Improvement of Handover and Information transfer for Good Hospital treatment in critical patients with video connection (5G)

We propose to build, validate and implement a technological platform solution to address communication errors head on and support prehospital care professionals outside the hospital with an in phase development of;
A real-time audiovisual link (5G) in the ambulance to optimise communication between ambulance personnel and emergency physicians in the hospital to (get) advice on differential diagnosis, priorities, treatment and ultimately thereby improve communication and also handover as the hospital is involved. By doing so, we can;
1. Evolve a system of immediately available automated medically specialized care in the pre-hospital setting.
2. Evolving information transfer by live communication between ambulance providers and receiving hospital physicians.
3. Optimize preparation by receiving hospital team and making treatment faster, safer and more efficient.
4. Annotate the acquired data under 1 to train an algorithm to create transcripts of the interventions and actions taken for a structured and automated handover.
5. Annotate data, and train algorithms that will aid in normal protocol execution and recognising differential diagnostic ‘rule out and rule ins’.
6. Implement developments under 4 and 5, to study reliability, security, safety, clinical and economic effects.

Effectivity of information transfer between ambulance personnel and hospital staff (% content using SBAR system)

Efficiency of information transfer between ambulance personnel and hospital staff (time)

Various time points:
Estimated time of arrival
Time of registration at ED nurse
Time of arrival at ED
Time of teambriefing
Duration of teambriefing
Duration of handover
Time of first treatment
Time transfer to ward/OR
Duration of admission
Location after admission from ED
Locatie van patient na opvang
These time points will be physically collected by a researcher (student) at the ED (emergency department)

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