Carleton University, Department of Psychology, Ottawa, ON, Canada; Israel Institute of Technology, Faculty of Industrial Engineering and Management, Israel.
University of Ottawa, Department of Emergency Medicine, Ottawa, ON, Canada; Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, ON, Canada.
J Biomed Inform. 2017 Dec;76:154-161. doi: 10.1016/j.jbi.2017.10.009. Epub 2017 Oct 16.
Effective teamwork in ED resuscitations, including information sharing and situational awareness, could be degraded. Technological cognitive aids can facilitate effective teamwork.
This study focused on the design of an ED situation display and pilot test its influence on teamwork and situational awareness during simulated resuscitation scenarios.
The display design consisted of a central area showing the critical dynamic parameters of the interventions with an events time-line below it. Static information was placed at the sides of the display. We pilot tested whether the situation display could lead to higher scores on the Clinical Teamwork Scale (CTS), improved scores on a context-specific Situational Awareness Global Assessment Technique (SAGAT) tool, and team communication patterns that reflect teamwork and situational awareness.
Resuscitation teamwork, as measured by the CTS, was overall better with the presence of the situation display as compared with no situation display. Team members discussed interventions more with the situation display compared with not having the situation display. Situational awareness was better with the situation display only in the trauma scenario.
The situation display could be more effective for certain ED team members and in certain cases.
Overall, this pilot study implies that a situation display could facilitate better teamwork and team communication in the resuscitation event.
本研究聚焦于 ED 情境显示器的设计,并初步测试其在模拟复苏场景中对团队合作和情境意识的影响。
显示器的设计包括一个中央区域,显示干预措施的关键动态参数,下方有一个事件时间线。静态信息放置在显示器的两侧。我们初步测试了情境显示器是否可以提高临床团队协作量表(CTS)的分数,改善特定情境意识全局评估技术(SAGAT)工具的分数,以及反映团队合作和情境意识的团队沟通模式。
与没有情境显示器相比,使用情境显示器时,复苏团队的整体协作(通过 CTS 衡量)更好。与没有情境显示器相比,团队成员在有情境显示器的情况下更多地讨论了干预措施。只有在创伤场景中,使用情境显示器时情境意识才更好。
情境显示器对于某些 ED 团队成员和某些情况下可能更有效。
总的来说,这项初步研究表明,情境显示器可以促进复苏事件中更好的团队合作和团队沟通。