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BEFORE. AFTER. The Impact of Road Safety on Clinical Care. Assoc Prof Dr Mohd Idzwan bin Zakaria Consultant Emergency Physician Malaysia. Pray for MH370. Ambulance safety: a knee jerk phenomena. Especially if there is mortality. What will we discuss?. Ambulance Dispatch
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BEFORE AFTER The Impact of Road Safety on Clinical Care Assoc Prof Dr MohdIdzwan bin Zakaria Consultant Emergency Physician Malaysia
What will we discuss? • Ambulance Dispatch • How are we managing it? • Problems today • Solutions available • Benefits of being innovative • Ambulance with Road Safety • Conclusion
What is Ambulance Dispatch? • Emergency medical care • public health • public safety • patient transport • Bridge between the community and the hospital • Operated by professionals or volunteers • Owned by Private / NGO / Government • Coverage can be both urban and/or rural • Disaster response
How Are You Managing it? • What kind of systems do you use today? • How long does it take to capture callers information? • Is there duplication of work? • How do you assign your calls? • Have you experienced errors? • How do you track and see your dispatch’s location? • Can you help provide directions, mapping and routing to crew? • Too many calls, too few manpower?
How Innovation Helps Link Electronic patient care reporting
3 Key Criteria in Choosing The Right Partner • Innovative & Comprehensive Product Offerings • Provides Complete Hardware and Software support • Knows and Understands EMS
What’s Available Today - Programs • RescueNetDispatch and DispatchPRO/ CommCAD- Most comprehensive and intergrated System • RescueNet@Work – Window into Dispatch • RescueNetNetTransit– Monitor request via the web • RescueNet Crew Scheduler - Manages Scheduling challenges link to Dispatch • RescueNet Resource Planner - Maintain Optimum Shifts planning • RescueNetBilling – Improve Efficiencies and Cash Flow • RescueNetePCRSuite – Most Customized Solution • RescueNetNavigator – Less Noise, Higher Accuracy • RescueNetFireRMS – Manages All Fire Records • RescueNetLink – Integrated link to the Hospital • RescueNetRoad Safety – Real Time Driver Modification System
Choosing The Right Service Partners Services • Deployment • Consulting • Custom Solutions Group • Custom Reporting • Education and Training • Technical Support • Project Management Singapore pilot study
How Will Everyone Benefit? • Call Center – CommCAD (computer aided dispatch) • Faster and easier to assign resources • Reduce error • Cut down paper work • Driver – Navigator /Road Safety • Fastest and quickest route • Direction and location • Safer driving habits • Paramedics – ePCR/Link • Faster monitoring • Easy patient records link • Seamless connectivity and transmission of 12-Lead ECG
Organizational Benefits • Hospital (A&E) – Link/Billing • Patients vital information (from the ambulance) • Prepared and equipped for patient • Faster turn around time • Agency/organization – Zoll’s products • Faster response time (Improved KPIs) • Reduce manual and duplicate work • Increase productivity • Track performance • Review fleet management
Improving EMS Safety: 4 levels • Government / ministry level • Sets the bar and enforces compliance • Adopt evidence based Safety standards (EN1789) • Encourages / supports research and change • Ambulance Organization • Adopts a culture of safety • Sets appropriate SOPs • Ensures proper training, vehicle, equipment, crewing • Ambulances • Design • Standards & Safety compliance • Use of appropriate materials (ABS and steel) • Crews (drivers and medics) • Qualified staff • Duty cycles • Safe Drivers??
Data Collection & Driver Feedback System • Onboard computer installed in each vehicle to assess driving performance • Real Time Feedback puts drivers in control of performance (Choice of tones or voice messages) Onboard Computer Audio Speaker
What is Road Safety? INPUTS Seat belts Speed (mph) Turns (g-force) Acceleration (rpm) Braking Back-up spotter Turn signal Lights & sirens • OUTPUTS • Audible Warning • Reports • Onboard Monitoring & Vehicle Tracking
Driver Training Cost Savings Real-time Feedback How Road Safety Works Reward and Coach Immediate Improvements Data Upload and Reporting Event Analysis Benchmark Drivers
Singapore’s Experience with Road Safety • 2 Emergency vehicles selected for 6 weeks trial • Road Safety was installed and left without tones for 3 weeks (same function as conventional black boxes- recording) • After 3 weeks tones were turned on and drivers were given basic briefing and a 10mins “ride along” orientation • Data were downloaded after 6 weeks (3 weeks before and 3 week after tones) for comparison
Why So Many Agencies Uses ZollRescueNet? • To enhance safety • To improve driver performance • Better patient care and outcomes • Save maintenance costs • Improve patient / occupant comfort • Aid accident and Incident investigation • Reduce manpower • Monitor individual driver performance • Logical investment in incident prevention • See immediate ROI
In Conclusion… • Look at Technology to help support the CHAIN OF SURVIVAL • Select the right partner who truly knows and understands EMS • Improving dispatch does NOT mean more manpower and hefty hardware costs • Consider real-time and seamless data transmission to improve outcomes • Safety and Cost Savings can be achieved from better driving • Innovation can help in cutting down response time, improve outcome and safety because Lives matter!
Thank you! “Arrive Faster, Arrive Safer, Arrive Alive!”