A MedTech West seminar: Promoting ICT and eHealth in Prehospital Care

with Bengt Arne Sjöqvist from Chalmers and Magnus Andersson Hagiwara from university college of Borås

Bengt Arne Sjöqvist is a researcher and Professor of Practice at Signals and Systems, Chalmers. His research is mainly within the field of eHealth with a focus on combining biomedical technology with telecommunications and IT.

Since 2011, Bengt Arne Sjöqvist, Professor of Practice at Signals and Systems, Chalmers, has led the project Metis on behalf of the Region Västra Götaland (VGR). The project aims to establish a new platform for interaction between industry, healthcare and academia within the pre-hospital ICT/eHealth field. Metis focus on the ambulance service and has worked with the entire continuum of the care system, from the incident until a patient arrives at the right hospital and receives the right level of care, as well as the entire range from individuals to large incidents where many people are involved. Some 30 stakeholders from health care, business and academia have been involved in the Metis project, which was financed by Vinnova and VGR regional development, as well as in-kind contributions from stakeholders.

The project has led to the establishment of Metis Forum – a national open triple-helix collaboration and innovation platform for health care, academia and industry with a focus on prehospital ICT and eHealth. Metis Forum’s mission is to eliminate barriers that prevent ICT/eHealth from being utilized and developed to its full potential in the prehospital care process. The means to accomplish this is collaboration, knowledge creation, knowledge sharing and joint projects.

In the summer of 2014, VGR granted funding for basic financing of Metis Forum for 18 months. During this time, the activities will be refined and further developed into a Prehospital ICT Arena with national and international ambitions. The operations will be led by Bengt Arne Sjöqvist on part-time and administratively managed by Lindholmen Science Park, which are already in charge of a number of other arenas, including TUCAP and Security Arena.

In this presentation, Bengt Arne Sjöqvist will present background and plans for the future, as well as examples of projects now emanating from Metis Forum.

Magnus Andersson Hagiwara is an ambulance nurse with a special interest in pre-hospital patient assessment and clinical judgement. He is now working as a teacher and researcher in prehospital care at university collage of Borås. In this presentation Magnus will present his work with developing and evaluating a Computerised Decision Support System (CDSS) for use in pre-hospital care.

The thesis was guided by a theoretical framework for developing and evaluating a complex intervention. The four studies used different designs and methods. The first study was a systematic review of randomised controlled trials. The second and the last studies had experimental and quasi-experimental designs, where the CDSS was evaluated in a simulation setting and in a clinical setting. The third study included in the thesis had a qualitative case study design.

The main findings from the studies in the thesis were that there is a weak evidence base for the use of CDSS in pre-hospital care. No studies have previously evaluated the effect of CDSS in pre-hospital care. Due to the context, pre-hospital care is dependent on protocol-based care to be able to deliver safe, high-quality care. The physical format of the current paper based guidelines and protocols are the main obstacle to their use. There is a request for guidelines and protocols in an electronic format among both clinicians and leaders of the ambulance organisations. The use of CDSS in the pre-hospital setting has a positive effect on compliance with pre-hospital guidelines. The largest effect is in the primary survey and in the anamnesis of the patient. The CDSS also increases the amount of information collected in the basic pre-hospital assessment process. The evaluated CDSS had a limited effect on on-the-scene time.

The developed and evaluated CDSS has the ability to increase pre-hospital patient safety by reducing the risks of cognitive bias. Standardising the assessment process, enabling explicit decision support in the form of checklists, assessment rules, differential diagnosis lists and rule out worst-case scenario strategies, reduces the risk of premature closure in the assessment of the pre-hospital patient.

 

Date: October 27, 2014

Time: 11:30-12:15 (-13:00 incl lunch)

Room: Stammen, Blå stråket 6, Sahlgrenska University Hospital

Register by sending an email to seminars@medtechwest.se. A light lunch will be served afterwards to participants that have registered before October 24. Please write “MTW seminar October 27” in the subject line.