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Appl Clin Inform 2022; 13(01): 218-229
DOI: 10.1055/s-0042-1742368
Research Article

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

Peter L. T. Hoonakker
1   Wisconsin Institute for Health Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, United States
,
Bat-Zion Hose
2   Department of Anesthesiology and Critical Care, University of Pennsylvania, Perelman School of Medicine, Philadelphia, United States
,
Pascale Carayon
1   Wisconsin Institute for Health Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, United States
3   Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, United States
,
Ben L. Eithun
4   American Family Children's Hospital, Madison, Wisconsin, United States
,
Deborah A. Rusy
5   Department of Anesthesiology, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States
,
Joshua C. Ross
6   Department of Emergency Medicine, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States
,
Jonathan E. Kohler
7   Department of Surgery, UC Davis Children's Hospital, Sacramento, California, United States
,
Shannon M. Dean
8   Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States
,
Tom B. Brazelton III
8   Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States
,
Michelle M. Kelly
8   Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin, United States
› Author Affiliations Funding Funding for this research was provided by the Agency for Healthcare Research and Quality (AHRQ; grant no.: R01 HS023837). The project described was supported by the Clinical and Translational Science Award (CTSA) program, through the National Institutes of Health (NIH) National Center for Advancing Translational Sciences (NCATS; grant no.: UL1TR002373). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies. We thank the study participants, as our research would not be possible without them.
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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.

Keywords

team health information technology - team cognition - scenario-based evaluation - pediatric trauma - care transitions

Authors' Contributions

P.H. reports support from Agency for Healthcare Research and Quality (AHRQ; grant no.: R01 HS023837, site PI: P.C.) for grant. P.C. reports support from AHRQ, grant no.: R01 HS023837. B.-Z. H. reports grants from the AHRQ (grant no.: R01 HS023837) for institution. T.B. reports royalties from UpToDate for Annual royalty payment made for chapter co-authorship; payment from Medical-legal expert witness; and leadership or fiduciary role in Executive Committee, Board of Directors for American Academy of Pediatrics' liaison to the Committee on Accreditation for the EMS Professions (unpaid).


Protection of Human and Animal Subjects

This study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects, and, was approved by the University of Wisconsin-Madison Institutional Review Board.




Publication History

Received: 05 July 2021

Accepted: 21 December 2021

Article published online:
09 February 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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