Telenotarztsysteme im deutschen Rettungsdienst: eine nationale Sachstandserhebung

Rupp, Dennis; Benöhr, Peter; König, Marco K.; Bollinger, Matthias; Wranze-Bielefeld, Erich; Eichen, Philipp Maximilian; Kill, Clemens

doi:10.1007/s10049-022-01063-3

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Regarding the introduction of telemedical solutions in EM in Germany, a nationwide application hasn't yet been established and currently introduced systems provide support only in regional and rather rural areas [7,9,10].…”

Section: Introductionmentioning

confidence: 99%

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Improving the introduction of telemedicine in pre-hospital emergency medicine: Understanding users and how Acceptability, Usability and Effectiveness influence this process

O'Sullivan,

Krautwald,

Schneider

2024

Preprint

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Introduction: Increasing numbers of ambulance calls, vacant positions and growing workloads in Emergency Medicine (EM) are increasing the pressure to find adequate solutions. With telemedicine providing health-care services by bridging large distances, connecting remote providers and even patients while using modern communication technologies, such a technology seems beneficial. As the process of developing an optimal solution is challenging, a need to quantify involved processes could improve implementation. Existing models are based on qualitative studies although standardised questionnaires for factors such as Usability, Acceptability and Effectiveness exist. Methods: A survey was provided to participants within a German county. It was based on telemedical-surveys, the System Usabilty Scale (SUS) and earlier works describing Usability, Acceptability and Effectiveness. Meanwhile the investigated county introduced a telemedical system. A comparison between user-groups and an exploratory factor analysis (EFA) was performed. Results: Of n=91 included participants n=73 (80,2 %) were qualified as emergency medical staff (including paramedics (39,56 %), EMTs (30,77 %), call handlers (9,89 %)) and n=18 (19,8%) as emergency physicians. Most participants approved that telemedicine positively impacts EM and improved treatment options with an overall Usabilty Score of 68,68. EFA provided a 3-factor solution involving Usability,Acceptability and Effectiveness. Discussion: With our results being comparable to earlier studies but telemedicine only having being sparsely introduced, a positive attitude could still be attested. While our model could only describe 51,28% of the underlying factors of implementation, more research is needed to identify these. We showed that Usability is correlated with Acceptability (strong effect), Usability and Effectiveness with a medium effect, likewise Acceptability and Effectiveness. Therefore we see a need to improve available systems. Our approach can provide as a guide for decision makers and developers, that a focus during implementation should be on improving usability and on a quantifiable data driven implementation process.

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Section: Introductionmentioning

confidence: 99%

“…Therefore a telemedical EM physician (TEP) can be alarmed and then support paramedics. Some of the initial research projects have now been adapted to regular practice and can even provide long-term data [9,[14][15][16]], but up till now these are mainly only applied in certain regions of Germany.…”

Section: Introductionmentioning

confidence: 99%

Improving the introduction of telemedicine in pre-hospital emergency medicine: Understanding users and how Acceptability, Usability and Effectiveness influence this process

O'Sullivan,

Krautwald,

Schneider

2024

Preprint

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“…Eine Untersuchung von Rupp et al [1] zeigt, dass 2022 Telenotfallmedizin nur in 1,3 % der untersuchten Rettungsdienstbereiche im Regelbetrieb, in 4,0 % im Rahmen von Pilotprojekten sowie in Teilbereichen etabliert war. Mehr als 90 % der befragten Rettungsdienstbereiche verfügten über kein Telenotfallmedizin-System.…”

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Status quo der Telenotfallmedizin in Deutschland

Rübsam,

Aschenbrenner

2024

NOTARZT

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Digitales Notfallmanagement im Netzwerk der Akut- und Notfallversorgung. Eckpunktepapier des Expertenrats des ZTM

Eder,

Soda,

Kumle

et al. 2023

Notfall Rettungsmed

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ZusammenfassungZiel des digitalen Notfallmanagements ist, dass alle Akteure der Rettungskette sich bei einem Notfalleinsatz elektronisch miteinander austauschen und auf alle Informationen, die für die optimale Versorgung der Patientin relevant sind, zugreifen und miteinander kommunizieren können. Für den Einsatz der Digitalisierung im Notfallmanagement existieren mittlerweile zahlreiche Konzepte mit vielversprechenden Studienergebnissen und Implementierungserfahrungen, die in einer (über)regionalen Behandlungsstrategie mit einem kontinuierlichen Verbesserungsprozess mit Nachdruck zu verstetigen sind. Unter Berücksichtigung aktueller Möglichkeiten der Digitalisierung der Rettungskette hat der Expertenrat des Zentrums für Telemedizin Bad Kissingen (ZTM) wesentliche Inhalte und Kernfunktionen des digitalen Notfallmanagements definiert.

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Telenotarztsysteme im deutschen Rettungsdienst: eine nationale Sachstandserhebung

Cited by 5 publications

References 14 publications

Improving the introduction of telemedicine in pre-hospital emergency medicine: Understanding users and how Acceptability, Usability and Effectiveness influence this process

Improving the introduction of telemedicine in pre-hospital emergency medicine: Understanding users and how Acceptability, Usability and Effectiveness influence this process

Status quo der Telenotfallmedizin in Deutschland

Digitales Notfallmanagement im Netzwerk der Akut- und Notfallversorgung. Eckpunktepapier des Expertenrats des ZTM

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