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Assessment of novel ICT-EMS systems to improve emergency patient transportation during the COVID-19 pandemic - 14/05/22

Doi : 10.1016/j.ajem.2022.03.035 
Jungju Lee a, b, So Yeon Kong, Ph.D c, Byung Woo Kim, M.D., Ph.D d, Seung-young Kim, Ph.D e, Gwan-Jin Park, M.D a, b, Hyun-Seok Chai, M.D a, Young Min Kim, M.D a, b, Suk Woo Lee, M.D., Ph.D a, b, Sang-Chul Kim, M.D., Ph.D a, b,
a Department of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju-si, Chungcheongbuk-do 28646, South Korea 
b Department of Emergency Medicine, College of Medicine, Chungbuk National University, 1 Chungdae-ro, Seowongu, Cheongju-si, Chungcheongbuk-do 28646, South Korea 
c Strategic Research, Laerdal Medical, Tanke Svilandsgate 30, 4002 Stavanger, Norway 
d Department of Paramedic Science, Korea National University of Transportation, 61, daehak-ro, Jeungpyeong-gun, Chungcheongbuk-do 27909, South Korea 
e Department of Management Information System, Korea National University of Transportation, 61, daehak-ro, Jeungpyeong-gun, Chungcheongbuk-do, 27909, South Korea 

Corresponding author at: Department of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju-si, Chungcheongbuk-do 28646, South Korea.Department of Emergency MedicineChungbuk National University Hospital776, 1st Sunhwan-ro, Seowon-gu, Cheongju-siChungcheongbuk-do28646South Korea

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Abstract

Objectives

This study aimed to examine the usability, feasibility, acceptability, and appropriateness of the information and communication technology for emergency medical services (ICT-EMS) systems to improve the transportation of emergency patients during the COVID-19 pandemic.

Methods

Emergency medical technicians (EMTs) (n = 229) employed at 7 fire stations operated by the North Chungcheong Fire Service Headquarters, South Korea were trained to use ICT-EMS devices prior to a 1-month implementation period. System Usability Scale (SUS), Feasibility of Intervention Measure (FIM), Acceptability of Intervention Measure (AIM), and Intervention Appropriateness Measure (IAM) questionnaires were conducted in the 4th week of the 1-month implementation period to assess the perceived usability, feasibility, acceptability, and appropriateness of the ICT-EMS systems.

Results

Among a total of 229 EMTs, 187 EMTs (81.7%) completed the survey. The overall SUS score was significantly low (score of 35.6) indicating an overall negative perception of the ICT-EMS systems. With regard to the feasibility, acceptability, and intervention appropriateness of ICT-EMS, roughly 50 (26.7%) participants agreed that ICT-EMS implementation was possible, appealing, and suitable.

Conclusion

Many potential areas of improvement were identified within the ICT-EMS systems. System alterations regarding usability, feasibility, acceptability, and appropriateness may be necessary to successfully implement the ICT-EMS systems.

Il testo completo di questo articolo è disponibile in PDF.

Highlights

Analysis of ICT-EMS systems' impact on transportation of critical patients.
SUS score indicated an overall negative perception of ICT-EMS systems.
There is still a great room for improvement in ICT-EMS systems.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Information technology, Emergency medical service communication systems, Feasibility studies, COVID-19

Abbreviations : ED, EMS, ICT, EMTs, NFC, SUS, FIM, AIM, IAM


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