A Paper-Digital Interface for Time-Critical Information Management

用于时间关键信息管理的纸质数字接口

• 批准号: 8386105
• 负责人: RANDALL S. BURD
• 金额: $ 26.16万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-15 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8386105
• 关键词: Accident and Emergency department; Address; Archives; Area; Awareness; Clinical; Cognitive Science; Communication; Computerized Medical Record; Computers; Critical Care; Data; Databases; Devices; Documentation; Ecology; Educational workshop; Engineering; Evaluation; Event; Goals; Human; Information Management; Information Systems; Injury; Interdisciplinary Study; Life; Location; Measures; Medical; Medical Errors; Methods; Nurses; Operating Rooms; Paper; Patient Care; Patients; Performance; Peripheral; Phase; Process; Reporting; Resuscitation; Role; Safety; Simulate; Source; Support System; System; Technology; Testing; Time; Trauma; Work; Writing; base; computer science; design; digital; heuristics; high risk; improved; information display; information processing; injured; input device; iterative design; medical specialist; multidisciplinary; novel; novel strategies; pediatric trauma; prototype; simulation; tool; treatment planning; user centered design

DESCRIPTION (provided by applicant): Despite the presence of the electronic medical record (EMR), the use of paper forms has persisted in many unpredictable and fast-paced medical settings because computer entry is often not immediately accessible or rapid enough using current digital interfaces. The use of paper to address limitations of the EMR in these settings is a barrier to implementing real-time information processing for improving patient care. Recent technological advances, such as the digital pen and paper technology, have begun to bridge the paper-digital gap. The digital pen is a tool that allows capturing the location and time of all written pen marks for real-time processing and display. The use of digital pens has been studied in several medical settings as a method of supporting data archiving but has not been evaluated as a tool to aid collaborative work in a setting requiring rapid acquisition, sharing and interpretation of information. The goal of this project is to support the collaborative work of teams in fast-paced, safety-criticl settings by capturing information from paper forms and presenting it in real-time on a dynamic peripheral display. We have developed a feasibility prototype system that uses a digital pen and a large wall display for real-time data capture and presentation in trauma resuscitation, the unpredictable and fast-paced initial management and treatment of injured patients. In this proposal, we will build on this prototype and evaluate its impact on team performance in simulated trauma resuscitations. Our overall hypothesis is that real-time information display will improve the performance of multidisciplinary teams in a dynamic medical setting. To test this hypothesis, we will pursue two aims: 1) design a digital capture and peripheral display system that supports the information needs and situation awareness of teams during trauma resuscitation; and 2) compare team performance during simulated trauma resuscitations with and without the digital data capture and peripheral display system. We will pursue Aim 1 using an iterative design approach that relies on participatory workshops, heuristic evaluation, simulation and rapid prototyping. We will pursue Aim 2 by measuring the time until initial management of life-threatening conditions during simulated trauma resuscitations. Our multidisciplinary team is well suited to conduct the proposed work and includes experts in resuscitation, computer science, systems engineering, cognitive science and human-centered design. Our long-term goal is to design and implement real-time decision support to aid dynamic and safety-critical medical teamwork. This high-risk, high yield proposal will bridge the paper-digital divide in dynamic medical domains by assessing the feasibility and impact of using digital pen and paper technology for real-time data capture and display.

描述（由申请人提供）：尽管存在电子病历（EMR），但在许多不可预测且节奏快的医疗环境中，使用纸质表格的使用持续存在，因为使用当前的数字接口，计算机进入通常无法立即可立即访问或足够快速。在这些设置中使用纸张来解决EMR的局限性是实施实时信息处理以改善患者护理的障碍。最近的技术进步，例如数字笔和纸技术，已经开始弥合纸质数字差距。数字笔是允许捕获位置和时间的工具 实时的所有书面笔记 处理和显示。在几种医疗环境中研究了数字笔的使用，作为支持数据归档的一种方法，但尚未被评估为在需要快速获取，共享和解释信息的环境中帮助协作工作的工具。 该项目的目的是通过从纸质表格中捕获信息并在动态的外围显示屏上实时介绍，以快节奏，安全性批判性设置来支持团队的协作工作。我们已经开发了一种可行性原型系统，该系统使用数字笔和大墙显示器，用于实时数据捕获和创伤复苏，这是不可预测且快节奏的初始管理以及受伤患者的治疗。在此提案中，我们将基于该原型，并评估其对模拟创伤复苏中团队绩效的影响。我们的总体假设是，实时信息显示将改善在动态医疗环境中的多学科团队的表现。为了检验这一假设，我们将追求两个目的：1）设计数字捕获和外围显示系统，以支持创伤复苏期间团队的信息需求和情况认识； 2）在模拟创伤复苏期间与数字数据捕获和外围显示系统进行比较。我们将使用依赖参与式研讨会，启发式评估，模拟和快速原型的迭代设计方法来追求AIM 1。我们将通过测量时间来追求目标2，直到对模拟创伤复苏期间威胁生命状况的初步管理为止。我们的多学科团队非常适合进行拟议的工作，包括复苏，计算机科学，系统工程，认知科学和以人为本的设计专家。我们的长期目标是设计和实施实时决策支持，以帮助动态和安全关键的医疗团队。这个高风险的高收益提案将通过评估使用数字笔和纸技术进行实时数据捕获和显示的可行性和影响来弥合动态医疗领域的纸质数字鸿沟。