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基于情景的团队卫生信息技术评估,以支持儿科创伤护理交接。

Scenario-Based Evaluation of Team Health Information Technology to Support Pediatric Trauma Care Transitions.

机构信息

Wisconsin Institute for Health Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, United States.

Department of Anesthesiology and Critical Care, University of Pennsylvania, Perelman School of Medicine, Philadelphia, United States.

出版信息

Appl Clin Inform. 2022 Jan;13(1):218-229. doi: 10.1055/s-0042-1742368. Epub 2022 Feb 9.

Abstract

BACKGROUND

Clinicians need health information technology (IT) that better supports their work. Currently, most health IT is designed to support individuals; however, more and more often, clinicians work in cross-functional teams. Trauma is one of the leading preventable causes of children's death. Trauma care by its very nature is team based but due to the emergent nature of trauma, critical clinical information is often missed in the transition of these patients from one service or unit to another. Teamwork transition technology can help support these transitions and minimize information loss while enhancing information gathering and storage. In this study, we created a large screen technology to support shared situational awareness across multiple clinical roles and departments.

OBJECTIVES

This study aimed to examine if the Teamwork Transition Technology (T) supports teams and team cognition.

METHODS

We used a scenario-based mock-up methodology with 36 clinicians and staff from the different units and departments who are involved in pediatric trauma to examine T.

RESULTS

Results of the evaluation show that most participants agreed that the technology helps achieve the goals set out in the design phase. Respondents thought that T organizes and presents information in a different way that was helpful to them.

CONCLUSION

In this study, we examined a health IT (T) that was designed to support teams and team cognition. The results of our evaluation show that participants agreed that T does support them in their work and increases their situation awareness.

摘要

背景

临床医生需要更好地支持其工作的健康信息技术 (IT)。目前,大多数健康 IT 是为支持个人而设计的;然而,越来越多的临床医生在跨职能团队中工作。创伤是导致儿童死亡的主要可预防原因之一。由于创伤的紧急性质,在这些患者从一个服务或单位转移到另一个服务或单位的过程中,关键的临床信息经常丢失。团队协作过渡技术可以帮助支持这些过渡并最大程度地减少信息丢失,同时增强信息收集和存储。在这项研究中,我们创建了一种大屏幕技术,以支持多个临床角色和部门之间的共享态势感知。

目的

本研究旨在检验团队协作过渡技术 (T) 是否支持团队和团队认知。

方法

我们使用了基于场景的模拟方法,有来自不同单位和部门参与儿科创伤的 36 名临床医生和工作人员对 T 进行了检查。

结果

评估结果表明,大多数参与者认为该技术有助于实现设计阶段设定的目标。受访者认为 T 以一种对他们有帮助的不同方式组织和呈现信息。

结论

在这项研究中,我们检查了一种旨在支持团队和团队认知的健康信息技术 (T)。我们评估的结果表明,参与者同意 T 支持他们的工作并提高他们的态势感知。

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本文引用的文献

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Appl Ergon. 2020 May;85:103059. doi: 10.1016/j.apergo.2020.103059. Epub 2020 Feb 12.
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The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians.
Mayo Clin Proc. 2020 Mar;95(3):476-487. doi: 10.1016/j.mayocp.2019.09.024. Epub 2019 Nov 14.
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Information flow during pediatric trauma care transitions: things falling through the cracks.
Intern Emerg Med. 2019 Aug;14(5):797-805. doi: 10.1007/s11739-019-02110-7. Epub 2019 May 28.
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