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模拟团队协作以改善儿科急诊医疗服务中的决策

Simulating Teamwork for Better Decision Making in Pediatric Emergency Medical Services.

机构信息

College of Nursing, University of Colorado | Anschutz Medical Campus, Aurora, CO, USA.

School of Medicine, University of Colorado | Anschutz Medical Campus, Aurora, CO, USA.

出版信息

AMIA Annu Symp Proc. 2021 Jan 25;2020:993-1002. eCollection 2020.

DOI:
PMID:33936475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8075524/
Abstract

Emergency Medical Services (EMS) are an essential component of health systems and are critical to the provision of pediatric emergency care. Challenges in this setting include fast pace, need for advanced teamwork, situational awareness and limited resources. The purpose of this study was to identify human factors-related obstacles during care delivery by EMS teams that could lead to inefficiencies and patient safety issues. We examined video recordings of 24 simulations of EMS teams (paramedics and EMTs) who were providing care to pediatric patients. Two reviewers documented a total of 262 efficiency and patient safety issues in 4.25 hours of videos. These issues were grouped into 28 categories. Reviewers also documented 19 decision support opportunities. These issues and decision support opportunities can inform the design of clinical decision support systems that can improve EMS related patient outcomes.

摘要

紧急医疗服务（EMS）是卫生系统的重要组成部分，对提供儿科急救至关重要。在这种情况下，面临的挑战包括节奏快、需要高级团队合作、对情况的了解以及资源有限。本研究的目的是确定 EMS 团队在提供护理过程中与人相关的障碍因素，这些因素可能导致效率低下和患者安全问题。我们检查了 24 次 EMS 团队（护理人员和 EMT）对儿科患者进行护理的模拟视频记录。两名审查员在 4.25 小时的视频中记录了总计 262 个效率和患者安全问题。这些问题被分为 28 个类别。审查员还记录了 19 个决策支持机会。这些问题和决策支持机会可以为临床决策支持系统的设计提供信息，从而改善与 EMS 相关的患者结果。

相似文献

[1]
Simulating Teamwork for Better Decision Making in Pediatric Emergency Medical Services.

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[2]
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引用本文的文献

[1]
Improving Critical Care Teamwork: Simulation-Based Interprofessional Training for Enhanced Communication and Safety.

J Multidiscip Healthc. 2025-1-22

[2]
Enhancing prehospital decision-making: exploring user needs and design considerations for clinical decision support systems.

BMC Med Inform Decis Mak. 2025-1-17

[3]
Information Seeking and Sensemaking in Emergency Medical Service through Simulation Video Review.

AMIA Annu Symp Proc. 2023

[4]
Applications and User Perceptions of Smart Glasses in Emergency Medical Services: Semistructured Interview Study.

JMIR Hum Factors. 2022-2-28

本文引用的文献

[1]
Evaluative Research of Technologies for Prehospital Communication and Coordination: a Systematic Review.

J Med Syst. 2020-4-3

[2]
Comparing the Effects of Paper and Digital Checklists on Team Performance in Time-Critical Work.

Proc SIGCHI Conf Hum Factor Comput Syst. 2019-5

[3]
An Analysis of Speech as a Modality for Activity Recognition during Complex Medical Teamwork.

Int Conf Pervasive Comput Technol Healthc. 2018-5

[4]
Characterizing Workflow to Inform Clinical Decision Support Systems in Nursing Homes.

Gerontologist. 2019-11-16

[5]
Examining Workflow in a Pediatric Emergency Department to Develop a Clinical Decision Support for an Antimicrobial Stewardship Program.

Appl Clin Inform. 2018-4-11

[6]
Usability and Reliability of Smart Glasses for Secondary Triage During Mass Casualty Incidents.

Proc Annu Hawaii Int Conf Syst Sci. 2018-1-3

[7]
Titrating the Rig: How Paramedics Work in and on Their Ambulance.

Qual Health Res. 2017-11-6

[8]
Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review.

Prehosp Emerg Care. 2018

[9]
Human Factors and Simulation in Emergency Medicine.

Acad Emerg Med. 2017-11-15

[10]
Working at the intersection of context, culture, and technology: Provider perspectives on antimicrobial stewardship in the emergency department using electronic health record clinical decision support.

Am J Infect Control. 2017-7-12

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