This study is seeking to implement a cognition based tool commonkads project theoretical account to pattern the merchandise betterment of the services offered by EMS. The study hence set out to put in this tool into the Ems service and to convey the advantages of utilizing patterning as apart of concern intelligence direction.
The job addressed by this study is the at manus is the deficiency cognition shortage at EMS.we shall demo that the shortage at EMS will be solved by put ining commonKADS undertaking theoretical account into the merchandise modeling by analyzing the spreads in the system and proposing betterment tools to make full these spreads.
The method or methodological analysis is that we shall utilize the theoretical accounts of cognition technology.to this we shall foremost demo the targeted state of affairs we intend travel. The poorest theoretical accounts will so pattern the merchandise
This study addresses the above job by suggesting and definition of cognition based tool to turn to the shortage at EMS by put ining Commonkads theoretical account to pattern the merchandise.
the study hence analysis the job so suggest assorted options or solutions and adopts the commonkads tool as the most efficient cost effectual tool to make full spread of shortage in at Ems with a cognition tool. This tool is besides gratifying and easy in footings of concern feasibleness and proficient feasibleness
This study is structured into three subdivisions, portion one portion two and portion three.
The intent of the first portion one is debut to this study, the study structures subdivision, method of the study and job statement on job being addressed, methodological analysis and how this study addresses the job of cognition shortage and how the tool is patterning the job and chances and solution proposed. Separate two intent is focused on OM 2, OM-3, and OM-4 three analysis of the nucleus job in variant facets, Tasks and expert cognition accomplishments. Part three is purposed on focused on OM 5 analysis specific cognition tools accomplishments to be installed on mensurable yardsticks of the execution of the commonkads undertakings model on the merchandise theoretical account. It is like grafting the theoretical account on to EMS.
Modeling here is defined to intend the installing of a predefined undertaking theoretical account, which will be used to pattern the bing service into new merchandise being designed.
Our aim is to better the EMS administration by presenting a knowledge-based system. The expected usage of this system is expected to ensue in improved undertakings focus on betterment of the services at EMS from the job degree to the mark solution degree or desired ends and aims carry throughing mission of EMS.
We start from abrasion with an thought of what the current job is by analysis we come up with a design of the new merchandise betterment.This is portion of utilizing the analysis is portion of commonKADS tools the theoretical account. The tools serve as templet theoretical accounts to assist us analyze jobs to place spreads in cognition. we fill those spreads by usage of commonkads patterning. The coveted results are inbuilt in bing constructions which we so model the desire harmonizing to coommkonKADs redesigned theoretical accounts runing from design theoretical accounts, expertness theoretical accounts, organizational theoretical accounts, communicating theoretical accounts, Agent theoretical accounts and knowledge Model.
To make this we carry out merchandise integrating and the theoretical account undertaking theoretical accounts.this procedure is called modeling. Merchandise and procedure of patterning the merchandise theoretical account is implemented utilizing the commonkad undertaking theoretical account.
The challenge of commonKADS patterning solution utilizing commonkads theoretical account here is that the whole is a procedure and the full procedure is called the undertaking theoretical account.
The jobs confronting Ems is deceases due to holds, which are evitable by bettering the EMS service. The chief causes no milligram these hold s is caused by genereral practicians, patients delay every bit good as holds in get downing intervention.
These EMS have discovered that the best manner is to short-circuit the genera practician and allow patients to name straight.however the biggest degree Celsius challenge here is that the nurse starter do non hold the cognition to make intensive taiga or diagnosing for cardiac diseases. This action wild to a cognition shortage at EMS one time the GP are absemnnt.we will utilize commonkads to turn to this deficit of cognition and to make full the cognition shortage within mission and budgetary bounds of EMS.
Educate the general practician about the demand to mention client earlier and about his or her ain hold. This will intend we incorporate services of the general parishioner to unify their functions to encapsulate the mission of EMS to them and affect the bosom foundation in making consciousness to the General practician as they may hold fiscal involvements and will see view the EMS action as a manner field-grade officer taking away their esteed cleinst truist from them it willl apppear as an manner field-grade officer exposing their averageness as they arde professionals and the stakes manner tro seal wiut professionals is to prosecute them in a participatory mode by.thius will intend retaining them while at the same clip keeping direct conatct with patienst.
