HCC-Small: Collaborative Research: Assessing Technology Requirements for Preventing Teamwork Errors in Safety-Critical Settings

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The staff in trauma centers are faced with complex problems under time pressure.Despite the introduction of standard protocols, the diversity of injuries that can occurrequires a coordinated approach to the evaluation and treatment for each patient.Trauma care involves complex teamwork under time pressure, and teamwork errorsendanger patient care and increase costs. Our proposed ethnographic study will useobservation and detailed analysis of video recordings of trauma resuscitations todetermine the nature and extent of teamwork errors in a trauma center. This detailedstudy of complex teamwork will uncover the causes of teamwork errors in collaborativehigh-risk environments. Methods will be developed to understand how teams work andwhere difficulties arise. This work will yield detailed descriptions of errors and theircauses, a taxonomy of teamwork errors, information on how to improve teamperformance, and guides to the use of technology for teamwork support. It extends thelevel of detail of ethnographic research so that we can achieve precision in theunderstanding of procedures which are difficult to monitor automatically but wherestep-by-step records are essential to detect the causes of errors.Understanding and improving the effectiveness of trauma teams has direct benefit tosociety. Further, complex collaborations are ubiquitous in modern enterprises and theseresults could improve collaborations both in terms of quality and productivity acrossorganizations. In addition, this work will serve to develop the skills needed by a newcadre of researchers with knowledge of computer-supported collaborative work,video-content analysis and cooperative research.