Innovative Practices in the Emergency Medical Services in Crete

Pre-hospital emergency care plays a vital role in saving human lives making it an important part of the health care sector. Efficiency and effectiveness of operations is crucial especially when dealing with life-threatening situations that require immediate and specialised response. In Crete, the National Centre for Emergency Care has established several innovative practices to improve public services, manage appropriately and effectively its resources, and provide timely and effective care at the point of need. To achieve excellence, a pre-hospital emergency management system has been developed and implemented in collaboration with the Foundation for Research and Technology – Hellas. The pre-hospital information system is part of HYGEIAnet, the integrated regional health information network in Crete. This paper presents an overview of the innovative practices established at the National Centre for Emergency Care unit in Crete with a particular focus on triage protocols, pre-hospital information management system and educational practices, focusing on management of change and impact on performance.

[1]  W. Kaye,et al.  CPR training without an instructor: development and evaluation of a video self-instructional system for effective performance of cardiopulmonary resuscitation. , 1997, Resuscitation.

[2]  P. Plsek,et al.  The challenge of complexity in health care , 2001, BMJ : British Medical Journal.

[3]  Russell A. Eisenstat,et al.  The Critical Path to Corporate Renewal , 1990 .

[4]  A Nocera,et al.  Australian disaster triage: a colour maze in the Tower of Babel. , 1999, The Australian and New Zealand journal of surgery.

[5]  P. Plsek,et al.  From resistance to attraction: a different approach to change. , 1999, Physician executive.

[6]  Hüseyin Tanriverdi,et al.  Diffusion of telemedicine: a knowledge barrier perspective. , 1999, Telemedicine journal : the official journal of the American Telemedicine Association.

[7]  David Tucker,et al.  Electronic medical record implementation barriers encountered during implementation , 1999, AMIA.

[8]  J. Clawson,et al.  Effect of a comprehensive quality management process on compliance with protocol in an emergency medical dispatch center. , 1998, Annals of emergency medicine.

[9]  Nancy M. Lorenzi,et al.  Review: Antecedents of the People and Organizational Aspects of Medical Informatics: Review of the Literature , 1997, J. Am. Medical Informatics Assoc..

[10]  B Kaplan Reducing barriers to physician data entry for computer-based patient records. , 1994, Topics in health information management.

[11]  Paul N. Gorman,et al.  Investigating Physician Order Entry in the Field: Lessons Learned in a Multi-Center Study , 2001, MedInfo.

[12]  J. Schüttler,et al.  One-year survival after out-of-hospital cardiac arrest in Bonn city: outcome report according to the 'Utstein style'. , 1997, Resuscitation.

[13]  G Paré,et al.  Introducing information technology in the clinical setting. Lessons learned in a trauma center. , 1998, International journal of technology assessment in health care.

[14]  J. Ornato,et al.  Improving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. , 1991, Circulation.

[15]  P. I. Zorkoczy,et al.  Oxford Surveys in Information Technology , 1985 .

[16]  R. Stacey,et al.  Governance and cooperative networks: An adaptive systems perspective , 1997 .

[17]  Trisha Greenhalgh,et al.  Complexity science: The challenge of complexity in health care. , 2001, BMJ.

[18]  S. Thakore,et al.  Emergency Ambulance Dispatch: Is there a Case for Triage? , 2002, Journal of the Royal Society of Medicine.

[19]  Manolis Tsiknakis,et al.  An open, component-based information infrastructure for integrated health information networks , 2002, Int. J. Medical Informatics.

[20]  Don E. Detmer,et al.  Quality at a Crossroads , 1998 .

[21]  Emergency medical dispatching: rapid identification and treatment of acute myocardial infarction. National Heart Attack Alert Program Coordinating Committee Access to Care Subcommittee. , 1995, The American journal of emergency medicine.

[22]  Manolis Tsiknakis,et al.  Implementing a Regional Health Information Network: Impact on Health Care Performance and the Management of Change , 2005 .

[23]  M L Cowan,et al.  New concepts in triage. , 1986, Annals of emergency medicine.

[24]  Geoff Walsham,et al.  Implementation of Health Care Information Systems: Key Factors and the Dynamics of Change , 2003 .

[25]  Kalle Lyytinen,et al.  Information systems failures—a survey and classification of the empirical literature , 1988 .

[26]  C. Hartley-Sharpe,et al.  Does the use of the Advanced Medical Priority Dispatch System affect cardiac arrest detection? , 2004, Emergency Medicine Journal.

[27]  B. Kaplan The Medical Computing “lag”: Perceptions of Barriers to the Application of Computers to Medicine , 1987, International Journal of Technology Assessment in Health Care.

[28]  S. Athey,et al.  The Adoption and Impact of Advanced Emergency Response Services , 1998 .

[29]  Joan S. Ash,et al.  Organizational factors that influence information technology diffusion in academic health sciences centers. , 1997, Journal of the American Medical Informatics Association : JAMIA.