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

Author:

Hoonakker Peter L. T.1,Hose Bat-Zion2,Carayon Pascale13,Eithun Ben L.4,Rusy Deborah A.5,Ross Joshua C.6,Kohler Jonathan E.7,Dean Shannon M.8,Brazelton Tom B.8,Kelly Michelle M.8

Affiliation:

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

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

3. Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, United States

4. American Family Children's Hospital, Madison, Wisconsin, United States

5. Department of Anesthesiology, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States

6. Department of Emergency Medicine, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States

7. Department of Surgery, UC Davis Children's Hospital, Sacramento, California, United States

8. Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States

Abstract

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 (T3) 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 T3. 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 T3 organizes and presents information in a different way that was helpful to them. Conclusion In this study, we examined a health IT (T3) that was designed to support teams and team cognition. The results of our evaluation show that participants agreed that T3 does support them in their work and increases their situation awareness.

Funder

Agency for Healthcare Research and Quality

Clinical and Translational Science Award (CTSA) program, through the National Institutes of Health (NIH) National Center for Advancing Translational Sciences

Publisher

Georg Thieme Verlag KG

Subject

Health Information Management,Computer Science Applications,Health Informatics

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