We aheve to anticipate reaxtion from the bypassing they are non traveling to be bpassed and clients will besides swear them more as they are closer to clwe3inst and msot cleinst will ever desire their ain personal physicains to adviecthem due to
We conclusion for OM-1 analysis is that the jobs of holds and the demand tyo beltway the general practician while guaranting there is knowledge tool to guarantee cognition defcit job is solved.the other solution which is non portion of the EMS is utilizing other ways to educate the general practician to redce the GP dealsy and prosecuting the general practitioner more constructively by enlisting their support to educatwe bthe patenst particularly on seldf assessment.The patients trust thegep as they are familiar as emeghencies are like accidenst hence the general practitioner is likey to be more effectual in cut downing his ain hold one time he is madeware that his dealys is doing preventable deceases due to miss of coronary ewfurcution therapy for acute myocardial infaction ( AMI )
The chance presented here is of gthe current state of affairs of organisational aims with the jobs giev us opotunitybti put in the kcommkads toolto do this the OM-1 below is analysis usong analysis theoretical account in which we have a thought of the design EMS utilizing the undertaking design theoretical account this will so be modelled on the undertaking theoretical account which we nitegartebwith the EMS merchandise theoretical account by execution into feasible undertakings and subtasks translated into new aim of the mark state of affairs for EMS merchandise servie.Once this is done the work of EMS direction will be merely of maintainance of thye cognition tool in bulding desire for betterment into the administration system.The system will so trip better actions and better service as it pervades the whole administration civilization and practice.Thus the excessively merges theory and pattern to gain mission.
Table 1 – Worksheet OM-1 ; ORGANISATION MODEL-1
Problems and
Opportunities
Delaies in reacting to AMI exigency instances
Incorporate knowledge-based system to formulated solution
Organizational Context
Mission:
Provide effectual and efficient exigency response service to the people
Operate within the budgetary demand without giving effectivity and efficiency
Goal:
Send exigency response squad in the shortest possible clip
Provide fast hospital conveyance on critical instances which necessitates it
Streamline and strengthen coordination within the exigency service squad
Solutions
1.Reduce the hold by taking the GP in the procedure and leting the patient to name straight to EMS
2.Coordinate with the Netherlands Heart Foundation and collaborate to develop a strategic program on educational run for observing early marks of AMI including the psychological facets of the patient every bit good as stressing and turn uping available GPs within the country.
3.involve the GP and retain GP as of import confederate of EMS and support GP to make better by defending equals to elimkinate the holds every bit good as their clients
The biggest job involves the hold undertaking public presentation which leads status of AMI bosom failure in Netherlands. To concentrate on the specificn undertaking which are done ar non doenwill lead us to the brinies tasks that if it is pwerormed good will intend no more holds at all.The dealsy is means theire is hapless clip mamgement by eothr the GP, the patient or the ambulance or the driverer or the nurse starter r the IT system has nor scheduled the dipsatvh agenda in the right manner or triage was non doen right hence the holds is blamed on other s.while besides there could be job of many false dismaies taking to low morale in exigency styaff and low motive A cognition tool twill assit us to o acquire the chief undertaking which is non done corecltyor the several undertakings that operate in and so we shall place whether it is the tyask otr the undertaking performing artist or how it is doen the knowledge.the ntask the performing artist and the cognition neede to domit right.here we fosu more on the cognition to make the undertaking but we shall besides necessitate to cognize whether the undertaking ahndler is motivated to make the undertaking
Task integration-om2
We focus on undertaking procedure merge and undertaking merge.Task aanalysis of despatch and aambulance is transport.these two undertaking should be nerged and performed by one squad non two separate entiyties.Make conveyance an integrated undertaking by doing certain ambulace undertakings can be performed by a starter and frailty versa as one squad.
Two types of maps should be integrated together for one squad action into both support and exigency and should non be distinguished at the EMS s
Task integrating of the three exigency direction undertaking, communicating undertaking, undertaking of Coordination, Task ofn medical attention, and besides the ambulance undertaking of conveyance together with the Support undertakings of file awaying, rating, policymaking, and supervising.
