eCREAM

Part of EU Open Research Repository
Published May 19, 2025 | Version v1.0
Poster Open

The eCREAM project: development of a multipurpose dashboard to monitor the situation of emergency departments

Authors/Creators

  • 1. University Clinical Centre Maribor
  • 2. Faculty of medicine, University of Ljubljana
  • 3. Istiuto di Ricerche Farmacologiche Mario Negri IRCCS
  • 4. Istituto di Ricerche Farmacologiche Mario Negri IRCCS
  • 5. Istituto Di Ricerche Farmacologiche Mario Negri
  • 6. ROR icon European Clinical Research Infrastructure Network
  • 7. ROR icon University of Crete
  • 8. University Hospital of Heraklion
  • 9. UKC Maribor, Maribor, Slovenia
  • 10. Uniwersytet Jagielloński w Krakowie, Krakow, Poland
  • 11. ROR icon University Hospital of Lausanne
  • 12. Astir srl, Milan, Italy
  • 13. University medical center Maribor
  • 14. ROR icon University of Maribor
  • 15. Center for emergency medicine
  • 16. ROR icon Mario Negri Institute for Pharmacological Research

Description

Background

Emergency department (ED) crowding is associated with a reduction in the timeliness and effectiveness of care and an increase in patient mortality (1-2).

eCREAM is a 5-year Horizon project with 11 partners (https://ecreamproject.eu/aims/) (3), that aims to develop new technical solutions to create high-quality, structured, interoperable databases of clinical information on patients visiting the ED.

Particularly, to monitor the EDs’ situation and improve the quality of urgent care, eCREAM is developing dashboards tailored to three types of users: clinicians, policymakers and citizens.

 

Methods

The eCREAM dashboards will be developed through an observational, multicenter, retrospective study. The first step in developing the eCREAM’s dashboard is to revise the existing tools.

For the dashboard for clinicians and policymakers, we analysed “EUOL”, an app developed by project partner Astir, in use in Lombardy, Italy (4).

For the dashboard for citizens, a survey was conducted among the project partners to highlight existing apps in the different countries.

 

Results

The dashboard for clinicians and policymakers is under development taking into consideration existing tools as EUOL (4) giving data on number of patients by triage category, patients under care, patients waiting, and which departments of ED are taking care of how many patients.

Preliminary data from eCREAM partners shows 32 ED apps or websites with information on EDs for citizens in 7 EU countries at national, regional or local level.

Conclusions

Dashboards for citizens, clinicians and policymakers tailored to the targets could be useful to inform decision-making from the perspective of the individual, the health care professional and the management of health services.

 

References

1. Stang AS, Crotts J, Johnson DW, Hartling L, Guttmann A. Crowding measures associated with the quality of emergency department care: a systematic review. Acad Emerg Med. 2015;22(6):643-656. doi:10.1111/acem.12682
2. Roussel M, Teissandier D, Yordanov Y, et al. Overnight Stay in the Emergency Department and Mortality in Older 3. Patients. JAMA Internal Medicine. Published online November 6, 2023. doi:10.1001/jamainternmed.2023.5961
3. eCream https://zenodo.org/communities/ecream/records?q=&l=list&p=1&s=10&sort=newest
4. https://www.astir.com/en/solutions/astir-project-euol-emergency-urgency-online/

Files

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Additional details

Funding

European Commission
eCREAM - enabling Clinical Research in Emergency and Acute care Medicine through automated data extraction 101057726