Towards a Model of Safety and Care for Trauma Room Design

摘要/概要 作为美国第三大死亡原因，创伤性损伤是不可避免的，影响了59%的 44岁以下的人。一级创伤中心旨在治疗最严重类型的伤害。 联合委员会警告说，7-9%的病人在复苏过程中死亡是由于可预防的错误。 其中许多错误与物理环境相关的问题有关，包括效率低下， 干扰和破坏。然而，关于物理环境如何支持 改善创伤室的患者安全结果。 该患者安全学习实验室（PSLL）项目通过关注以下组成部分来支持AHRQ的使命： 工作系统，导致改善病人安全的结果。拟议的私人执业律师资格考试将采用一套全面的 一种研究人、任务、技术、组织和物理环境之间动态关系的方法 在创伤室中，特别是当它们与工作流程、中断和中断、技术集成 和感官属性。这项研究在数据收集和分析方法上是新颖的。具体来说， 该项目旨在（1）确定与影响患者安全和效率的物理环境相关的因素 创伤室护理;（2）开发一种时间和成本效益高的新方法，以获取 自主和保密的方式来研究创伤室内的工作系统组件;（3）开发 设计战略，以解决病人的安全和有效的护理，并整合技术，使未来 适应性最大化，因为随着时间的推移，出现了新的患者安全模型;（4）测试提出的设计 策略;（5）开发一个基于证据的模型，作为最终产品，用于设计创伤室， 支持高效的患者护理，同时保持安全的环境。 通过肯特州立大学的医疗保健设计，护理和 计算机科学计划和克利夫兰诊所阿克伦一般，这项研究将使用系统工程 患者安全倡议（SEIPS）模型，以调查改善患者安全结局的障碍， 创伤室从长远来看，开发的设计指南模型预计将有助于患者安全， 创伤室作为指导下一代创伤室设计的主要来源。

Abstract/Summary As the third leading cause of death in the United States, traumatic injuries are inevitable, affecting 59% of individuals under 44 years old. Level I trauma centers are designed to treat the most severe types of injuries. The Joint Commission warns that 7-9% of deaths during patient resuscitation are due to preventable errors. Many of these errors are related to issues related to the physical environment including inefficiencies, interruptions, and disruptions. However, little is known regarding how the physical environment can support improved patient safety outcomes in trauma rooms. This Patient Safety Learning Lab (PSLL) project supports the mission of AHRQ by focusing on components of the work system that lead to improved patient safety outcomes. The proposed PSLL will take a comprehensive approach to study the dynamics among people, tasks, technology, organization, and the physical environment in a trauma room, specifically as they relate to workflow, interruptions and disruptions, technology integration, and sensory attributes. This study is novel in its approach to data collection and analyses. Specifically, this project aims to (1) identify factors related to the physical environment that influence patient safety and efficient care in trauma rooms; (2) develop a time- and cost-effective novel approach to capture observational data in an autonomous and confidential manner to study work system components within trauma rooms; (3) develop design strategies to address patient safety and efficient care and to integrate technology such that future adaptability is maximized, as new models of patient safety emerge over time; (4) test proposed design strategies; and (5) develop an evidence-based model, as an end product, for designing trauma rooms that support efficient patient care while maintaining a safe environment. Through a transdisciplinary collaboration between Kent State University's Healthcare Design, Nursing, and Computer Science programs and Cleveland Clinic Akron General, the study will use the Systems Engineering Initiative for Patient Safety (SEIPS) model to investigate obstacles to improved patient safety outcomes in trauma rooms. In the long run, the developed design guide model is expected to contribute to patient safety in trauma rooms by serving as a primary source to direct the design of the next generation of trauma rooms.