To reason these are the follwing scenarios are recommended for OM-2
Use undertaking integrationinstead of physical separation ofn undertaking
procedures
Integrate procedure based undertakings with cognition intensive undertaking
Alocate by undertaking and cognition shortage precedence for our demand to turn to the commonkads knowledge based toolthiose who have intensive know-how to open up re-engineering of the procedures towards realization of the mission of EMS
Resources have already been limited due Ti budgets consatrainst and need for being thrifty hence the onkey rsource to construct capacity of staff byenrcihing theoirntasks and occupation functions
The reources have a rsource defcit in tems of cognition bassed tool available through enlarging the cognition capacities of the current staff to increase triage degrees in vie of the riddance of the General practioner
Culture and power issue will be rsolve by integrating of all undertakings into squad undertakings into action undertaking and cognition basd undertakings.
The cognition componets for undertaking performnane will be recommended in table five below to integrate new accomplishments needed to execute the incorporate undertakings as oin OM-2.see tabular array -OM-2.VARIANT ASPHECTS analysis theoretical account below.
Table 2 – Worksheet OM-2 -variant asphects-MODEL
Structure
Procedure
Change to undertaking oriented procedures to make integrity of intent. The exigency direction procedure involves five major undertakings from the GP having the call from the patient until hospital conveyance. Figure 3 presents a high-ranking undertaking degree diagram.
Peoples
New incorporate accomplishments needed for nurse paramedic and drivers
External to the EMS, the GP plays a critical function in go toing to patient ‘s call
Directors of the GSSC and the MISS ensures attachment of the organisation to mission and ends
Directors of the EMS units supervise the full operation
Nurse starter in the Dispatch Centre handles communicating and coordination between exigency calls and the Ambulance Centre
Paramedic carries out exigency medical attention to patients transported
Driver is in-charge in the mobilisation of the ambulance
System Manager handles the file awaying map of the exigency services provided
Resources
Integrate undertaking to message fro action or cognition. Communication system to manage calls and organizing undertaking within the EMS and outside
IT support system and substructure executing online exigency calls, off-line reserve and other information support systems
Vehicle for infirmary conveyance
Temporary & A ; immediate medical attention equipment
Cognition
Integrate the Different sets of cognition assets which support the different forces in executing the new incorporate undertakings within the procedure are detailed in table 4.
Culture & A ; Power
Create TRAIN on occupation spirit and integrate power to avoid parallel coverage constructions. There exist within the organisation certain formal and informal relationships that may, in one manner or another, impact how the forces perform their undertakings ( refer to Figure 4 ) . It should be noted that here is no bing societal relationship that exists between the two units within EMS.
OM-3 ( B ) RECEIVING CALL TASK ANALYSIS MODEL
Undertaking ANALYSIS
Undertaking Analysis Worksheet TM- ( B )
Task-
Receive Call ( Task 2 see Figure 3 )
Organization
The undertaking is performed by CLIENT AT EMS CONTROL CENTRE and is carried out in the DISPATCH FUNCTION of said organisation.
Goal and Value
( Triage OF PATIENTS ) This undertaking significantly affects the response clip of the EMS to exigency instance through an accurate and complete appraisal of patient ‘s call. The aim of this undertaking is to be able to measure if received calls from prospective patient warrants an exigency instance.
Dependence Flow
Input undertaking: Patients name
Output undertaking: Triage, Ambulance despatch, CORONARY THERAPY, conveyance to infirmary ( CORONARY THERAPY DURING TRANSPORT ON ROAD OR AIR RESCUE SERVICE ) ( HELICOPTER )
Environmental Constraints:
Accountants CENTRE
Needed CAPABILITIES: ABILITY TO TRIAGE AND CARRY OUT CORONARY therapy ( CRT )
Please see Figure 5 for diagram of the procedure flow.
