Asian Nurs Res.  2023 Aug;17(3):174-179. 10.1016/j.anr.2023.06.003.

Outcomes of Emergency Trauma Patients After the Implementation of Web Application Operating Systems

• Pearkao C
• Potisopha W
• Wonggom P
• Jumpamool A
• Apiratwarakul K
• Lenghong K

• KMID: 2545735
• DOI: http://doi.org/10.1016/j.anr.2023.06.003

Abstract

Purpose
Trauma has significant impacts on the livelihoods and well-being of patients. Prompt emergency, medical, and nursing care is the key to reducing mortality rates. Digital platforms have become important for patient care. This research aimed to evaluate patient outcomes after implementing a novel web application operating system in trauma care.
Methods
A descriptive comparative study was conducted on trauma patients. The patients were divided into two groups: those who used the developed application (n = 70) and those who did not (n = 70). The patients’ characteristics, the time of the trauma team's arrival at the emergency department (ED) and the length of stay in the ED, and patients' outcomes were collected from electronic medical records and the application database. A statistical analysis was performed to evaluate this data. Sixty registered nurses who used the application completed the survey on the feasibility of the application.
Results
The activated trauma intervals for the non-application-used group and the application-used group were 5.0 ± 1.1 and 3.1 ± 0.4 minutes, respectively (p = .010). The length of stay in the ED for the non-application-used group and the application-used group were 30.1 ± 5.1 and 18.3 ± 6.2 minutes, respectively. A high level of agreement confirms the feasibility of the application.
Conclusions
This application improves patient outcomes in terms of length of stay. This mobile application can improve the cooperation and communication and efficacy of the trauma care team.

Keyword

advanced trauma life support; digital technology; portable software applications; practice guideline; trauma nursing