amPHI™ - ambulance record-keeping system John Gade a , Michael Dahl b , Per Thorgaard b , Flemming Knudsen b a Judex A/S, Aalborg, Denmark b Sector of Anaesthesia, Northern Jutland, Aalborg, Denmark. Northern Jutland county. 43 standard ambulances: 15.000 emergency turn-outs per year
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amPHI™ - ambulance record-keeping system
John Gade a, Michael Dahl b, Per Thorgaard b, Flemming Knudsen b
a Judex A/S, Aalborg, Denmark
b Sector of Anaesthesia, Northern Jutland, Aalborg, Denmark
43 standard ambulances: 15.000 emergency turn-outs per year
Special baby ambulance:100 transfers per year (neonates and babies)
Special trauma ambulance:800 transfers per year (adults)
Increasing duration of transports.
Increasing number of inter-hospital transfers.
Need for pre- and inter-hospital “EHCR”
Many small emergency units are closed down.
Centralizing medical treatment (re. DANAMI-2).
Increasing demands for collaboration between ambulances, pre-hospital care and hospitals.
Increasing demands for documentation and quality assurance.
Emergency - dial 112
Site of accident
In the ambulance
Access to ”critical medical information”:
Previous contacts (incl. diagnoses)
More knowledge Þ Better treatment
The ambulance service prepares the hospital !
The hospital supports the ambulance service !
Divided into logical sections according to the existing paper-based record (Falck) and other supportive sheets:
Glasgow Coma Score
Treatment before arrival
Status on arrival
Evaluation of the patient status in the ambulance.... :
.... and at the site of accident:
On-line access to the ambulance record:
Since the beginning of 2004 amPHI™ has been used in one emergency ambulance (amPHI™ Emergency) and in the special baby ambulance (amPHI™ Transfer).
Printers are installed at 5 gates at 3 hospitals in North Jutland county for printing of the ambulance case report.
The ambulance crew was given a short introduction to the system and was told to use amPHI™ for all patients admitted to one of the 3 hospitals.
Data from amPHI™ Emergency for 1 year was analyzed.
486 high-priority turn-outs to hospitals with printers.
amPHI™ was used in 377 turn-outs (78%). In Q3+4: 210 turn-outs of (82%).
In 143 cases (38%) the patient ID was sent from Alarm112.In 210 cases (56%) the patient ID was entered by the crew. 24 patients (6%) were not identified.
318 patients (82%) had previous hospitalizations in the county.
Critical medical information was available for 35 patients (9%).