Objects Handled
Input Objects: response of patient to baseline inquiries related to experient status, patient name and location
Output Objects: instance appraisal, despatch agenda
Internal Objects: triage questionnaire
Timing and Control
This undertaking is executed for every call received by the EMS. Triage of exigency instances is executed by the PARAMEDICS OR NURSE Dispatcher through the assistance of the support system. Detailss of the call are logged into the exigency appraisal database, which may or may non trip a despatch agenda. The despatch agenda is NOT THE ONLY footing for the despatch or non-dispatch BUT IT IS AN AID AS PARAMEDIC AND NURSE HAVE TRIAGE SKILLS of the ambulance service THIS DUE TO INCREASED CALLS TO FILTER ( see Figure 5 )
Agents
, PARAMEDIC, Nurse Dispatcher, IT support system, DRIVER, PATIENTS
EMS CENTRE MANAGER, DOCTOR PARAMEDICS, COMMONKADS TOOL KNOWLEDGE SYSTEM MODELS
Knowledge and Competence
EVERY STAFF PARAMEDIC OR The Nurse Dispatcher OR MANAGERS should be able to Make TRIAGE AND to comfortably voyage the IT support system, which will supply full support in the executing of this undertaking. Furthermore, the PARAMEDIC OR Nurse Dispatcher should besides possess intensive cognition on established symptoms of most or common medical conditions.
Resources
TRIAGE SKILLS TRAINING, Computed wages of staff clip TRAIN on occupation PARAMEDICS, DRIVERS AND MANAGERS AND Nurse Dispatcher having calls for a 24hr service available 7 times a hebdomad 365 DAYS A Year WITH NIGHT SHIFTS AND LEAVE SCHEDULES
Month development clip of TRAIN on occupation SKILL UPGRADING AND IT staff to heighten the IT support system incorporating the characteristics illustrated in Figure 5
Quality and Performance
The undermentioned cardinal public presentation indexs can be used to estimate quality of undertaking executing: .1. Average clip to take calls with appropriate appraisal
2. Entire figure of despatch that consequences to hospital conveyance
3. Percentage of morbidity and mortality rates within the instances received
4. STAFF TURNOVER RATE DUE TO SKILLS UPGRADE OR STRESS. 5 Rate OF STAFF MEDICAL SICK LEAVES OR MORALE,
6. PATIENT FEEDBACK AND RATING OF THE NEW SERVICE PRACTICE
C
OR
N.
Undertaking
Performed By
Where?
Knowledge Asset
Cognition
Intensive?
Significance
1
Diagnose Patient
EMS staff -PARAMEDIC
Nurse
Patient ‘s home/EMS CENTRE
Medical background to justify right appraisal of symptoms for AMI
Triage Skill
IT SYSTEM
Highly Intensive
Early on ( TRIAGE ) diagnosing conducted increases the patient ‘s recovery from AMI
2
Name EMS
Patient
Patient ‘s place OR REGION /AREA
-SELF ASSESSMENT/
EMS ASSEMT/
IT SUPPORT SYSTEM
Medium
EARLY CALL SAVES LIVES
3
Receive Call
Nurse Dispatcher
EMS – CENTRE/ Dispatch Centre
IT support system operations
MEDICAL SKILLS
Triage SKILLS/
CORONARY THERAPY
HIGHLY
Intensifier
Early reception of exigency call initiates faster despatch to patient infirmary conveyance
4
Coordinate Ambulance Service
Nurse Dispatcher/OR PARAMEDIC
EMS – CONTROL CENTRE
/Dispatch Centre
IT support system operations
Paramedic
Medical Triage
SKILLS/THERAPY
HIGHLY
Intensifier
Early ARRIVAL SAVES LIVES
5
Dispatch Ambulance
Paramedic OR NURSE
EMS -CENTRE Ambu-lance Service/REGION ROAD
Procedures AMI med. Assistance /
IT SUPPORT
EMS CONTROL
NURSE /
PARAMEDIC SKILL/THERAPY
HIGHLY INTENSIVE
Early DISPATCH SAVES LIVES
6
Transport Patient to Hospital
Driver/
PARAMEDIC/NURSE
Relative
Self
ROAD, AIR RESCUE/
Geographic informations of the area/TRIAGE SKILLS/THERAPY
HIGHLY INTENSIVE
Early TRANSPORT SAVES LIVES
Table 4… WORKSHEET-AM-4-AGENT MODEL-4
AGENT FUNCTION
Title OF AGENT AT EMS
ROLE OF AGENT
Good OR BAD FORM
Topographic point CONSTRAINTS
Time Constraints
Quality
Know-edge Asset
Pos-sessed By
Used In
Right Form?
Right Topographic point?
Right Time?
Right Quality?
