Designing, development and validation of an app to reduce the response time of the emergency medical services.

<h4>Introduction</h4>Delays in prehospital care attributable to the call-taking process can often be traced back to miscommunication, including uncertainty around the call location. Geolocation applications have the potential to streamline the call-taking process by accurately identifyin...

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Main Authors: Júlia Loverde Gabella, Iago Amado Peres Gualda, Isadora Laguila Altoé, Matheus Henrique Arruda Beltrame, Pedro Henrique Aguillar da Silva, Dalton Breno Costa, Fernando César Grossi Paggi, Sérgio Sanches Fabres Filho, Miyoko Massago, Luiz Gustavo de Paulo, Marcos Rogério Bitencourt, Anjni Patel Joiner, João Ricardo Nickenig Vissoci, Luciano de Andrade
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0299828&type=printable
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author Júlia Loverde Gabella
Iago Amado Peres Gualda
Isadora Laguila Altoé
Matheus Henrique Arruda Beltrame
Pedro Henrique Aguillar da Silva
Dalton Breno Costa
Fernando César Grossi Paggi
Sérgio Sanches Fabres Filho
Miyoko Massago
Luiz Gustavo de Paulo
Marcos Rogério Bitencourt
Anjni Patel Joiner
João Ricardo Nickenig Vissoci
Luciano de Andrade
author_facet Júlia Loverde Gabella
Iago Amado Peres Gualda
Isadora Laguila Altoé
Matheus Henrique Arruda Beltrame
Pedro Henrique Aguillar da Silva
Dalton Breno Costa
Fernando César Grossi Paggi
Sérgio Sanches Fabres Filho
Miyoko Massago
Luiz Gustavo de Paulo
Marcos Rogério Bitencourt
Anjni Patel Joiner
João Ricardo Nickenig Vissoci
Luciano de Andrade
author_sort Júlia Loverde Gabella
collection DOAJ
description <h4>Introduction</h4>Delays in prehospital care attributable to the call-taking process can often be traced back to miscommunication, including uncertainty around the call location. Geolocation applications have the potential to streamline the call-taking process by accurately identifying the caller's location.<h4>Objective</h4>To develop and validate an application to geolocate emergency calls and compare the response time of calls made via the application with those of conventional calls made to the Brazilian Medical Emergency System (Serviço de Atendimento Médico de Urgência-SAMU).<h4>Methods</h4>This study was conducted in two stages. First, a geolocating application for SAMU emergency calls (CHAMU192) was developed using a mixed methods approach based on design thinking and subsequently validated using the System Usability Scale (SUS). In the second stage, sending time of the geolocation information of the app was compared with the time taken to process information through conventional calls. For this, a hypothetical case control study was conducted with SAMU in the Maringá, Paraná, Brazil. A control group of 350 audio recordings of emergency calls from 2019 was compared to a set of test calls made through the CHAMU192 app. The CHAMU192 group consisted of 201 test calls in Maringá. In test calls, the location was obtained by GPS and sent to the SAMU communication system. Comparative analysis between groups was performed using the Mann-Whitney test.<h4>Results</h4>CHAMU192 had a SUS score of 90, corresponding to a "best imaginable" usability rating. The control group had a median response time of 35.67 seconds (26.00-48.12). The response time of the CHAMU192 group was 0.20 (0.15-0.24).<h4>Conclusion</h4>The use of the CHAMU192 app by emergency medical services could significantly reduce response time. The results demonstrate the potential of app improving the quality and patient outcomes related to the prehospital emergency care services.
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spelling doaj.art-35bafe4e8d3540c396e75344a034ab8c2024-03-29T05:32:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01193e029982810.1371/journal.pone.0299828Designing, development and validation of an app to reduce the response time of the emergency medical services.Júlia Loverde GabellaIago Amado Peres GualdaIsadora Laguila AltoéMatheus Henrique Arruda BeltramePedro Henrique Aguillar da SilvaDalton Breno CostaFernando César Grossi PaggiSérgio Sanches Fabres FilhoMiyoko MassagoLuiz Gustavo de PauloMarcos Rogério BitencourtAnjni Patel JoinerJoão Ricardo Nickenig VissociLuciano de Andrade<h4>Introduction</h4>Delays in prehospital care attributable to the call-taking process can often be traced back to miscommunication, including uncertainty around the call location. Geolocation applications have the potential to streamline the call-taking process by accurately identifying the caller's location.<h4>Objective</h4>To develop and validate an application to geolocate emergency calls and compare the response time of calls made via the application with those of conventional calls made to the Brazilian Medical Emergency System (Serviço de Atendimento Médico de Urgência-SAMU).<h4>Methods</h4>This study was conducted in two stages. First, a geolocating application for SAMU emergency calls (CHAMU192) was developed using a mixed methods approach based on design thinking and subsequently validated using the System Usability Scale (SUS). In the second stage, sending time of the geolocation information of the app was compared with the time taken to process information through conventional calls. For this, a hypothetical case control study was conducted with SAMU in the Maringá, Paraná, Brazil. A control group of 350 audio recordings of emergency calls from 2019 was compared to a set of test calls made through the CHAMU192 app. The CHAMU192 group consisted of 201 test calls in Maringá. In test calls, the location was obtained by GPS and sent to the SAMU communication system. Comparative analysis between groups was performed using the Mann-Whitney test.<h4>Results</h4>CHAMU192 had a SUS score of 90, corresponding to a "best imaginable" usability rating. The control group had a median response time of 35.67 seconds (26.00-48.12). The response time of the CHAMU192 group was 0.20 (0.15-0.24).<h4>Conclusion</h4>The use of the CHAMU192 app by emergency medical services could significantly reduce response time. The results demonstrate the potential of app improving the quality and patient outcomes related to the prehospital emergency care services.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0299828&type=printable
spellingShingle Júlia Loverde Gabella
Iago Amado Peres Gualda
Isadora Laguila Altoé
Matheus Henrique Arruda Beltrame
Pedro Henrique Aguillar da Silva
Dalton Breno Costa
Fernando César Grossi Paggi
Sérgio Sanches Fabres Filho
Miyoko Massago
Luiz Gustavo de Paulo
Marcos Rogério Bitencourt
Anjni Patel Joiner
João Ricardo Nickenig Vissoci
Luciano de Andrade
Designing, development and validation of an app to reduce the response time of the emergency medical services.
PLoS ONE
title Designing, development and validation of an app to reduce the response time of the emergency medical services.
title_full Designing, development and validation of an app to reduce the response time of the emergency medical services.
title_fullStr Designing, development and validation of an app to reduce the response time of the emergency medical services.
title_full_unstemmed Designing, development and validation of an app to reduce the response time of the emergency medical services.
title_short Designing, development and validation of an app to reduce the response time of the emergency medical services.
title_sort designing development and validation of an app to reduce the response time of the emergency medical services
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0299828&type=printable
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