Piloting of a single-sheet triplicate medical record during an EMT deployment simulation led to significant modifications to improve data capture and function.Jafar AJN, Fletcher RJ, Lecky F, Redmond AD. A pilot of a UK emergency medical team (EMT) medical record during a deployment training course. Prehosp Disaster Med. 2018;33(4):441-447.
Results: Based on focus groups' outputs, holistic policies for managing the emerging threat were created and approved by the national/regional authorities. Analysis of pre-post perceptions of focus groups' participants showed an increase in numerous elements including perceived proficiency (3.71 ± 0.67 vs 4.60 ± 0.53, respectively; P < .001), and trust in colleagues' competencies in emergency response (3.56 ± 0.75 vs 4.37 ± 0.61, respectively; P < .001). Correlations were found between perceived individual preparedness and systemic readiness (rho = .410; P < .001) and proficiency in risk assessment (rho = .630; P < .001). Conclusion: Participation in focus groups facilitated design of policies for emerging threats and contributed to increasing perceived individual preparedness and empowerment. It is recommended to include operators and managers of health care entities in the process of policy making, in order to improve capacity-building and strengthen readiness to manage expected and unexpected emergencies. Study/Objective: The WHO has, for some time, been working to standardize and professionals in the humanitarian field. One branch of this work has been to develop a minimum data set for daily reporting of Emergency Medical Team (EMT) activity during Sudden Onset Disasters (SODs). This minimum data set is under final development following expert stakeholder consultation in Tokyo and Jerusalem during 2016. Background: The UK EMT have developed a minimum summary sheet for each patient seen in field hospitals during SODs. This sheet has been designed with the most recent updates, from the WHO stakeholder consultation in mind. As representatives of the UK EMT were able to contribute to the consultation, they were able to collaborate and understand other teams' approaches to patient records. This international level idea-sharing has allowed the UK EMT to develop a record, combining paper and electronic formats in a way similar to the CMAT and B-FAST approach. The record has been further developed to exist simultaneously (both integrated and standalone) in paper and electronic format, in order to match the technology available in the field at any one time. Methods: Once finalized and aligned with the final WHO minimum data set output, this summary sheet will be field tested. Results: Modifications will be made to ensure it collects patient data accurately and efficiently, with the primary aim of providing patients with a useful care summary, and a secondary aim of collecting much needed field data in order to continually improve practice.
Conclusion:The results of this field testing will be the subject of future work.
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