Leveraging Health Information Technology to Improve Trauma Resuscitation

利用健康信息技术改善创伤复苏

• 批准号: 10693384
• 负责人: Michael H. Metzler
• 金额: $ 62.29万
• 依托单位: LIFEBOARD MEDICAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10693384
• 关键词: Address; Adoption; Age; American; Apple; Automation; Awareness; Caring; Cause of Death; Cessation of life; Charge; Cognition; Cognitive; Communication; Complex; Confusion; Coupled; Data; Data Element; Data Sources; Decision Making; Devices; Discipline of Nursing; Documentation; Effectiveness; Electronic Health Record; Electronics; Ensure; Environment; Event; Failure; Fast Healthcare Interoperability Resources; Friends; Frontline worker; Global Awareness; Goals; Grant; Heart Diseases; Hospitals; Hour; Impairment; Industry; Infrastructure; Intervention; Intuition; Leadership; Literature; Malignant Neoplasms; Manuals; Measures; Methods; Monitor; Motion; Nature; Nurses; Output; Paper; Patient-Focused Outcomes; Patients; Phase; Positioning Attribute; Process; Publishing; Readability; Reporting; Resuscitation; Sales; Security; System; Systems Integration; Techniques; Technology; Test Result; Testing; Time; Trauma; Trauma patient; Treatment outcome; Work; application programming interface; data exchange; data integrity; data sharing; design; electronic data; electronic health record system; experience; health information technology; human error; improved; information display; interest; iterative design; patient safety; prevent; process improvement; promoter; prototype; recruit; stem; success; tool; transmission process; trauma care; trauma centers; usability; wireless; years of life lost

PROJECT SUMMARY/ ABSTRACT Despite rapid transport to appropriate facilities, many trauma patients needlessly die in the first hour of care. Trauma is the leading cause of death for Americans under the age of 46 and greatest cause of potential life years lost before the age of 75, exceeding that of either cancer or heart disease. Up to 20% of traumatic deaths may be preventable. It is estimated that miscommunication (that leads to errors, trauma team confusion and suboptimal care), is the leading attributable cause of death during the first phase of care. In part, this miscommunication stems from the complex and chaotic nature of the trauma resuscitation environment. While that is inherent in the cases that trauma teams address, there are facets of the environment that could be changed to improve communication and the quality of patient data captured. Presently, many trauma centers in the U. S. rely on to record data during trauma resuscitation. Since nurse scribes are charged with data inputs, human error further contributes to data inaccuracies or omissions that may impact the quality of managing a trauma case. Data capture with paper is also difficult due to the sheer volume of information transmitted, the fragmented nature of the information presented on various displays, and the fact that information does not flow concurrently to the treatment team. Unfortunately, current electronic health records (EHRs) do not support rapid input of data, and in fact, are known to slow many processes. Furthermore, none of the current methods used take into account front line staff workflow nor provide situational awareness. To address these problems, we have developed a prototype electronic platform coupled to a situation awareness monitor that integrates seamlessly into current resuscitation workflows. We have already conducted usability testing with trauma staff in earlier work, where we established wireless connectivity of all system components, demonstrated user acceptance of the interface designs for rapid data input by scribe nurses and validated integrity of data outputs from the situational awareness monitor (SAM). The goal of this Phase II project is to integrate this standalone product into a commonly used electronic health record platform to optimize security, data sharing and easier adoption of the platform. We will rigorously test the system for proper integration, assimilation into nursing workflow and usability. Testing will be conducted using simulated trauma resuscitations and real traumas. This device has the potential to greatly improve resuscitation effectiveness and patient safety through efficient, more complete and accurate data capture. Our technology will positively impact patient outcomes through improved situation awareness and faster intervention. Upon successful completion of this Phase II Grant we will be ready to pursue our sales plan and work towards broader integration across a popular EHR platform.

项目总结/摘要 尽管迅速运送到适当的设施，许多创伤患者不必要地在第一个小时的护理死亡。创伤是 这是46岁以下美国人死亡的主要原因，也是46岁之前潜在寿命损失的最大原因。 75，超过了癌症或心脏病。高达20%的创伤性死亡是可以预防的。据估计 错误的沟通（导致错误，创伤团队混乱和次优护理）是主要的原因， 在第一阶段的护理过程中死亡。在某种程度上，这种误解源于复杂和混乱的性质 创伤复苏的环境。虽然这是创伤小组处理的案件所固有的， 可以改变的环境，以改善沟通和患者数据的质量。目前， 美国的许多创伤中心。S.在创伤复苏过程中记录数据。既然护士抄写员被指控 数据输入，人为错误进一步导致数据不准确或遗漏，可能影响管理质量， 创伤病例。由于传输的信息量巨大，信息分散， 在各种显示器上呈现的信息的性质，以及信息不同时流向显示器的事实， 治疗团队不幸的是，当前的电子健康记录（EHR）不支持数据的快速输入，并且事实上， 会减缓许多进程此外，目前采用的方法没有考虑到前线工作人员 工作流程，也不提供态势感知。为了解决这些问题，我们开发了一种原型电子 该平台与态势感知监视器耦合，可无缝集成到当前的复苏工作流程中。我们 在早期的工作中，我已经对创伤工作人员进行了可用性测试，在那里我们建立了 所有系统组件，证明用户接受抄写护士快速输入数据的界面设计， 验证态势感知监视器（SAM）输出数据的完整性。第二阶段项目的目标是 将此独立产品集成到常用的电子健康记录平台中，以优化安全性、数据 共享和更容易采用的平台。我们将严格测试该系统的适当整合，同化， 护理工作流程和可用性。将使用模拟创伤复苏和真实的创伤进行测试。这 该设备有可能通过高效、更完整的 准确的数据采集。我们的技术将通过改善情况感知，对患者的治疗结果产生积极影响。 更快的干预。在成功完成第二阶段赠款后，我们将准备实施我们的销售计划， 致力于在流行的EHR平台上实现更广泛的集成。