Understanding Delay Awareness and Mitigation Mechanisms through an Iterative Design and Evaluation of a Prototype Alert System for Complex Teamwork

Understanding Delay Awareness and Mitigation Mechanisms through an Iterative Design and Evaluation of a Prototype Alert System for Complex Teamwork
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通过迭代设计和评估复杂团队合作的原型警报系统来了解延迟意识和缓解机制

DOI:
10.1145/3610051
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发表时间:
2023
影响因子:
--
通讯作者:
Burd, Randall S.
Burd, Randall S.
中科院分区:
--
文献类型:
--
作者:
Zellner, Katherine A.;Sarcevic, Aleksandra;Krensta, Megan A.;Sullivan, Travis M.;Burd, Randall S.

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在紧急护理中,几乎一半可预防的死亡与医疗延误有关。了解临床医生如何经历延迟可以改进警报设计,以提高延迟意识和缓解。在本文中,我们展示了一个以用户为中心的迭代设计过程的发现,该过程涉及48名临床医生,以开发一个原型警报系统,用于支持复杂医疗团队合作(如创伤复苏)中的延迟意识。我们使用半结构化访谈和卡片分类研讨会来确定最常见的延迟,并引出原型警报系统的设计需求。然后,我们进行了一项调查,以完善警报设计,随后进行了近现场的视频引导模拟,以调查临床医生对警报的反应。我们通过设计一个原型警报系统来支持时间紧迫、复杂的团队合作中的延迟意识,并确定了团队减轻延迟的四种机制,从而为CSCW做出了贡献。
Almost half of the preventable deaths in emergency care can be associated with a medical delay. Understanding how clinicians experience delays can lead to improved alert designs to increase delay awareness and mitigation. In this paper, we present the findings from an iterative user-centered design process involving 48 clinicians to develop a prototype alert system for supporting delay awareness in complex medical teamwork such as trauma resuscitation. We used semi-structured interviews and card-sorting workshops to identify the most common delays and elicit design requirements for the prototype alert system. We then conducted a survey to refine the alert designs, followed by near-live, video-guided simulations to investigate clinicians' reactions to the alerts. We contribute to CSCW by designing a prototype alert system to support delay awareness in time-critical, complex teamwork and identifying four mechanisms through which teams mitigate delays.
护理人员对现场已用时间的感知。
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