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Care Transitions and Teamwork in Pediatric Trauma: Implications for HIT Design

Pediatric patient in hospital bed

Health information technology (IT) plays a significant role in care processes. However, it has also led health care to become more fragmented, making it harder to coordinate care among team members and potentially introducing new risks to patient safety. New design concepts are needed for future health IT so that it is leveraged for teamwork and care coordination over time and across clinicians.

In this study we focus on pediatric trauma teams. Trauma is the leading cause of death and permanent paralysis among the pediatric population. Care transitions of critically ill patients, such as trauma patients, to and from the pediatric intensive care unit (PICU), require effective teamwork among the PICU team, other teams and services (e.g., emergency department), as well as family members. This project seeks to develop an understanding of the cognitive work of clinician teams and family members involved in pediatric trauma care transitions in order to design usable and useful health information technologies.

Our Goals

Our overall study goal is to develop and test design requirements for future health IT that supports cognitive teamwork for enhancing safety, quality and family-centeredness of care. Human factors engineering methods, including a sociotechnical systems approach, are being used to model the work system of caring for pediatric trauma patients and understand the cognitive needs for supporting work across multiple clinician roles and teams.

Learn More (AHRQ website)

Principle Investigator: Ayse Gurses
Funding: Agency for Healthcare Research & Quality, R01 HS23837
Funding Support & Timeframe: $2.5 million
Dates: 7/1/15 - 4/30/20

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