Towards a Model of Safety and Care for Trauma Room Design

摘要/摘要 作为美国第三大死因，创伤是不可避免的，59%的人会受到影响 44岁以下的个人。I级创伤中心是为治疗最严重的创伤而设计的。 联合委员会警告说，在患者复苏过程中，7%-9%的死亡是由于可预防的错误。 这些错误中的许多与物理环境相关的问题有关，包括效率低下， 干扰，和干扰。然而，对于物理环境如何支持，我们知之甚少 改善了创伤室患者的安全结果。 该患者安全学习实验室(PSLL)项目通过关注以下组件来支持AHRQ的使命 导致改善患者安全结果的工作系统。拟议的PSLL将采取全面的 研究人、任务、技术、组织和物理环境之间的动态的方法 在创伤室，特别是在与工作流程、中断和中断、技术集成、 和感官属性。这项研究在数据收集和分析方法上是新颖的。具体地说，这 该项目旨在(1)确定与影响患者安全和效率的物理环境相关的因素 创伤室的护理；(2)开发一种节省时间和成本效益的新方法，以在 以自主和保密的方式研究创伤病房内的工作系统组件；(3)制定 设计战略，解决患者安全和高效护理问题，并整合技术，使未来 随着新的患者安全模型的出现，适应性被最大化；(4)测试建议的设计 战略；以及(5)开发基于证据的模型，作为最终产品，用于设计创伤性房间 支持高效的病人护理，同时维护安全的环境。 通过肯特州立大学医疗保健设计、护理和 计算机科学计划和克利夫兰临床阿克伦总医院，研究将使用系统工程 患者安全倡议(SEIPS)模式调查在以下方面改善患者安全结果的障碍 创伤室。从长远来看，开发的设计指南模式预计将有助于患者的安全 创伤室作为指导下一代创伤室设计的主要来源。

Abstract/Summary As the third leading cause of death in the United States, traumatic injuries are inevitable, affecting 59% of individuals under 44 years old. Level I trauma centers are designed to treat the most severe types of injuries. The Joint Commission warns that 7-9% of deaths during patient resuscitation are due to preventable errors. Many of these errors are related to issues related to the physical environment including inefficiencies, interruptions, and disruptions. However, little is known regarding how the physical environment can support improved patient safety outcomes in trauma rooms. This Patient Safety Learning Lab (PSLL) project supports the mission of AHRQ by focusing on components of the work system that lead to improved patient safety outcomes. The proposed PSLL will take a comprehensive approach to study the dynamics among people, tasks, technology, organization, and the physical environment in a trauma room, specifically as they relate to workflow, interruptions and disruptions, technology integration, and sensory attributes. This study is novel in its approach to data collection and analyses. Specifically, this project aims to (1) identify factors related to the physical environment that influence patient safety and efficient care in trauma rooms; (2) develop a time- and cost-effective novel approach to capture observational data in an autonomous and confidential manner to study work system components within trauma rooms; (3) develop design strategies to address patient safety and efficient care and to integrate technology such that future adaptability is maximized, as new models of patient safety emerge over time; (4) test proposed design strategies; and (5) develop an evidence-based model, as an end product, for designing trauma rooms that support efficient patient care while maintaining a safe environment. Through a transdisciplinary collaboration between Kent State University's Healthcare Design, Nursing, and Computer Science programs and Cleveland Clinic Akron General, the study will use the Systems Engineering Initiative for Patient Safety (SEIPS) model to investigate obstacles to improved patient safety outcomes in trauma rooms. In the long run, the developed design guide model is expected to contribute to patient safety in trauma rooms by serving as a primary source to direct the design of the next generation of trauma rooms.