The Development of Intelligent, Triage-Based, Mass-Gathering Emergency Medical Service PDA Support Systems

智慧型檢傷為核心之大型活動緊急醫療服務 PDA 輔助系統之開發

張博論(Po-Lun Chang)；徐月霜(Yueh-Shuang Hsu)；曾院美(Yuann-Meei Tzeng)；桑潁潁(Yiing-Yiing Sang)；侯宜菁(I-Ching Hou)；高偉峰(Wei-Fong Kao)

個人數位助理 ； 大型活動 ； 緊急救護服務 ； 使用者接受度 ； 科技接受度評估模式 ； PDA, mass gathering ； emergency medical service ； user acceptance ； technology acceptance model

The Journal of Nursing Research

12卷3期（2004 / 09 / 01）

227 - 236

英文

大型活動(如馬拉松賽跑與國際棒球賽)中緊急醫療服務的支援系統一直被忽視。本研究目的便在於開發延伸既有院內檢傷輔助系統為核心，結合到院前緊急救護及大型活動現場評估表單開發支援大型活動緊急醫療救護之個人數位助理輔助系統，並以科技接受度評估模式評估醫護人員對於系統之認知易用性與有用性。本系統以既有發展成功之智慧型檢傷個人數位助理輔助系統為底﹐再加入台北市緊急救護記錄表單與一醫學中心使用之大型活動醫療記錄單的內容整合而成。該醫學中心曾支援大型活動之23位護士與6位醫師受邀參與新系統的使用與評估工作。開發完成之個人數位助理輔助系統包含六大類四十二畫面共450資訊項目。評估結果顯示本系統在支援大型活動的潛在價值。整體而言﹐大部分的受試者同意系統容易使用、有助於大型活動之醫療救護記錄﹐且在未來願意接受此系統。

The support systems for the Emergency Medical Services (EMS) at mass gatherings, such as the local marathon or large international baseball games, are underdeveloped. The purposes of this study were to extend well-developed, triage-based, EMS Personal Digital Assistant (PDA) support systems to cover pre-hospital emergency medical services and onsite evaluation forms for the mass gatherings, and to evaluate users’ perceived ease of use and usefulness of the systems in terms of Davis’ Technology Acceptance Model (TAM). The systems were developed based on an established intelligent triage PDA support system and two other forms the general EMS form from the Taipei EMT and the customer-made Mass Gathering Medical form used by a medical center. Twenty-three nurses and six physicians in the medical center, who had served at mass gatherings, were invited to examine the new systems and answer the TAM questionnaire. The PDA systems were composed of 450 information items within 42 screens in 6 categories. The results supported the potential for using triage-based PDA systems at mass gatherings. Overall, most of the subjects agreed that the systems were easy to use and useful for mass gatherings, and they were willing to accept the systems.

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