A Paper-Digital Interface for Time-Critical Information Management

用于时间关键信息管理的纸质数字接口

• 批准号: 8386105
• 负责人: RANDALL S. BURD
• 金额: $ 26.16万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-15 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8386105
• 关键词: Accident and Emergency department; Address; Archives; Area; Awareness; Clinical; Cognitive Science; Communication; Computerized Medical Record; Computers; Critical Care; Data; Databases; Devices; Documentation; Ecology; Educational workshop; Engineering; Evaluation; Event; Goals; Human; Information Management; Information Systems; Injury; Interdisciplinary Study; Life; Location; Measures; Medical; Medical Errors; Methods; Nurses; Operating Rooms; Paper; Patient Care; Patients; Performance; Peripheral; Phase; Process; Reporting; Resuscitation; Role; Safety; Simulate; Source; Support System; System; Technology; Testing; Time; Trauma; Work; Writing; base; computer science; design; digital; heuristics; high risk; improved; information display; information processing; injured; input device; iterative design; medical specialist; multidisciplinary; novel; novel strategies; pediatric trauma; prototype; simulation; tool; treatment planning; user centered design

DESCRIPTION (provided by applicant): Despite the presence of the electronic medical record (EMR), the use of paper forms has persisted in many unpredictable and fast-paced medical settings because computer entry is often not immediately accessible or rapid enough using current digital interfaces. The use of paper to address limitations of the EMR in these settings is a barrier to implementing real-time information processing for improving patient care. Recent technological advances, such as the digital pen and paper technology, have begun to bridge the paper-digital gap. The digital pen is a tool that allows capturing the location and time of all written pen marks for real-time processing and display. The use of digital pens has been studied in several medical settings as a method of supporting data archiving but has not been evaluated as a tool to aid collaborative work in a setting requiring rapid acquisition, sharing and interpretation of information. The goal of this project is to support the collaborative work of teams in fast-paced, safety-criticl settings by capturing information from paper forms and presenting it in real-time on a dynamic peripheral display. We have developed a feasibility prototype system that uses a digital pen and a large wall display for real-time data capture and presentation in trauma resuscitation, the unpredictable and fast-paced initial management and treatment of injured patients. In this proposal, we will build on this prototype and evaluate its impact on team performance in simulated trauma resuscitations. Our overall hypothesis is that real-time information display will improve the performance of multidisciplinary teams in a dynamic medical setting. To test this hypothesis, we will pursue two aims: 1) design a digital capture and peripheral display system that supports the information needs and situation awareness of teams during trauma resuscitation; and 2) compare team performance during simulated trauma resuscitations with and without the digital data capture and peripheral display system. We will pursue Aim 1 using an iterative design approach that relies on participatory workshops, heuristic evaluation, simulation and rapid prototyping. We will pursue Aim 2 by measuring the time until initial management of life-threatening conditions during simulated trauma resuscitations. Our multidisciplinary team is well suited to conduct the proposed work and includes experts in resuscitation, computer science, systems engineering, cognitive science and human-centered design. Our long-term goal is to design and implement real-time decision support to aid dynamic and safety-critical medical teamwork. This high-risk, high yield proposal will bridge the paper-digital divide in dynamic medical domains by assessing the feasibility and impact of using digital pen and paper technology for real-time data capture and display.

描述（由申请人提供）：尽管存在电子病历（EMR），但在许多不可预测和快节奏的医疗环境中仍然使用纸质表格，因为使用当前的数字界面，计算机输入通常无法立即访问或不够快速。在这些环境中，使用纸张来解决EMR的局限性是实现实时信息处理以改善患者护理的障碍。最近的技术进步，如数字笔和纸技术，已经开始弥合纸与数字的差距。数字笔是一种工具，可以捕捉的位置和时间 所有手写笔标记的实时 处理和显示。在几种医疗环境中，已经研究了使用数字笔作为支持数据存档的方法，但尚未将其作为一种工具进行评估，以帮助在需要快速获取、共享和解释信息的环境中进行协作。 该项目的目标是通过从纸质表格中捕获信息并在动态外围显示器上实时显示，支持快节奏、安全关键设置中的团队协作工作。我们已经开发了一个可行性原型系统，该系统使用数字笔和大型墙壁显示器，用于创伤复苏中的实时数据采集和呈现，以及对受伤患者的不可预测和快节奏的初始管理和治疗。在这项建议中，我们将建立在这个原型和评估其对团队的表现在模拟创伤复苏的影响。我们的总体假设是，实时信息显示将提高多学科团队在动态医疗环境中的表现。为了验证这一假设，我们将追求两个目标：1）设计一个数字采集和外围显示系统，支持创伤复苏过程中团队的信息需求和情况意识; 2）比较模拟创伤复苏过程中有和没有数字数据采集和外围显示系统的团队表现。我们将使用迭代设计方法来追求目标1，该方法依赖于参与式研讨会，启发式评估，模拟和快速原型。我们将通过测量在模拟创伤复苏过程中对危及生命的情况进行初始管理的时间来实现目标2。我们的多学科团队非常适合进行拟议的工作，包括复苏，计算机科学，系统工程，认知科学和以人为本的设计专家。我们的长期目标是设计和实施实时决策支持，以帮助动态和安全关键的医疗团队。这项高风险、高收益的提案将通过评估使用数字笔和纸技术进行实时数据采集和显示的可行性和影响，弥合动态医疗领域的纸-数字鸿沟。