Chasing Efficiency Can operational changes fix European asylum systems? Bertelsmann Stiftung Migration Policy Institute Europe March 2020

The heightened arrivals of asylum seekers and migrants on European shores in 2015–16 sent policymakers across the continent scrambling for new strategies to manage migration. Proposals to reform the European Union’s legal framework for asylum were the first out of the starting blocks but, several years later, no such agreement has been reached. And with new EU leadership having taken office in late 2019, Brussels is hungry for fresh ideas that will either revive or reform the Common European Asylum System (CEAS). Crucial to this search will be a recognition that, while deficiencies still plague Europe’s asylum systems, these systems have changed significantly since the onset of the migration and refugee crisis—even in the absence of legal reforms

A Real Time Web Based Electronic Triage, Resource Allocation and Hospital Dispatch System for Emergency Response

Disasters are characterized by large numbers of victims and required resources, overwhelming the available resources. Disaster response involves various entities like Incident Commanders, dispatch centers, emergency operations centers, area command and hospitals. An effective emergency response system should facilitate coordination between these various entities. Victim triage, emergency resource allocation and victim dispatch to hospitals form an important part of an emergency response system. In this present research effort, an emergency response system with the aforementioned components is developed. Triage is the process of prioritizing mass casualty victims based on severity of injuries. The system presented in this thesis is a low-cost victim triage system with RFID tags that aggregate all victim information within a database. It will allow first responders\u27 movements to be tracked using GPS. A web-based real time resource allocation tool that can assist the Incident Commanders in resource allocation and transportation for multiple simultaneous incidents has been developed. This tool ensures that high priority resources at emergency sites are received in least possible time. This web-based tool also computes the patient dispatch schedule from each disaster site to each hospital. Patients are allocated to nearest hospitals with available medical facilities. This tool can also assist resource managers in emergency resource planning by computing the time taken to receive required resources from the nearest depots using Google Maps. These web-based tools complements emergency response systems by providing decision-making capabilities

Mobile Clinical Decision Support Systems – A Systematic Review

In this review article, we provide a descriptive analysis of the current state of mobile decision support systems in the healthcare domain based on studies published in the following databases: Business Source Complete, CINAHL, Cochrane library, MEDLINE, PsycINFO, PubMed, ScienceDirect and Web of Science databases. A total of 29 studies were identified and analyzed to understand the current state of development, evaluation efforts, usability and challenges to adoption by patients and care providers. Our aim is to evaluate these systems and identify the key challenges which hinders their widespread adoption. Although, mobile based decision support systems in healthcare context have the potential to improve clinical decision making, the current state with low adoption rate and early stage of development need to be addressed for successful health outcomes

The Toowoomba adult trauma triage tool

Since the introduction of the Australasian Triage Scale (ATS) there has been considerable variation in its application. Improved uniformity in the application of the ATS by triage nurses is required. A reproducible, reliable and valid method to classify the illness acuity of Emergency Department patients so that a triage category 3 by one nurse means the same as a triage category 3 by another, not only in the same ED but also in another institution would be of considerable value to emergency nurses. This has been the driving motivation behind developing the Toowoomba Adult Trauma Triage Tool (TATTT). It is hoped the TATTT will support emergency nurses working in this challenging area by promoting standardisation and decreasing subjectivity in the triage decision process

A Wearable Platform for Patient Monitoring during Mass Casualty Incidents

Based on physiological data, intelligent algorithms can assist with the classification and recognition of the most severely impaired victims. This book presents a new sensorbased triage platform with the main proposal to join different sensor and communications technologies into a portable device. This new device must be able to assist the rescue units along with the tactical planning of the operation. This work discusses the implementation and the evaluation of the platform

A Wearable Platform for Patient Monitoring during Mass Casualty Incidents

Based on physiological data, intelligent algorithms can assist with the classification and recognition of the most severely impaired victims. This dissertation presents a new sensorbased triage platform with the main proposal to join different sensor and communications technologies into a portable device. This new device must be able to assist the rescue units along with the tactical planning of the operation. This dissertation discusses the implementation and the evaluation of the platform

Decision support for medical disasters: Evaluation of the IMPRESS system in the live Palermo demo

Abstract Background In medical disasters, coordination, information flows, and decision making are crucial for response and management. Different factors contribute to thwart the response efforts. Some are due to the coordination of the many agencies active in disaster response. Support tools for gathering and analysing data may support task assignment, resource allocation, and acquisition as well as training at different decision levels (in the field and in command-rooms). Validation of Decision Support Systems (DSS) in simulated contexts, simulating real situations, becomes mandatory. In the framework of testing and validation of the IMPRESS project (and of its INCIMOB and INCIMAG tools), one scenario was planned in Palermo, a city of 700,000 inhabitants in the Mediterranean Area of Southern Italy, simulating the sudden liberation of high concentrations of toxic compounds from a fire in Palermo harbor. Emergency Agencies, a real and a simulated Hospital and operators in the field used the system during the response phase. A group of 20 external Observers participated for evaluation purposes. During a joint debriefing session, ad-hoc questionnaires were administered. IMPRESS was useful in improving the execution of important functions during the DEMO; Users agreed about the advantages of the use of IMPRESS tools for conducting crisis activities. INCIMOB use resulted more problematic from an operational point of view. Shortcomings were detected and criticisms were raised due mainly to the lack of training and direct voice communication. Evaluation of DSS in Emergency medicine can benefit from live exercises to highlight weaknesses in both the response system and decision support