Portable treatment technologies for urgent care.
BACKGROUND
In recent years UK government policy has increased the provision of urgent care in the community. As part of this initiative the emergency ambulance service is gradually changing from an organisation designed to convey patients to hospital to a professional group capable of assessing urgency and delivering the appropriate treatment to the patient.


METHODS
This paper explores the portable technology requirements needed to support the new professional roles and draws on examples from ambulance trusts (emergency care practitioner services), primary care (out-of-hours general practitioner services and minor injuries units), and acute trusts (emergency departments) to investigate the workplace layout and clinical activities, including the use of equipment and consumables. It describes the iterative process used to develop the design specification for portable technologies using a qualitative exploratory methodological framework with data collected at stakeholder workshops, responder bag audits, clinical treatment observations and design decision groups.


RESULTS
The results are discussed as a three-level technology system for: personal kit; assessment packages (and storage for other clinical treatment packages), a clinical workspace. Future developments are predicted to improve diagnostic and decision-making services through both miniaturisation (eg, portable diagnostic imaging) and improved real-time support (communication systems).


CONCLUSIONS
This study has provided empirical research for portable technology requirements in urgent care.
Hignett
S
S
Healthcare Ergonomics and Patient Safety Research Unit, Department of Human Sciences, Loughborough University, Loughborough, Leics LE11 3TU, UK. S.M.Hignett@lboro.ac.uk
Jones
A
A
Benger
J
J
D039602:After-Hours Care; D000552:Ambulances; D000553:Ambulatory Care; D004739:England; D004864:Equipment and Supplies; D006801:Humans; D008952:Mobile Health Units; D020380:Needs Assessment