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EPIC and Disaster Triage
Isabel T Gross, MD PhD MPH, Ryan F Coughlin, MD, Allen S Hsiao, MD, David C
Cone, MD, Sandy Boguc...
• Improved communication has helped Emergency Departments to
prepare for disaster victims
• It is challenging to organize ...
When disaster responders in the field use an
electronic medical record (EMR), such as EPIC,
is disaster triage effectivene...
Population: Tweed airport disaster drill first responders
Intervention:
- EPIC-assisted triage via mobile App in the field...
International Network for Simulation-based Pediatric Innovation, Research and Education
Design
Assessment for
eligibility
...
International Network for Simulation-based Pediatric Innovation, Research and Education
Design
EPIC Triage
(intervention)
...
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline & Current progress
Jan 20...
1. How can we optimize our study design?
2. What other secondary end points should
we consider?
3. Funding?
International ...
• At INSPIRE @ IMSH 2017
- Obtain feedback
• By February 2017
- Finish IRB process and start study
International Network f...
Isabel T Gross, MD PhD MPH
Yale School of Medicine
Isabel.gross@yale.edu
(203) 824-8108
International Network for Simulati...
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Gross initial alert

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EPIC and disaster triage

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Gross initial alert

  1. 1. EPIC and Disaster Triage Isabel T Gross, MD PhD MPH, Ryan F Coughlin, MD, Allen S Hsiao, MD, David C Cone, MD, Sandy Bogucki, MD PhD, Marc Auerbach, MD MSc, Yauheni Solad, MD MHS, Mark X Cicero, MD Yale School of Medicine INSPIRE @ IMSH 2017 – Orlando, FL, USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • Improved communication has helped Emergency Departments to prepare for disaster victims • It is challenging to organize pre-triaged victims who arrive at the hospital • Registering patients in the field will allow hospitals to prepare for patients before they arrive Goals: 1. Tracking patients from the first contact with a healthcare provider in the field to hospital discharge 2. Improving care efficiency 3. Anticipating healthcare needs International Network for Si mulation-based Pediatric Innovation, Research and Education Background
  3. 3. When disaster responders in the field use an electronic medical record (EMR), such as EPIC, is disaster triage effectiveness and efficiency improved compared to triage using color-coded tags? International Network for Simulation-based Pediatric Innovation, Research and Education Research Question
  4. 4. Population: Tweed airport disaster drill first responders Intervention: - EPIC-assisted triage via mobile App in the field - Triage level assignment, picture of injury taken - Registration into EPIC in the field Comparison: – Tag triage level assignment – Registration into EPIC as patient arrives at the facility Outcomes: – Primary: time from triage to treatment – Secondary: time of triage per patient on scene, time of arrival to hospital to treatment, provider perception International Network for Simulation-based Pediatric Innovation, Research and Education PICO
  5. 5. International Network for Simulation-based Pediatric Innovation, Research and Education Design Assessment for eligibility Randomization prior to drill EMS provider allocation to intervention EMS provider allocation to control
  6. 6. International Network for Simulation-based Pediatric Innovation, Research and Education Design EPIC Triage (intervention) Demographic data collection Triage using EPIC Outcome assessment Tag Triage (control) Demographic data collection Triage using Tags Outcome assessment
  7. 7. International Network for Simulation-based Pediatric Innovation, Research and Education Timeline & Current progress Jan 2017 INSPIRE ALERT Apr 2017 Data collection May 2017 Data analysis Jun 2017 INSPIRE Progress ALERT Jul 2017 Manuscript preparation
  8. 8. 1. How can we optimize our study design? 2. What other secondary end points should we consider? 3. Funding? International Network for Simulation-based Pediatric Innovation, Research and Education 3 questions to improve study
  9. 9. • At INSPIRE @ IMSH 2017 - Obtain feedback • By February 2017 - Finish IRB process and start study International Network for Simulation-based Pediatric Innovation, Research and Education Goals to accomplish
  10. 10. Isabel T Gross, MD PhD MPH Yale School of Medicine Isabel.gross@yale.edu (203) 824-8108 International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information

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