Type 2 Diabetes Mobile Application for Supporting for Clinical Treatment: Case Development Report

2020

Preprint

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Background : Before patients are admitted into the emergency department, it is important to undertake a pre-hospital process, both in terms of treatment performance and a request for resources from an emergency unit. The existing system to triage patients in Thailand is not functioning to its full capacity in either the primary medical system or pre-hospital treatment with shortcomings in the areas of speed, features, and appropriate systems. There is a high possibility of issuing a false Initial Dispatch Code (IDC), which will cause the over- or under-utilisation of emergency resources, such as rescue teams, community hospitals and emergency medical volunteers. Methods : A usability system design, together with a reliability test, was applied to develop an application to optimise the pre-hospital process, specifically to sort patients, using an IDC to improve the request for emergency resources. The triage mobile application was developed on both iOS and Android operating systems to support patient triage based on Criteria Based Dispatch (CBD). The 25 main symptom categories covered by CBD were used to design and develop the application, and 12 emergency medical staff, including doctors and nurses, were asked to test the system in the aspects of triage protocol correction, triage reliability, usability and user satisfaction. Results : The results of testing the proposed triage application were compared with the time used to triage by experienced staff and it was found that, in non-trauma cases, it was faster and more effective to use the application for emergency operations and to correct the IDC code representation. Conclusions : The triage application will be utilised to support the pre-hospital process and to classify patients’ conditions before they are admitted to the Emergency Department (ED). The application is suitable for users who are not medical emergency staff. Patients with non-trauma symptoms may be a suitable group to use the application in terms of time used to identify IDC for their own symptoms. The use of the application can be beneficial for those who wish to self-identify their symptoms before requesting medical services.

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Thailand Medical Mobile Application for Patients Triage Base on Criteria Based Dispatch Protocol

2020

Preprint

Self Cite

“…Thailand medical mobile application for patient triage based on CBD was developed to solve the problems associated with the pre-hospital process mentioned earlier. The adapted waterfall methodology is a software development procedure that was applied as a 7-step guideline for the development process [35][36].…”

Section: Software Development Processmentioning

confidence: 99%

Thailand Medical Mobile Application for Patients Triage Base on Criteria Based Dispatch Protocol

2020

Preprint

Self Cite

Background : Before admitting patients into the emergency department, the pre-hospital process is important both in terms of treatment performance and requesting resources from an emergency unit. The existing system to triage patients in Thailand is not functioning optimally in either the primary medical system or pre-hospital treatment. Areas that contain shortcomings include speed, features, and appropriate systems. There is a high possibility of misrepresenting false Initial Dispatch Code (IDC) which causes over or under utilizing emergency resources, such as rescue teams, community hospitals and emergency medical volunteers. Methods : In the application development, usability system design has been applied together with system reliability test, to optimize the pre-hospital processes specifically to sort patients by using IDC improving request for emergency resources. The development of a triage mobile application has been conducted on both iOS and Android operating systems to support patient triage based on the Criteria Based Dispatch (CBD). The 25 main symptom categories covered by CBD were used to design and develop the application, and 12 emergency medical staff including doctors and nurses were subjected to test the system in the following aspects: triage protocol correction, triage reliability, usability and user satisfaction. Results : The application development result shows the comparison between the proposed triage application and staff experience. The triage reliability test implies that the time used to triage by experienced staff, in non-trauma cases, is slower than using the application. For the usability test, the result shows that the application functions are more effective in the emergency operations and correction of IDC code representation. Conclusions : The triage application will be utilized to support the pre-hospital process and to classify patient conditions before admitting patients to the Emergency Department (ED). The application is suitable for users who are not medical emergency staff. Patients with non-trauma symptoms may be a suitable group to use the application in terms of time used to identify IDC for their own symptoms. In terms of application use, it can provide benefits to those who want to self-identify their symptoms before requesting medical services.

“…The application of smart technology has become an increasingly common practice in daily life, especially in medical treatment. Modern smart technology facilitates faster computation, has natural-command abilities, wider presentation screens and intelligent operation [1][2][3][4]. Advanced smart technology has also been found to be widely used in medical healthcare; for example, in monitoring patients, tracing their health conditions, consultations by experts or doctors, obtaining suggestions related to healthcare medication, and much more [5,6].…”

Section: Introductionmentioning

confidence: 99%

Thailand medical mobile application for patients triage base on criteria based dispatch protocol

BMC Med Inform Decis Mak

2020

Self Cite

Background: Before patients are admitted into the emergency department, it is important to undertake a prehospital process, both in terms of treatment performance and a request for resources from an emergency unit. The existing system to triage patients in Thailand is not functioning to its full capacity in either the primary medical system or pre-hospital treatment with shortcomings in the areas of speed, features, and appropriate systems. There is a high possibility of issuing a false Initial Dispatch Code (IDC), which will cause the over or underutilisation of emergency resources, such as rescue teams, community hospitals and emergency medical volunteers. Methods: A usability system design, together with a reliability test, was applied to develop an application to optimise the pre-hospital process, specifically to sort patients, using an IDC to improve the request for emergency resources. The triage mobile application was developed on both iOS and Android operating systems to support patient triage based on Criteria Based Dispatch (CBD). The 25 main symptom categories covered by CBD were used to design and develop the application, and 12 emergency medical staff, including doctors and nurses, were asked to test the system in the aspects of triage protocol correction, triage reliability, usability and user satisfaction. Results: The results of testing the proposed triage application were compared with the time used to triage by experienced staff and it was found that, in non-trauma cases, it was faster and more effective to use the application for emergency operations and to correct the IDC code representation. Conclusions: The triage application will be utilised to support the pre-hospital process and to classify patients' conditions before they are admitted to the Emergency Department (ED). The application is suitable for users who are not medical emergency staff. Patients with non-trauma symptoms may be a suitable group to use the application in terms of time used to identify IDC for their own symptoms. The use of the application can be beneficial for those who wish to self-identify their symptoms before requesting medical services.