Information Management in the Perioperative Environment

描述（由申请人提供）：新技术正在扩大医疗保健从业人员可用的信息量。在围手术期环境中，这包括患者监测数据的增加。围手术期环境的动态性质使其特别容易受到信息过载的问题的影响。有一个整体的和以人为本的方法在分析和重新设计围手术期的信息显示的需要。本研究的主要假设是，人为因素设计原则的应用和以人为本的设计过程的使用将导致围手术期信息显示的设计，改善病人护理相比，目前的系统。 这项研究计划包括四个主要组成部分： 1.根据与动态、移动的、风险、基于团队和信息丰富的围手术期环境相关的人类决策、态势感知和团队合作的当代理论，确定人因设计原则; 2.应用认知任务分析和知识启发方法确定围手术期环境的重要信息需求; 3.围手术期信息显示的设计使用以人为本的方法，包括迭代用户评估和重新设计的过程;以及 4.使用模拟人患者在麻醉危机管理场景下比较新设计与传统围手术期信息显示。 除了通过更好的信息管理提高患者安全性的潜力外， 围手术期环境，这项工作的结果将有影响：（1）在围手术期环境中的培训;（2）在其他动态，安全关键的医疗保健环境中的系统设计。

DESCRIPTION (PROVIDED BY THE APPLICANT): New technologies are expanding the amount of information available to health care practitioners. In the perioperative environment, this includes an increase in patient monitoring data. The dynamic nature of the perioperative environment makes it especially susceptible to problems of information overload. There is a need for a holistic and human centered approach in the analysis and redesign of perioperative information displays. The main hypothesis for this research is that the application of human factors design principles and the use of a human centered design process will lead to the design of perioperative information displays that improve patient care compared to current systems. This research plan involves four main components: 1. Identification of human factors design principles based on contemporary theories of human decisionmaking, situation awareness, and teamwork that are relevant to the dynamic, mobile, risky, team-based, and information-rich perioperative environment; 2. The application of cognitive task analyses and knowledge elicitation methods to identify the important information requirements for the perioperative environment; 3. The design of perioperative information displays using a human-centered approach that includes a process of iterative user evaluation and redesign; and 4. Comparison of the new designs with conventional perioperative information displays under anesthesia crisis management scenarios using a human patient simulator. In addition to the potential to improve patient safety through better information management in the perioperative environment, the results of this effort will have implications for: (1) training in the perioperative environment; and (2) system design in other dynamic, safety-critical health care environments.