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

创伤中心的工作人员在时间压力下面临着复杂的问题。尽管引入了标准的方案，但可能发生的伤害的多样性需要对每个患者进行协调的评估和治疗。创伤护理涉及到时间压力下复杂的团队合作，团队合作错误会危及患者的护理并增加成本。我们建议的人种学研究将使用对创伤复苏视频记录的观察和详细分析来确定创伤中心团队合作失误的性质和程度。这项对复杂团队合作的详细研究将揭示在协作高风险环境中团队合作失误的原因。将制定方法以了解团队如何工作以及在哪里出现困难。这项工作将产生错误及其原因的详细描述，团队合作错误的分类，关于如何提高团队绩效的信息，以及使用技术支持团队工作的指南。它扩展了人种学研究的细节层次，以便我们能够精确地理解难以自动监控但循序渐进的记录对于发现错误原因至关重要的程序。了解和提高创伤团队的有效性对社会有直接的好处。此外，复杂的协作在现代企业中无处不在，其结果可以提高跨组织的协作的质量和生产率。此外，这项工作将有助于培养具有计算机支持的协作工作、视频内容分析和合作研究知识的新一批研究人员所需的技能。

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.