FW-HTF-P: Mapping the Human-Technology Frontier to Improve Trauma Care: A Transdisciplinary Approach to Identify Opportunities, Challenges, and Risks

创伤相关伤害是45岁以下美国人的主要死亡原因。虽然人力成本令人难以承受，但经济成本也令人担忧。2005年，致命的意外伤害造成13亿美元的医疗费用和829亿美元的工作损失，其中包括个人在其工作期间没有生产和提供的货物和服务的费用。此外，诊断错误和治疗延误是创伤复苏中报告的最常见的错误，占可预防死亡的近75%。保守估计每个与错误相关的不良事件为10,000美元，估计每年的成本为4.18亿美元。创伤劳动力规模可观：2017年有42,348名急诊医生执业，2019年估计有167,375名急诊护士执业，其中78%是女性。然而，不幸的是，急诊科38%的护士和大约60%的医生报告了一些职业倦怠的症状。这个项目将从急诊医学、社会学、传播学、室内设计、计算机和信息科学与工程以及工业和系统工程的广泛专业知识和视角来调查创伤护理的临床实践。这项计划拨款将发展跨学科和融合的研究能力、研究基础设施和基础工作，以建立一个全面的研究议程，以支持和改善患者的安全，并防止创伤护理中的倦怠综合征。其目标是设计临床知情的智能技术干预措施，以便在创伤护理中做出最佳决策，并促进有效的创伤复苏诊断和治疗过程的团队培训。主要的研究目标有两个。首先，研究人员将为诊断和治疗护理规划开发一个整体的概念框架，并在理论上理解，以建模和分析创伤护理。其次，该项目将开发一种基于证据的方法，用于挑战、机会和风险评估，以评估和证明创伤护理的普遍技术干预措施的合理性。研究小组将进行一系列观察、访谈、焦点小组研究，并组织Charrette研讨会收集数据。研究人员还将使用内容分析、映射分析、统计方法和机器学习来分析和挖掘数据，并利用扎根理论来指导对潜在的人类-技术-物理系统的显著特征的识别、建模和分析。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

Trauma-related injuries are the leading cause of death in Americans under the age of 45. While human costs are overwhelming, the economic costs are also alarming. In 2005, fatal unintentional injuries resulted in $1.3 billion in medical costs and $82.9 billion in lost work costs, including cost of goods and services not produced and provided by the individual for the duration of their working life. Furthermore, diagnostic errors and delays in treatment are the most common errors reported in trauma resuscitations, accounting for almost 75% of preventable deaths. Using a conservative estimate of $10,000 per error-related adverse event, the cost estimate is $418 million annually. The trauma workforce is sizable: In 2017 there were 42,348 practicing emergency medicine physicians, and, in 2019, an estimated 167,375 practicing emergency medicine nurses, 78 percent of which are women. Unfortunately, however, 38 percent of the nurses and approximately 60 percent of the physicians in emergency medicine reported some symptoms of burnout. This project will draw from a broad range of expertise and perspectives in emergency medicine, sociology, communication studies, interior design, computer and information science and engineering, and industrial and systems engineering to investigate the clinical practice of trauma care. This planning grant will develop transdisciplinary and convergent research capacity, research infrastructure, and foundational work to build a comprehensive research agenda for supporting and improving patient safety and prevent burnout syndrome in trauma care. The goal is to design clinically informed intelligent technological interventions for optimal decision-making in trauma care and to facilitate effective team training for diagnostic and treatment processes in trauma resuscitations. The primary research objectives are two-fold. First, researchers will develop a holistic conceptual framework for, and a theoretical understanding of, diagnostic and treatment care planning to model and analyze trauma care. Second, the project will develop an evidence-based approach for challenge, opportunity, and risk assessment to evaluate and justify pervasive technological interventions for trauma care. The research team will conduct a series of observations, interviews, focus group studies, and organize charrette workshops to collect data. Researchers will also use content analysis, mapping analysis, statistical methods and machine learning to analyze and mine data, and utilize grounded theory to guide the identification, modeling, and analysis of the salient features of the underlying human-techno-physical system.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.