Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage.
Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage.
复制标题
设计并执行功能练习来测试用于大规模伤亡分类的新型信息学工具。
DOI：
10.1093/jamia/ocz087
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Culley,JoanM
中科院分区：
文献类型：
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作者：
Donevant,SaraB;Svendsen,ErikR;Richter,JaneV;Tavakoli,AbbasS;Craig,JeanBR;Boltin,NicholasD;Valafar,Homayoun;DiNardi,SalvatoreRobert;Culley,JoanM
目的设计用于大规模伤亡事件的信息学工具的测试提出了一个独特的问题，因为没有现成的受害者群体或相同的暴露环境。本文的目的是描述设计、规划和执行功能练习的过程，以完成验证专门设计用于识别和分类刺激性气体综合征药剂受害者的信息学工具的研究目标。材料和方法在3年的时间框架内，研究小组和合作伙伴开发了急诊科信息计算工具，并计划进行功能练习，使用2005年在一个急诊科就诊的298名患者在氯气暴露后的医疗记录数据进行测试。研究小组在整个计划过程中吸取了宝贵的经验教训，这将有助于未来的研究人员开发测试信息学工具的功能练习。功能练习的关键考虑因素包括贡献者、地点和信息技术需求（即硬件、软件和数据收集方法）。由于大规模伤亡事件的性质，测试这些事件的信息学工具和技术是具有挑战性的。以前的研究表明，功能练习是测试为在大规模伤亡事件中使用而开发的信息学工具的可行选择。利用功能演习来测试新的大规模伤亡管理技术和信息学工具需要一个艰苦而复杂的规划过程；然而，它确实允许研究人员解决研究重大伤亡事件的信息学工具所固有的问题。
ObjectiveThe testing of informatics tools designed for use during mass casualty incidents presents a unique problem as there is no readily available population of victims or identical exposure setting. The purpose of this article is to describe the process of designing, planning, and executing a functional exercise to accomplish the research objective of validating an informatics tool specifically designed to identify and triage victims of irritant gas syndrome agents.Materials and MethodsDuring a 3-year time frame, the research team and partners developed the Emergency Department Informatics Computational Tool and planned a functional exercise to test it using medical records data from 298 patients seen in 1 emergency department following a chlorine gas exposure in 2005.ResultsThe research team learned valuable lessons throughout the planning process that will assist future researchers with developing a functional exercise to test informatics tools. Key considerations for a functional exercise include contributors, venue, and information technology needs (ie, hardware, software, and data collection methods).DiscussionDue to the nature of mass casualty incidents, testing informatics tools and technology for these incidents is challenging. Previous studies have shown a functional exercise as a viable option to test informatics tools developed for use during mass casualty incidents.ConclusionUtilizing a functional exercise to test new mass casualty management technology and informatics tools involves a painstaking and complex planning process; however, it does allow researchers to address issues inherent in studying informatics tools for mas casualty incidents.