Medical background to justify right appraisal of symptoms for AMI
PARAMEDIC, NURSE DISPATCHER/
Director
DRIVER/
Patient diagnosing
( Task 1 )
Triage
Yes
Yes
YES. TRIAGE SKILLS REDUCE clip before diagnosing is done )
Yes
IT support system operations
PARAMEDIC Nurse Dies- patcher/DOCTOR PARAMEDISC/DRIVER/PPATIENTS OWN IT SYSTEMS
Coordination with
Ambu- spear Service, STAFF LOG, WORK SCHEDULER FOR STAFF ( Task 2 & A ; 3 )
No ( excessively limited, MUST BE IMPROVED URGENTLY
YES. IT IS A SUPPORT TOOL. FOR TRAIN on occupation
Yes. BUT IT CAN FAIL ON TECHNICALITY
Yes BUT SOMETIMES EQUIPMENT MAY FAIL.
The riddance of the GP is a really biof job for EMS. It Mau even affect the full EMS processes because the GP is presently the chief nexus or gateway to the patients. No patient will wish to put on the line but patients rust the GP.true the GP will see fees as a motive and have involvement I non being bypassed.this poses a schemes job for EMS as per their mission and objectives the GP has a interest in operations of EMS as the chief company at EMS daily. To alter this form AND Tradition will be really difficult and airss and alteration direction jobs even for the patients who may non desire to extinguish their Gps.
The GP has is to bask Geographical presence and is good mediators so to talk. We should by utilize these geographical parts as the structural tool for enlargement of R EMS in its way for growing.
The Gps are besides within the 17 municipalities where they can each put up a Sub Ems Centre by franchising the EMS. The Ems can profit from service through posting paramedics at the Gps clinics.
Elimination of Gps may trip more deceases due to triage jobs hence a new demand to distribute EMS centres all over Nederlands
The bosom foundations awareness run may take advantage of the general practitioner to be more effectual.
The riddance of General practicians additions of calls thereby making a better chance for many patients to acquire educated by the bosom foundations as their consciousness is heightened toward bosom jobs.
The followers are chief factors for the feasibleness of commonkads knowledge tool for EMS.
To extinguish the General practicians will take to benefits of unrecorded for many patients due to riddance of the decays, which have been associated with many deceases of patients in exigency instances
This will add value to the patients who will now hold less clip to make infirmary as they have merely one point of mention
The Ems will profit, as there will be no demand for excess attempt of coordination jobs
It shall besides salvage costs for the Gps as they spent money naming on behalf of the patients of AMI
Expected costs
Their will be some costs transfer from GP to the patients
The EMS will hold some more calls which may interpret to some costs in instance of doing calls to acquire exact geographical locations of patients on exigency.
The alternate solution of retaining the Gp while at the same time leting patients ton call straight is more executable and will non hold psychological opposition to alter both at the EMS staff due to increased work load and at the Gps as they see this as an effort to act upon their old clients. Their services are paid for hence their net incomes from diagnosing will be eroded therefore opposition to new regulations
The organizational alterations will affect direction by aims and integrating of undertakings and procedures in installing of a cognition based system at EMS.
These will take to new TRAIN on occupation regulations and more distinction due to the specific nature of undertakings while they integrate with commonkads tool to unify into one merchandise of salvaging unrecorded as per mission statement.
There will be no hazards in footings of concern and economic since the new tool utilizes the budget restraints already in gait and does non urge any new budget but merely a alteration in new accomplishments needed every bit good as new procedures and processs. It is knowledge-based system, which requires merely accomplishments, as it is extremely intensive in most cases.
This refers to the practical point of view of commonkads and it is non a complex tool and is easy to make the merchandise undertakings analysis utilizing the theoretical accounts sets for commonkads. It may look complex in footings of cognition but the logical thinking procedure is merely as per the undertaking analysis done above in the theoretical account tabular arraies.
The chief facet involved are critically is knowledge specialisation as the tool uses cognition specific theoretical accounts for each undertakings but integrating has made its possible to make multi tasking per individual hence salvaging on clip and resources.
The mensurable factors will be the figure of lives saved vis a vis the deceases ( mortality and morbidity rates in the past. We can utilize an norm to compare the impact of the new modeling tool within an in agreement clip frame.
The figure of staff turnover will besides assist to cognize how staff are accommodating to the new constructions and new procedures and enriched expanded functions.
