Data based integration of critical illness and injury patient care from EMS to emergency department to intensive care unit.
OBJECTIVE
Describe the challenges and opportunities for an integrated emergency care data system for the delivery and care of critical illness and injury.


RESULTS
Standardized data comparable across geographies and settings of care has been a critical challenge for emergency care data systems. Emergency medical services (EMS), emergency department (ED), ICU and hospital care are integrated units of service in critical illness and injury care. The applicability of available evidence and outcome measures to these units of service needs to be determined. A recently developed fully integrated, emergency care data system for quality improvement of EMS service delivery and patient care has been linked to ED, ICU and in-hospital data systems for myocardial infarction, trauma and stroke. The data system also provides a platform for linking EMS with emergency physicians, other healthcare providers, and public health agencies responsible for planning, disease surveillance, and disaster preparedness.


CONCLUSIONS
Given its time-sensitive nature, new data systems and analytic methods will be required to examine the impact of emergency care. The linkage of emergency care data systems to outcomes based systems could create an ideal environment to improve patient morbidity and mortality in critical illness and injury.
Mears
Greg
G
EMS Performance Improvement Center, Department of Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Glickman
Seth W
SW
Moore
Fionna
F
Cairns
Charles B
CB
D003266:Continuity of Patient Care; D016638:Critical Illness; D019992:Databases as Topic; D019033:Delivery of Health Care, Integrated; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D010360:Patient Transfer / Q000458:organization & administration*