Portable and mobile clinical pods to support the delivery of community-based urgent care

This paper reports a qualitative project to define the design requirements for portable and mobile technologies to support the delivery of community-based urgent care through the clinical activities of Emergency Care Practitioners. A series of iterative data collection and analysis steps have produced robust findings, grounded in current and future clinical activities, together with initial design ideas for both mobile and portable pods. These have been presented to both operational and managerial stakeholders with very positive feedback, and provide the foundation for future design research

The CURE (Community Urgent Response Environment): pods and packs for pre-hospital care

About 40% of the 10.3 million visits to NHS emergency departments in England in 2009/10 ended with the patient just needing advice and no actual treatment. It has previously been suggested that these needs could be met in the community through the delivery of urgent (or pre-hospital) care by Emergency Care Practitioners (ECP). A first research project (Smart Pods) was carried out with 6 NHS Trusts (acute, primary care and ambulance) with 125 staff and 88 patients to explore the technology requirements needed to support this new professional role

SF6D results SSPS

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Final results SSPS

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Additional file 2 of Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: a multiple methods study

Additional file 2. Resource factors influencing conveyance of olderadults with minor head injury by paramedics

Additional file 6 of Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: a multiple methods study

Additional file 6. Suggested facilitators of non-conveyance ofolder people with minor head injury by paramedics

Additional file 4 of Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: a multiple methods study

Additional file 4. Consequence factors influencing conveyance ofolder adults with minor head injury by paramedics

CURE (Community Urgent Response Environment)

The Community Urgent Response Environment (CURE) concept is a new technology system developed to support the work of Emergency Care Practitioners with portable pods and packs and mobile treatment units. This paper describes a project to transfer research outputs from an academic setting into practice through collaboration between two universities, two manufacturers and the United Kingdom (UK) National Health Service. An iterative prototyping process was used with 12 Emergency Care Practitioners evaluating prototypes in two user trials by carrying out four clinical scenarios in three simulated environments (confined domestic, less confined public space, and vehicle). Data were collected with video recording, field notes and post-trial debriefing interviews and analysed thematically. The final prototypes (pod/pack 1.3 and vehicle 1.6) have potential to support a new way of working in the provision of non-critical, pre-hospital care. The user trials also identified possible efficiencies through the use of CURE by providing support for a wider range of assessment, diagnosis and treatment

Innovation in healthcare manufacturing: transforming deployed medical care

This paper analyses the case for transforming deployed medical care through innovations in advanced manufacturing. Early-stage findings present expert views based on a cross-disciplinary roadmapping workshop, designed to steer requirements and identify desirable applications across a range of medical manufacturing engineering disciplines. This paper proposes how the adoption of Redistributed Manufacturing (RDM) has the potential to transform operational patient care pathways and supply chains in the context of military and emergency medicine. This encompasses the use of technologies such as additive manufacturing, bioprinting and other distributed approaches. This work is part of a national UK research programme and sets out the foundations for a position paper to guide future research and investment in both academia and practice