Is the Creation of Emergency Data Sets Feasible?
Ergebnisse einer Evaluationgerman translation / full article
Results of an Evaluation
Background: From 2018 onwards it should be possible for physicians to record relevant medical patient data to the German electronic health card. In preparation for the nationwide implementation of emergency data management (called NFDM), the pilot project „NFDM-Sprint“ was initiated by the gematik (Society for Telematics Applications) and the German Medical Association. As part of the project the process of creating emergency data sets was tested in primary care physicians‘ practices as well as in a hospital setting. An important objective of the project was to investigate whether the intended process is feasible and sufficiently supported by physician information respectively hospital information system.
Methods: 32 primary care physicians as well as seven hospitalists were asked to create emergency data sets (called NFD) and – if reasonable – an additional data set with personal patients‘ statements (called DPE) for 125 patients. The data sets were created in each of the respective information system after the patients‘ informed consent was gained. In a further step the data were anonymized and transferred to the study database for analysis at the Muenster University Hospital. The participating patients received a printout of their NFD.
Results: During the six-month study period, the participating physicians (one physician dropped out of the study) completed 2598 NFD and 573 DPE for an overall of 2610 patients. The emergency data sets were prepared mainly for elderly, multimorbid patients. 86.9 % of all emergency data sets contained three or more diagnoses, 84.9 % included two or more medications.
Conclusions: The project has shown that creating an NFD is feasible in the outpatient setting when supported by the physician‘s information system. In contrast, creating an emergency data set in the hospital setting was associated with an increased effort.