This is a simple tool to implement provided it is done measure by measure but the it system will be more co lupus erythematosuss as it will incorporate all maps in the touch of a computing machine key in scheduling hence staff will necessitate to upgrade their accomplishments due to increased work load while their wages will non increase. This may take to low staff morale.
The concern and cognition properties for the staff at EMS will find early execution and success or failure of the proposed cognition system.
— -see Table OM-5 ( A ) , 5 ( B ) , and 5 ( C )
Table 5- ( A ) Worksheet AM-2 for the IT Support System-AGENT ANALYSIS-2
Action
Name OF AGENT
Possessed By
Used In
Sphere
IT Support System
Train on job-PARAMEDIC, Nurse Dispatcher, MANAGER, DRIVER
Receive Call ( californium. Undertaking 2 in Figure 3 )
IT operations
Action TO BE PERFORMED BY
Formal, strict
Skill upgrade
Train on occupation
Empirical, Quantitative
Skill upgrade
Train on occupation
Heuristic, regulations of pollex
Skill upgrade
Train on occupation
Highly specialized,
Domain-specific
Skill upgrade
Train on occupation
Experience-based
Skill upgrade
Train on occupation
Action based
Skill upgrade
Train on occupation
Incomplete
Skill upgrade
Train on occupation
Uncertain, may be wrong
Skill upgrade
Train on occupation
Quickly altering
Skill upgrade
Train on occupation
Hard to verify
Skill upgrade
Train on occupation
Tacit, hard to reassign
Skill upgrade
Train on occupation
Skill upgrade
Train on occupation
Mind
Skill upgrade
Train on occupation
Paper
Skill upgrade
Train on occupation
Electronic
Skill upgrade
Train on occupation
Action Skill
Skill upgrade
Train on occupation
Other
Skill upgrade
Train on occupation
Restrictions in clip
Skill upgrade
Train on occupation
Restrictions in infinite
Skill upgrade
Train on occupation
Restrictions in entree
Skill upgrade
Train on occupation
Restrictions in quality
Skill upgrade
Train on occupation
Restrictions in signifier
Skill upgrade
Train on occupation
Table 5 ( B ) Worksheet AM-2 AGENT MODEL-AGENT ANALYSIS: for the Procedures on Initial AMI Medical Assistance
Action
Name
Possessed By
Used In
Sphere
Procedure on Initial AMI Medical Assistance
Paramedic
Ambulance Dispatch ( californium. Undertaking 4 in Figure 3 )
Medical field
Action TO BE PERFORMED BY
Formal, strict
Skill upgrade
Train on occupation
Empirical, quantitative
Skill upgrade
Train on occupation
Heuristic, regulations of pollex
Skill upgrade
Train on occupation
Highly specialized,
Domain-specific
Skill upgrade
Train on occupation
Experience-based
Skill upgrade
Train on occupation
Action based
Skill upgrade
Train on occupation
Incomplete
Skill upgrade
Train on occupation
Uncertain, may be wrong
Skill upgrade
Train on occupation
Quickly altering
Skill upgrade
Train on occupation
Hard to verify
Skill upgrade
Train on occupation
Tacit, hard to reassign
Skill upgrade
Train on occupation
Mind
Skill upgrade
Train on occupation
Paper
Skill upgrade
Train on occupation
Electronic
Skill upgrade
VAL STAFF
Action Skill
Skill upgrade
Train on occupation
Other
Skill upgrade
Train on occupation
Restrictions in clip
Skill upgrade
Train on occupation
Restrictions in infinite
Skill upgrade
Train on occupation
Restrictions in entree
Skill upgrade
Train on occupation
Restrictions in quality
Skill upgrade
Train on occupation
Restrictions in signifier
Skill upgrade
Train on occupation
Table 5 ( C ) Worksheet AM-4 ; AGENT MODEL-AGENT ANALYSIS for Nurse Dispatcher Agent
Name
Nurse Dispatcher
Organization
Forces under the Dispatch Centre/ EMS control Centre unit
Involved In
Receiving patient calls and organizing exigency calls, ( Task 2 and 3 see Figure 3 )
Communicates With
Patients, Paramedic, director, Drivers, DOCTOR paramedics
Cognition
Triage, Assessment, and finding of exigency calls supported by the IT Support System
Other Competences
