Redesigning the UK Emergency Ambulance
Redesigning the UK Emergency Ambulance
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重新设计英国紧急救护车
DOI：
10.1115/1.4024484
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Matthews E
中科院分区：
文献类型：
--
作者：
Matthews E
背景2004年，英国国家卫生服务（NHS）委托在英格兰的救护车服务的战略审查。该审查产生了一份报告，概述了如何将救护车服务从一项专注于提供紧急护理的服务转变为将患者运送到医院，为社区患者提供医疗保健[1]。我们在救护车方面的工作始于2005年，当时英国国家患者安全局（NPSA）委托对救护车中的不良事件进行研究，以量化车辆的轶事问题[2]。它强调了九个“设计挑战”，帮助实现了一些行业标准化[3]。这项工作导致了工程和物理科学研究理事会（EPSRC）资助的项目“智能吊舱”[4]。这个为期两年的项目汇集了皇家艺术学院，海伦哈姆林设计中心，拉夫堡大学，英格兰西部（布里斯托），巴斯（管理学院）和普利茅斯（法律和社会科学学院）。2009年完成的调查发现，目前的系统缺乏适当的设备和车辆，无法支持救护车服务为增加社区护理服务而创造的新的紧急护理从业人员（ECP）角色。这项工作概述了一个综合的紧急和紧急医疗保健系统，包括不同类型的车辆，改进的设备，标准化的治疗空间和总体运营管理系统。
BackgroundIn 2004 the UK National Health Service (NHS) commissioned a strategic review of ambulance services in England. The review produced a report that outlined how ambulance services could be transformed from a service focused on providing emergency and urgent care by transporting patients to hospitals towards taking healthcare to the patient in the community [1]. Our work on ambulances started in 2005 when the UK National Patient Safety Agency (NPSA) commissioned a study of adverse incidents in ambulances to quantify anecdotal problems with the vehicles [2]. It highlighted nine ‘Design Challenges' that helped achieve some industry standardisation [3]. This work led to the Engineering and Physical Sciences Research Council (EPSRC) funded project ‘Smart Pods'[4]. This two-year project brought together the Royal College of Art, Helen Hamlyn Centre for Design, and the Universities of Loughborough, West of England (Bristol), Bath (School of Management), and Plymouth (School of Law and Social Sciences). Completed in 2009 it identified that the current system lacked equipment and vehicles suitable to support the new Emergency Care Practitioner (ECP) role created by ambulance services to increase provision of care in the community. The work outlined an integrated system of Emergency and Urgent healthcare, comprising different types of vehicles, improved equipment, a standardised treatment space and an overarching operations management system.