The Role and Responsibility of Emergency Medical Informatics
1Department of Emergency Medicine, Asan Medical Center, Univ. of Ulsan College of Medicine, Republic of Korea
Emergency physicians should provide timely and appropriate treatment to critically-ill emergency patients. However, emergency physicians often fail to receive appropriate information from patients and often do not have enough time for patient care. Socially, there is a high demand for the quality of care such as patient-centeredness and patient safety for emergency care. It also requires that an emergency room-based surveillance system be operated for public health.
To provide safe and effective treatment with limited resources in a limited time, linking and integrating information is essential. In 2009, the American College of Emergency Physicians recommended in a white paper that health information technology (HIT) be actively introduced and utilized in order to solve the challenges of emergency care. Emergency medical informatics (EMI) is a field of medical informatics that aims to solve the problems and challenges of emergency medicine by utilizing HIT. Development and operation of HIT solutions for emergency care- national emergency medical information system and infrastructure, health information exchange system with pre-hospital and between hospitals, individual emergency medical information systems, patient-centered information system, and quality and patient safety improvement solution- should reflect the knowledge, experience and needs of emergency physicians.
HIT related to emergency medicine includes electronic health record, computerized provider order entry, clinical decision support, tracking, triage, emergency department dashboard, personal health record, and clinical emergency data registry. These HITs should be aligned to improve patient outcomes and improve emergency physician’s accessibility and utilization of information. To do so, emergency medical informaticians must play a key role.
Recent technologies such as artificial intelligence, big data analytics, mobile, wearables, and augmented and virtual reality are expected to overcome the limitations of existing HITs and improve accessibility and utilization of information. In this presentation, the implications of EMI and best practices of HIT implementation to emergency care will be discussed.