P177 - The eCREAM project: development of a multipurpose dashboard to monitor the situation of emergency departments
Quality improvement and organizationPoster
Guido Bertolini3, Giulia Ghilardi3, Maria Alexandra Rujano4, George Notas5, Sergej Cerncic6, Justyna Danel7, Birgit Schaffhauser8, Felice Catania9, Matej Strnad10, 11, 12, Cinzia Colombo3
1 Department of Cardiology and Angiology, UKC Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
2 Department of Public Health, University of Ljubljana, Faculty of Medicine, Zaloška 4,1000 Ljubljana, Slovenia
3 Dep. Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCSm Italy
4 European Clinical Research Infrastructure Network, ECRIN
5 University of Crete School of Medicine, University Hospital of Heraklion Emergency Department, Crete, GREECE
6 Univerzitetni klinični center Maribor, Slovenia
7 Uniwersytet Jagielloński w Krakowie, Portal UJ - Poland
8 Centre de Recherche en Neurosciences Cliniques (CRN), Département des Neurosciences Cliniques (DNC), 1007 Lausanne
9 Astir srl, Italy
10 Emergency department, University medical centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia
11 Prehospital unit, Community Healthcare Center Maribor, Ulica talcev 9, 2000 Maribor, Slovenia
12 University of Maribor, Faculty of Medicine, Department of Emergency Medicine, Taborska ulica 8, 2000 Maribor, Slovenia
Background
Emergency department (ED) crowding is associated with a reduction in the timeliness and effectiveness of care and an increase in patient mortality (1-2).
eCREAM is a 5-year Horizon project with 11 partners (https://ecreamproject.eu/aims/) (3), that aims to develop new technical solutions to create high-quality, structured, interoperable databases of clinical information on patients visiting the ED.
Particularly, to monitor the EDs’ situation and improve the quality of urgent care, eCREAM is developing dashboards tailored to three types of users: clinicians, policymakers and citizens.
Methods
The eCREAM dashboards will be developed through an observational, multicenter, retrospective study. The first step in developing the eCREAM’s dashboard is to revise the existing tools.
For the dashboard for clinicians and policymakers, we analysed “EUOL”, an app developed by project partner Astir, in use in Lombardy, Italy (4).
For the dashboard for citizens, a survey was conducted among the project partners to highlight existing apps in the different countries.
Results
The dashboard for clinicians and policymakers is under development taking into consideration existing tools as EUOL (4) giving data on number of patients by triage category, patients under care, patients waiting, and which departments of ED are taking care of how many patients.
Preliminary data from eCREAM partners shows 32 ED apps or websites with information on EDs for citizens in 7 EU countries at national, regional or local level.
Conclusions
Dashboards for citizens, clinicians and policymakers tailored to the targets could be useful to inform decision-making from the perspective of the individual, the health care professional and the management of health services.