METHODS AND SYSTEMS TO IDENTIFY CODE HIERARCHY BIAS IN MEDICAL PRIORITY DISPATCH SYSTEMS

摘要

A computer system for identifying code hierarchy bias in a medical priority dispatch system, computer system for identifying code hierarchy bias in a medical priority dispatch system is disclosed. Further disclosed are a computer-implemented method to improve the clinical accuracy of determinant level codes generated by medical priority dispatch systems; a computer-implemented method for generating codes based on caller responses to enable evaluation and research of code hierarchy bias in medical priority dispatch systems and a computer-implemented method for emergency medical dispatch response. The computer system for identifying code hierarchy bias in a medical priority dispatch system comprises a medical priority dispatch system and a code hierarchy system The medical priority dispatch system generates a determinant level code indicative of the criticality of the call based on caller responses to questions asked by a dispatcher. The questions are provided to the dispatcher according to a pre-scripted protocol by the medical priority dispatch system, and the responses report represents a plurality of aspects and the determinant level code represents a subset of the plurality of aspects. Each aspect of the plurality of aspects comprising one of the following: a sign, a symptom, a condition. The code hierarchy system is in communication with the medical priority dispatch system. The code hierarchy system is configured to receive the determinant level code generated on the medical priority dispatch system, to generate a determinant level sub-code based on a combination of signs, symptoms, and conditions reported in the caller responses to the questions asked by the dispatcher, to store the determinant level code and the determinant level sub-code pair; and communicate to an emergency response agency the determinant level code and determinant level sub-code. The determinant level sub-code represents the combination of reported signs, symptoms, and conditions. The computer system compares the determinant level code and determinant level sub-code pair to other determinant level code and determinant level sub-code pairs to identify whether a combination of reported aspects of a situation is susceptible to code hierarchy bias and outputs information resulting from the comparison of determinant level code and determinant level sub-code pairs that can be used to improve the clinical accuracy of the determinant level codes generated by the medical priority dispatch system.