FW-HTF-P: Mapping the Human-Technology Frontier to Improve Trauma Care: A Transdisciplinary Approach to Identify Opportunities, Challenges, and Risks

与创伤有关的伤害是45岁以下美国人死亡的主要原因。虽然人的代价是巨大的，但经济代价也是惊人的。2005年，致命的意外伤害造成了13亿美元的医疗费用和829亿美元的工作损失费用，包括个人在工作期间没有生产和提供的货物和服务的费用。此外，诊断错误和治疗延误是创伤复苏中报告的最常见错误，占可预防死亡的近75%。保守估计，每起错误相关不良事件的成本为10，000美元，每年的成本估计为4.18亿美元。创伤劳动力规模庞大：2017年有42，348名执业急诊医生，2019年估计有167，375名执业急诊护士，其中78%是女性。然而，不幸的是，38%的护士和大约60%的急诊科医生报告了一些倦怠的症状。该项目将从急诊医学，社会学，传播学，室内设计，计算机和信息科学与工程，工业和系统工程等领域的广泛专业知识和观点中汲取经验，以调查创伤护理的临床实践。这项计划拨款将发展跨学科和融合的研究能力，研究基础设施和基础工作，以建立一个全面的研究议程，以支持和改善患者安全，并防止创伤护理中的倦怠综合征。其目标是设计临床知情的智能技术干预措施，以实现创伤护理的最佳决策，并促进创伤复苏诊断和治疗过程的有效团队培训。主要研究目标有两个方面。首先，研究人员将制定一个整体的概念框架，并从理论上理解，诊断和治疗护理计划建模和分析创伤护理。第二，该项目将制定一个基于证据的方法来评估挑战，机会和风险，以评估和证明创伤护理的普遍技术干预。研究小组将进行一系列的观察、访谈、焦点小组研究，并组织夏雷特工作坊来收集数据。研究人员还将使用内容分析、映射分析、统计方法和机器学习来分析和挖掘数据，并利用扎根理论指导对潜在的人类-技术-物理系统的显著特征进行识别、建模和分析。该奖项反映了NSF的法定使命，并通过使用基金会的智力价值和更广泛的影响审查标准进行评估，被认为值得支持。

Trauma-related injuries are the leading cause of death in Americans under the age of 45. While human costs are overwhelming, the economic costs are also alarming. In 2005, fatal unintentional injuries resulted in $1.3 billion in medical costs and $82.9 billion in lost work costs, including cost of goods and services not produced and provided by the individual for the duration of their working life. Furthermore, diagnostic errors and delays in treatment are the most common errors reported in trauma resuscitations, accounting for almost 75% of preventable deaths. Using a conservative estimate of $10,000 per error-related adverse event, the cost estimate is $418 million annually. The trauma workforce is sizable: In 2017 there were 42,348 practicing emergency medicine physicians, and, in 2019, an estimated 167,375 practicing emergency medicine nurses, 78 percent of which are women. Unfortunately, however, 38 percent of the nurses and approximately 60 percent of the physicians in emergency medicine reported some symptoms of burnout. This project will draw from a broad range of expertise and perspectives in emergency medicine, sociology, communication studies, interior design, computer and information science and engineering, and industrial and systems engineering to investigate the clinical practice of trauma care. This planning grant will develop transdisciplinary and convergent research capacity, research infrastructure, and foundational work to build a comprehensive research agenda for supporting and improving patient safety and prevent burnout syndrome in trauma care. The goal is to design clinically informed intelligent technological interventions for optimal decision-making in trauma care and to facilitate effective team training for diagnostic and treatment processes in trauma resuscitations. The primary research objectives are two-fold. First, researchers will develop a holistic conceptual framework for, and a theoretical understanding of, diagnostic and treatment care planning to model and analyze trauma care. Second, the project will develop an evidence-based approach for challenge, opportunity, and risk assessment to evaluate and justify pervasive technological interventions for trauma care. The research team will conduct a series of observations, interviews, focus group studies, and organize charrette workshops to collect data. Researchers will also use content analysis, mapping analysis, statistical methods and machine learning to analyze and mine data, and utilize grounded theory to guide the identification, modeling, and analysis of the salient features of the underlying human-techno-physical system.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.