College of Nursing, University of Colorado | Anschutz Medical Campus, Aurora, CO, USA.
School of Medicine, University of Colorado | Anschutz Medical Campus, Aurora, CO, USA.
AMIA Annu Symp Proc. 2021 Jan 25;2020:993-1002. eCollection 2020.
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.
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。
