SMART PODS TO RECONFIGURE URGENT HEALTHCARE DELIVERY

自2001年以来，政府的政策创造了一组新的专业人员，即紧急护理从业人员（ecp），以及一种新的紧急医疗保健提供方式，以支持围绕患者设计的医疗保健服务的愿景。急救人员是接受过额外培训的护理人员和护士，可在家中、在轻伤病房治疗患者，或将患者稳定下来，以便转移到专科临床病房。虽然已经为ecp开发了专业培训，但还没有研究支持这一新角色所需的技术。该项目详细研究紧急和紧急护理工作。我们建议，支持技术可以以智能pod的形式交付，由三个部分组成：车辆/对接系统、治疗（车辆）单元和治疗包系统（设备和耗材）。该项目的第一阶段是对操作系统进行建模，以确定Smart Pods的车辆/对接系统的分布，以便在正确的时间在正确的地点提供正确的护理。与此同时，我们将与东米德兰兹和西南地区的临床合作伙伴一起研究4-6种治疗类型（包括胸痛、轻微头部损伤、轻微疾病和跌倒）。这些治疗类型将在急症室，轻伤单位和救护车服务中进行详细分析，以寻找临床实践中的异同点，为治疗包提供框架，并为治疗（车辆）单位的布局提供初步数据。我们将为治疗类型提出一个标准化的路径，并将使用模拟模型在实验室与医生，护士和ecp一起测试临床治疗单元的布局。我们将通过审查现有系统，并研究其他行业的分配和交付系统来开始车辆的设计工作，例如军事、汽车故障服务、食品配送。我们将研究如何订购、购买和制造新的紧急护理车辆，并将其与其他小批量车辆制造（例如Lotus、Maclaren）进行比较，以帮助我们制定可行的解决方案。这些信息将用于研究制造和采购问题，以探索智能pod概念是否可行。我们将调查车辆工程和相关系统的选择，特别是底盘/驱动链和智能车辆技术，我们将考虑全生命周期能源使用方面的可持续性问题。将开发涵盖所有拟议SmartPod应用程序的计算机模型和动画场景。该项目第一阶段的最后一部分将开始与代表受一系列紧急和紧急护理情况影响的人的患者群体一起更深入地审议执行问题。我们亦会谘询公众人士、临床医生，以及参与计划、管理和评估急症及紧急护理的人士，以调查他们对改变急症及紧急护理提供方式的意见，并找出在推行改变时可能遇到的挑战（例如政治、组织、文化等）。

Since 2001 government policy has created a new set of professionals, Emergency Care Practitioners (ECPs), and a new style of urgent healthcare provision to support the vision of a healthcare service designed around the patient. ECPs are paramedics and nurses with additional training to treat patients at home, in minor injuries units or to stabilise patients for transport to specialist clinical units. Although professional training has been developed for ECPs there has been no research to look at the technologies needed to support this new role. This project is looking at emergency and urgent care work in detail. We propose that supporting technologies can be delivered as Smart Pods with three components: a vehicle/docking system, a treatment (vehicle) unit and a treatment package system (equipment and consumables). The first stage of the project is to model the operational systems to determine the distribution of the vehicle/docking systems for the Smart Pods to deliver the right care at the right time in the right place. At the same time we will be working with clinical partners in the East Midlands and South West to look at 4-6 treatment types (including chest pain, minor head injuries, minor illnesses and falls). These treatment types will be analysed in detail in A&E departments, minor injuries units and ambulance services to look for similarities and differences in clinical practice to provide the framework for the treatment packages and initial data for the layout in the treatment (vehicle) unit. We will propose a standardised pathway for the treatment types and will use a simulation mannequin to test the clinical treatment unit layout in a laboratory with doctors, nurses and ECPs.We will start working on the design of the vehicle by reviewing the current systems and looking at distribution and delivery systems in other industries, e.g. military, car breakdown services, food delivery. We will look at how new emergency care vehicles are ordered, purchased and manufactured and compare this with other low-volume vehicle manufacturing (e.g. Lotus, Maclaren) to help us develop viable solutions. This information will be used to look at both manufacturing and purchasing issues to explore if the Smart Pods concept is viable.Vehicle engineering and associated systems options will be surveyed, in particular chassis/drive chain and intelligent vehicle technologies and we will consider sustainability issues in terms of full life-cycle energy usage. Computer models and animation scenarios covering the full range of proposed SmartPod applications will be developed. The final part of this first phase of the project will start to consider issues of implementation in more depth with patient groups representing people affected by a range of urgent and emergency care conditions. We will also consult members of the lay public, clinicians, and those involved in the planning for, managing, and evaluating urgent and emergency care to investigate views on change in the provision of urgent and emergency care and to identify any unanticipated challenges (e.g. political, organisational, cultural) in implementing change.