception of the patient. As for some patients their condition can be diagnosed with a fair amount of certainty already before their arrival to the hospital, and they can be taken directly to the appropriate hospital ward.
To the patient the improved initial treatment will mean a far more coherent and efficient course of treatment which at its best will lead to a much quicker restitution. The continuous acquisition of data and the accessibility of these data allow a constant monitoring of the patient's condition and thereby the capabability of quick and precise intervention.

Project participants are the anesthesiological Department of the Hospital of Aalborg and Falck. Solutions are developed by the firm JUDEX A/S. In charge of the project is IT HEALTH CARE of the County of North Jutland.

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