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。尽管引入了标准方案，但可能发生的损伤的多样性需要对每个患者的评估和治疗采取协调的方法。创伤护理需要在时间压力下进行复杂的团队合作，而团队合作的失误会危及患者的护理并增加成本。我们提出的民族志研究将通过对创伤复苏录像的观察和详细分析来确定创伤中心团队合作错误的性质和程度。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错误的原因。将开发方法来了解团队如何工作以及出现困难的地方。这项工作将产生错误及其原因的详细描述，团队错误的分类，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水平，使我们能够精确地理解难以自动监控的程序，但在这些程序中，一步一步的记录对于检测错误的原因至关重要。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，这些结果可以在质量和生产力方面改善跨组织的协作。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代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.