A Joint Organizational and Technical Development of a Telematic Rescue Assistance System for German Emergency Medical Services

摘要

The German research project Med-on-@ix aims at optimizing the efficiency and quality of preclinical emergency health care by introducing a Telematic Rescue Assistance Systems into the Emergency Medical Services. Paramedics and emergency physicians will be supported on site by a specialized physician in a remote Competence Centre. During the last three years, an interdisciplinary project team of emergency physicians, university scientists and developers supported by industrial enterprises developed a telematic system supporting the emergency care. The Telematic Rescue Assistance Systems provides the real time transmission of voice communication, vital parameters, pictures and videos from any emergency site using mobile radio networks. Both the technical development of the Telematic Rescue Assistance System and the organizational implementation into the regular operations of the Emergency Medical Services constitute the central pillars of the research project. Beside the technical requirements, the user centered requirement management applied within Med-on-@ix identified the necessary organizational changes to realize the introduction of the telematic system into Emergency Medical Services. This paper traces the joint organizational and technical development of the Telematic Rescue Assistance Systems based on a consistent user involvement into the development process. Simulation studies have been used to identify the main challenges regarding the implementation process. Exploring the impact of the system on the working process, organizational changes have been worked out, aiming at the design of a successful implementation process.