Way to Routine Data from 16 Emergency Departments for Cross-sectoral Health Services Research : Experiences, Challenges and Solution Approaches from the Extraction of Pseudonymous Data for the INDEED Project
Way to Routine Data from 16 Emergency Departments for Cross-sectoral Health Services Research : Experiences, Challenges and Solution Approaches from the Extraction of Pseudonymous Data for the INDEED Project

Author: Antje Fischer-Rosinsky

Publisher:

Published: 2022

Total Pages: 0

ISBN-13:

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Abstract: Background In Germany there is currently no health reporting on cross-sectoral care patterns in the context of an emergency department care treatment. The INDEED project (Utilization and trans-sectoral patterns of care for patients admitted to emergency departments in Germany) collects routine data from 16 emergency departments, which are later merged with outpatient billing data from 2014 to 2017 on an individual level. Aim The methodological challenges in planning of the internal merging of routine clinical and administrative data from emergency departments in Germany up to the final data extraction are presented together with possible solution approaches. Methods Data were selected in an iterative process according to the research questions, medical relevance, and assumed data availability. After a preparatory phase to clarify formalities (including data protection, ethics), review test data and correct if necessary, the encrypted and pseudonymous data extraction was performed. Results Data from the 16 cooperating emergency departments came mostly from the emergency department and hospital information systems. There was considerable heterogeneity in the data. Not all variables were available in every emergency department because, for example, they were not standardized and digitally available or the extraction effort was judged to be too high. Conclusion Relevant data from emergency departments are stored in different structures and in several IT systems. Thus, the creation of a harmonized data set requires considerable resources on the part of the hospital as well as the data processing unit. This needs to be generously calculated for future projects

Operation Respond
Operation Respond

Author:

Publisher:

Published: 1997

Total Pages: 88

ISBN-13:

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"This report contains introductory material to provide background and understanding of the progress that communities and others have made to improve emergency responses to hazardous materials incidents"--P. 1.

ITS and Transportation Safety
ITS and Transportation Safety

Author:

Publisher:

Published: 2009

Total Pages: 31

ISBN-13:

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This investigation is in response to the requirement for Strategic Highway Safety Plans (SHSPs), legislated by SAFETEA-LU, to address the need for data systems to allow for evidence-based safety planning. This study evaluates the use of information systems and intelligent transportation systems across the emergency response continuum of care to vehicle crash emergencies. Organizations that participate in the emergency response process often have siloed IT systems and are not able to share data with other agencies and organizations. An integrated system to produce data for real-time decision making and holistic performance and clinical analysis currently does not exist, but has the potential to improve emergency response and patient care. Proposed in this study is an Integrated Crash Trauma Information Network (ICTN) to allow for integrated information exchange. This study uses data collected from prior studies conducted in Minnesota, a literature review, case studies in Minnesota, and an in-depth analysis of the benefits of linking IT systems, the SHSP, Emergency Medical Services (EMS), 911, Trauma systems, and health information systems. A case study analysis was conducted across three overlapping dimensions to assess current challenges and potential benefits to integrated information sharing: operational, organizational, and governance. The study found potential health provision and data analysis benefits to integrated information sharing and posited a normative architecture to guide the design of systems to better use and analyze crash data. The design and development of a "proof of concept" system is recommended for the next phase of research.

Analysis of Ambulance Complaints: Databasing, Statistical Reporting, and More
Analysis of Ambulance Complaints: Databasing, Statistical Reporting, and More

Author: Steven Gilbert

Publisher: iUniverse

Published: 2020-03-19

Total Pages: 179

ISBN-13: 153209597X

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This book is meant to be a reference book for ambulance investigators. Its primary focus is the importance of the investigative unit’s database, especially databasing information from individual complaints, as well as self-generated investigations. It includes a concept called “the family of complaint types”, which lists 494 related reports. Additionally, there are 543 other database reports that pertain to one or more of 46 investigative categories. From an investigative point-of-view the book covers what information should be databased, why so much information should be databased, the investigative benefits of entering so much information into the database, four sources for statistical information, the presentation of investigative stats, and lastly, the importance of a yearly Investigative Unit recap report. The first section covers a potpourri of topics which are not database related. These topics include information on complaints, what we can learn from complaints, investigations and cases, a formal investigative process, the importance of contacting the complainant as soon as possible after being assigned the case, a coverup is always worse than the original incident, negative EMS perception, the Media, the use of drones in EMS investigations, investigative vital signs, and the history of the investigative unit. The remainder of the sections pertain to databasing.