Digital Transformation – MedText Broad Step In


Faster and more accurate. Prague’s EMS has started to pre-alert patients digitally.

Electronic aviso

At the turn of the year, Prague’s EMS introduced “electronic pre-alert” into their operations. Crews can now pass on patient’s status and care information to the dispatch center by simply filling out a form on a tablet or mobile phone. Unlike a phone call, this process is faster, more reliable, and more accurate. The rescue service will negotiate the extension of the electronic advice to Prague’s hospitals, and rescue services in the regions that are also interested.

Patient notification is a process that requires the emergency staff to secure and assess a patient who requires further medical attention in a hospital; the emergency medical staff informs the dispatch center about the patient’s state of health and the care provided. 

The dispatcher then passes the information to the contact point of the medical facility, which is suitable for transporting the patient (where the information is passed to a specific department). Thus, four people gradually pass on the data. Until now, this communication took place by telephone, which due to the busy environment or stress could be time-consuming and cause possible distortions of information. The electronic pre-alert was created as an original project of the City of Prague's emergency services.

“While our technical equipment is constantly evolving, patients’ announcement into hospitals has been unchanged in recent decades. Now we are changing and introducing an electronic “aviso” and thanks to this process we effectively fasten and make it more accurate. The full benefit from it comes especially after the implementation of this process in Prague’s hospitals where information can be easily passed through all parts of the metropolitan survival chain, literally in a few clicks.” Says Petr Kolouch Prague’s EMS director.

When our staff treats a patient, whose condition requires specialized care in a medical facility, it is necessary to announce him or her for hospital income. The rescuer calls the dispatcher and informs him or her about the patient’s health and care provided, dispatch then transmits this information again by phone to the contact point of the selected hospital. There the data goes on to a specific department.

If this reminds you of the silent mail game, you’re not that far from the truth. Imagine being surrounded by bustle, stress, and other disturbing elements. It is common for information to be incomplete or distorted. 

How does electronic aviso help? The information that the rescuer would dictate to the dispatcher on the phone will now be easily completed in the form in the tablet (we have been writing medical documentation on them since 2017). According to established methodologies, the form “demands” that the staff only log the data needed for the type of event i.e. different protocols for an arm injury versus a heart attack. 

And now where is the real magic? 

Fulfilling “aviso” lasts up to a minute for easier cases. The rescuer then sends the form in a few clicks to the dispatcher through the MedText application. It is developed specifically for the safe communication of health care professionals. The dispatcher then receives all data he or she needs in a clear form. We believe co-implementation among hospitals will soon help can the dispatcher send electronic aviso as easily as the EMR unit. The whole process will be faster, easier, and more accurate.

So far we’ve received positive feedback from healthcare professionals piloting the app. We are now negotiating with Prague’s hospitals about implementing MedText into their systems. We’re also eager to share our own experience with other healthcare facilities. 


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