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AIM The aim of this prospective study was the comparison of four emergency medical service (EMS) systems-emergency physician (EP) and paramedic (PM) based-and the impact of advanced live support (ALS) on patients status in preclinical care. METHODS The EMS systems of Bonn (GER, EP), Cantabria (ESP, EP), Coventry (UK, PM) and Richmond (US, PM) were(More)
With the strong encouragement of leading health care agencies, business principles are being implemented throughout health care, including emergency medical services (EMS). The reason is simple--quality of care can be enhanced by incorporating the management concepts of continuous quality improvement (CQI). The CQI process couples carefully identified,(More)
Enzymatic substrate analysis is an attractive means of analysis in cliniaI chemistry because of its sensitivity and specificity. The GeMSAEC Fast Analyzer, in conjunction with a small computer, provides a means of performing routine enzymatic substrate analysis and offers the following advantages: (a) selectivity of approaches to en-zymatic analysis, i.e.,(More)
Pattern-Oriented Analysis and Design (POAD) is the practice of building complex software by applying proven designs to specific problem domains. Although a great deal of research and practice has been devoted to formalizing existing design patterns and discovering new ones, there has been relatively little research into methods for combining these patterns(More)
Emergency Medical Services (EMS) constitute a unique component of health care at the interface between primary and hospital care. EMS data within the pre-hospital setting represents an unparalleled source of epidemiological and health care information that have so far been neglected for public health monitoring. The European Emergency Data Project (EED(More)
  • Jerry Overton
  • 2002
The proposed Medicare fee schedule for medically necessary ambulance transportation will have a profound impact on emergency medical services (EMS) systems throughout the country. When the new Medicare rules are implemented, reimbursement for Medicare patients will be largely based on national relative value units that vary depending on the level of service(More)
In this position paper, we present an initial Problem Oriented Engineering foundation for a small part of Pattern-Oriented Analysis and Design (POAD). We argue for the interpretation of software design patterns as instructions for transforming quality requirements into an architecture and a 'stress test'; and show, incidentally, how to reuse an existing(More)