Additional accomplishment to be developed is the agent ‘s listening ability and appraisal of patient ‘s responses to standardise inquiries related to patient ‘s status. CUSTOMER CARE SKILLS AND IT SKILLS AS WELL AS SKILLS FOR CORONARY myocardial THERAPY. TRAIN on occupation SKILLS UPGRADE
Duties and Constraints
To have calls from prospective patients and accurately capture conditions into the IT Support System
To be able to supply accurate appraisal informations and send on it calls to the Ambulance Service that warrants hospital conveyance. TO BUILD TRAIN on occupation SPIRIT, CUSTOMER CARE SKILLS WITH OTHER Staff
Table 5 ( D ) – Worksheet AM-5: AGENT MODEL: AGENT ANALYSIS for Paramedic Agent
Name
Paramedic
Organization
Forces under the Ambulance Service AND DISPATCH FUNCTION within EMS CONTROL CENTRE
Involved In
Triage AND Ambulance despatch, CUSTOMER CARE AND TRAIN on occupation, IT SYSTEMS SKILLS IMPROVEMENT ( Task 4 see Figure 3 )
Communicates With
Nurse Dispatcher, Driver, Patient, DOCTOR PARAMEDICS
Cognition
Procedures for initial AMI medical aid, medical background
I.T. SYSTEM, CAN DRIVE ALSO, DOES TRIAGE, CAN BE A EMS MANAGER
Other Competences
Appropriately assess status of patient on-site vis-a-vis information forwarded by the Dispatch squad. CUSTOMER CARE SKILLS, TRAIN on occupation SKILLS, IT SYSTEM SKILLS,
Duties and
Constraints
Provide immediate action to direct Driver to despatch ambulance to patient ‘s location and originate medical processs to patient during hospital conveyance. OR AT HOME OR AT WORK. The possible restraint identified can be on the possible misinformation of the patient ‘s status forwarded by the Dispatch squad THIS IS ERADICATED BY OWN TRIAGE AND SKILLS TRANSFER TO THE DISPATCHER TEAM.
Figure 2 – New Service improved
Manager municipal societal healthful attention
PARAMEDICS AND NURSE DISPATCHERS & A ; DRIVERS TEAM
( Receive Triage calls ) ( IT, INFORMATION SYSTEM, file awaying programming )
IT SYSTEM, COMMONKADS TOOL,
( TELEPHONE, MOBILES COMPUTERS
PATIENTS/GENERAL PRACTITIONERS ( companies )
Figure 3: New informations flow improved
IT system and commonkads tool ( EMS
Centre )
Paramedics, Nurses and ambulance drivers ( emptying and first assistance Emergency intervention )
Patients & A ; General practicians
Figure 3 – Target ORGANISATION STRUCTURE ON COMMONKADS MODELLING ( DESIRED EMS AFTER IMPROVEMENT AND INTEGRATION OF TASKS )
Manager municipal societal healthful attention
Manager EMS CENTRE,
IT SYSTEM, COMMONKADS TOOL, paramedic, Nurses, Drivers,
Archiving programming )
( TELEPHONE, MOBILES COMPUTERS
PATIENTS/GENERAL PRACTITIONERS ( companies )
Decision
This study has introduced the commonkads Model into Service theoretical account of the EMS. It has analysed the constructions in order to detect the spreads in the cognition undertakings to make full the cognition shortage at EMS. This has brought a focal point on the specific undertakings, the specific= cognition spreads required to execute these undertakings were analysed in OM 5 while the undertaking constructions were done on OM-2, OM-3 and OM-4.
The riddance of the Gp in OM0-5 analysis showed that this would hold to be done bit by bit as the new accomplishments required are extremely intensive to execute the functions of diagnosing or triage for Acute Myocardial infarction ( AMI ) every bit good. To make full the General practicians GAP will besides necessitate to incorporate and affect the GP as a professional who is trusted by patients on other unwellnesss.
Therefore, the installing of this tool recommends that the GP riddance be treated, as one option and introduced in stages foremost is to implement the new cognition tool for internal capacity edifice before all-out execution. This ill bit by bit present the new accomplishments integrated to procedures f Ems by the new tool. This cognition tool is now implemented and betterment in service should be felts across EMS instantly.
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