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IT’s about more than speed
The impact of IT on the management of
mass casualty incidents in Germany
Nils Ellebrecht, Konrad Feldmeier, Stefan Kaufmann, Baden-Baden, 5/14/2013
Line of argument
SOGRO Information System (IS)…
…is a success, because the technology speeds up the
rescue operation
1. …supports and fosters organizational changes (which
lead to a faster rescue operation; which can also be
established without the IS)
2. …is mainly a technology of control
- reduces uncertainty (but didn´t lead to „better informed“ /
„better“ operational decisions)
- increases the density of control
- satisfies new informational needs (from outside)
06/24/13
IT‘s about more than speed
2
06/24/13 IT‘s about more than speed 3
SOGRO Information System
Reconfiguring MCI management
 Supports another role concept
• from physician to paramedic triage (more competencies)
 Supports another rescue strategy
• from „stay and play“ to „scoop and run“
⇒ rather these organisational shifts speed up the rescue
process
⇒ SOGRO IS reifies recently emerged structures
⇒ SOGRO IS expresses specific, controversial convictions in
the field of MCI management and supports their realisation
 IT forces paramedics to work in a specific way
• less autonomy
06/24/13
IT‘s about more than speed
4
06/24/13 IT‘s about more than speed 5
SOGRO Information System
SOGRO as ‚progress bar‘
06/24/13
IT‘s about more than speed
6
Satisfying new informational needs
06/24/13
IT‘s about more than speed
7
Thank you.
Summary
SOGRO…
…expresses (cultural) convictions and supports and
fosters organizational changes
…forces paramedics to triage in a specific way
(technique as materialized constraint)
…reduces uncertainty (but didn´t lead to „better“ or
„faster“ operational decisions)
…is mainly a technology of control
- increases the density of control
- satisfies new informational needs (from outside)
06/24/13
IT‘s about more than speed
9
Summary
SOGRO…
…expresses (cultural) convictions and supports and
fosters organizational changes
…forces paramedics to triage in a specific way
(technique as materialized constraint)
…reduces uncertainty (but didn´t lead to „better“ or
„faster“ operational decisions)
…is mainly a technology of control
- increases the density of control
- satisfies new informational needs (from outside)
06/24/13
IT‘s about more than speed
9

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The Impact of IT on the Management of Mass Casualty Incidents in Germany

  • 1. IT’s about more than speed The impact of IT on the management of mass casualty incidents in Germany Nils Ellebrecht, Konrad Feldmeier, Stefan Kaufmann, Baden-Baden, 5/14/2013
  • 2. Line of argument SOGRO Information System (IS)… …is a success, because the technology speeds up the rescue operation 1. …supports and fosters organizational changes (which lead to a faster rescue operation; which can also be established without the IS) 2. …is mainly a technology of control - reduces uncertainty (but didn´t lead to „better informed“ / „better“ operational decisions) - increases the density of control - satisfies new informational needs (from outside) 06/24/13 IT‘s about more than speed 2
  • 3. 06/24/13 IT‘s about more than speed 3 SOGRO Information System
  • 4. Reconfiguring MCI management  Supports another role concept • from physician to paramedic triage (more competencies)  Supports another rescue strategy • from „stay and play“ to „scoop and run“ ⇒ rather these organisational shifts speed up the rescue process ⇒ SOGRO IS reifies recently emerged structures ⇒ SOGRO IS expresses specific, controversial convictions in the field of MCI management and supports their realisation  IT forces paramedics to work in a specific way • less autonomy 06/24/13 IT‘s about more than speed 4
  • 5. 06/24/13 IT‘s about more than speed 5 SOGRO Information System
  • 6. SOGRO as ‚progress bar‘ 06/24/13 IT‘s about more than speed 6
  • 7. Satisfying new informational needs 06/24/13 IT‘s about more than speed 7
  • 9. Summary SOGRO… …expresses (cultural) convictions and supports and fosters organizational changes …forces paramedics to triage in a specific way (technique as materialized constraint) …reduces uncertainty (but didn´t lead to „better“ or „faster“ operational decisions) …is mainly a technology of control - increases the density of control - satisfies new informational needs (from outside) 06/24/13 IT‘s about more than speed 9
  • 10. Summary SOGRO… …expresses (cultural) convictions and supports and fosters organizational changes …forces paramedics to triage in a specific way (technique as materialized constraint) …reduces uncertainty (but didn´t lead to „better“ or „faster“ operational decisions) …is mainly a technology of control - increases the density of control - satisfies new informational needs (from outside) 06/24/13 IT‘s about more than speed 9