关键词: data emergency medicine handover interoperability (IoP) process management

来  源:   DOI:10.3389/fdgth.2024.1249454   PDF(Pubmed)

Abstract:
The AUD2IT-algorithm is a tool to structure the data, which is collected during an emergency treatment. The goal is on the one hand to structure the documentation of the data and on the other hand to give a standardised data structure for the report during handover of an emergency patient. AUD2IT-algorithm was developed to provide residents a documentation aid, which helps to structure the medical reports without getting lost in unimportant details or forgetting important information. The sequence of anamnesis, clinical examination, considering a differential diagnosis, technical diagnostics, interpretation and therapy is rather an academic classification than a description of the real workflow. In a real setting, most of these steps take place simultaneously. Therefore, the application of the AUD2IT-algorithm should also be carried out according to the real processes. A big advantage of the AUD2IT-algorithm is that it can be used as a structure for the entire treatment process and also is entirely usable as a handover protocol within this process to make sure, that the existing state of knowledge is ensured at each point of a team-timeout. PR-E-(AUD2IT)-algorithm makes it possible to document a treatment process that, in principle, does not have to be limited to the field of emergency medicine. Also, in the outpatient treatment the PR-E-(AUD2IT)-algorithm could be used and further developed. One example could be the preparation and allocation of needed resources at the general practitioner. The algorithm is a standardised tool that can be used by healthcare professionals of any level of training. It gives the user a sense of security in their daily work.
摘要:
AUD2IT算法是构造数据的工具,这是在紧急治疗期间收集的。目标一方面是构造数据的文档,另一方面是在急诊患者的移交期间为报告提供标准化的数据结构。开发AUD2IT算法是为了向居民提供文档帮助,这有助于构建医疗报告,而不会迷失于不重要的细节或忘记重要的信息。回忆的顺序,临床检查,考虑到鉴别诊断,技术诊断,解释和治疗是一种学术分类,而不是对真正工作流程的描述。在真实的环境中,这些步骤大多同时进行。因此,AUD2IT算法的应用也应根据实际过程进行。AUD2IT算法的一大优点是,它可以用作整个处理过程的结构,也可以完全用作此过程中的切换协议,以确保,在团队超时的每个点上确保现有的知识状态。PR-E-(AUD2IT)-算法可以记录一个处理过程,原则上,不限于急诊医学领域。此外,在门诊治疗中,可以使用PR-E-(AUD2IT)算法并进一步发展.一个示例可以是在全科医生处准备和分配所需资源。该算法是一种标准化的工具,可供任何培训级别的医疗保健专业人员使用。它给用户在日常工作中的安全感。
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