Abstract
Implementing the electronic patient record (EPR) in emergency rescue (ER) is difficult because ER staff must not only attend to the patient but record many treatment actions (acts) quickly and without delay. We are currently using a “Card-type” electronic patient system, which was created by adding a customized interface layer between FileMaker Pro and a vendor-made EPR system. With this system, we were able to implement the EPR for ER (EREPR) and have used it for one year. We analyzed one year's data consisting of about 19,000 treatment acts and averaging 32 treatment acts per patient. The average interval time to enter the act was 2 minutes and 29 seconds, and 47% of all acts were entered within one minute after the previous acts. We found the most frequent interval was 10-20 seconds among the acts entered within one minute of the previous act. Analysis of ER treatment has been difficult, but with EREPR, which digitizes treatment data, analysis is now possible.
