Leveraging Health Information Technology to Improve Trauma Resuscitation

利用健康信息技术改善创伤复苏

• 批准号: 10693384
• 负责人: Michael H. Metzler
• 金额: $ 62.29万
• 依托单位: LIFEBOARD MEDICAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10693384
• 关键词: Address; Adoption; Age; American; Apple; Automation; Awareness; Caring; Cause of Death; Cessation of life; Charge; Cognition; Cognitive; Communication; Complex; Confusion; Coupled; Data; Data Element; Data Sources; Decision Making; Devices; Discipline of Nursing; Documentation; Effectiveness; Electronic Health Record; Electronics; Ensure; Environment; Event; Failure; Fast Healthcare Interoperability Resources; Friends; Frontline worker; Global Awareness; Goals; Grant; Heart Diseases; Hospitals; Hour; Impairment; Industry; Infrastructure; Intervention; Intuition; Leadership; Literature; Malignant Neoplasms; Manuals; Measures; Methods; Monitor; Motion; Nature; Nurses; Output; Paper; Patient-Focused Outcomes; Patients; Phase; Positioning Attribute; Process; Publishing; Readability; Reporting; Resuscitation; Sales; Security; System; Systems Integration; Techniques; Technology; Test Result; Testing; Time; Trauma; Trauma patient; Treatment outcome; Work; application programming interface; data exchange; data integrity; data sharing; design; electronic data; electronic health record system; experience; health information technology; human error; improved; information display; interest; iterative design; patient safety; prevent; process improvement; promoter; prototype; recruit; stem; success; tool; transmission process; trauma care; trauma centers; usability; wireless; years of life lost

PROJECT SUMMARY/ ABSTRACT Despite rapid transport to appropriate facilities, many trauma patients needlessly die in the first hour of care. Trauma is the leading cause of death for Americans under the age of 46 and greatest cause of potential life years lost before the age of 75, exceeding that of either cancer or heart disease. Up to 20% of traumatic deaths may be preventable. It is estimated that miscommunication (that leads to errors, trauma team confusion and suboptimal care), is the leading attributable cause of death during the first phase of care. In part, this miscommunication stems from the complex and chaotic nature of the trauma resuscitation environment. While that is inherent in the cases that trauma teams address, there are facets of the environment that could be changed to improve communication and the quality of patient data captured. Presently, many trauma centers in the U. S. rely on to record data during trauma resuscitation. Since nurse scribes are charged with data inputs, human error further contributes to data inaccuracies or omissions that may impact the quality of managing a trauma case. Data capture with paper is also difficult due to the sheer volume of information transmitted, the fragmented nature of the information presented on various displays, and the fact that information does not flow concurrently to the treatment team. Unfortunately, current electronic health records (EHRs) do not support rapid input of data, and in fact, are known to slow many processes. Furthermore, none of the current methods used take into account front line staff workflow nor provide situational awareness. To address these problems, we have developed a prototype electronic platform coupled to a situation awareness monitor that integrates seamlessly into current resuscitation workflows. We have already conducted usability testing with trauma staff in earlier work, where we established wireless connectivity of all system components, demonstrated user acceptance of the interface designs for rapid data input by scribe nurses and validated integrity of data outputs from the situational awareness monitor (SAM). The goal of this Phase II project is to integrate this standalone product into a commonly used electronic health record platform to optimize security, data sharing and easier adoption of the platform. We will rigorously test the system for proper integration, assimilation into nursing workflow and usability. Testing will be conducted using simulated trauma resuscitations and real traumas. This device has the potential to greatly improve resuscitation effectiveness and patient safety through efficient, more complete and accurate data capture. Our technology will positively impact patient outcomes through improved situation awareness and faster intervention. Upon successful completion of this Phase II Grant we will be ready to pursue our sales plan and work towards broader integration across a popular EHR platform.

项目摘要/摘要 尽管迅速运输到适当的设施，但许多创伤患者在护理的第一小时内不必要地死亡。创伤是 46岁以下的美国人的主要死亡原因，也是在年龄之前丧生的潜在生命年的最大原因 75岁，超过癌症或心脏病。可以预防多达20％的创伤性死亡。估计 沟通不畅（这导致错误，创伤团队混乱和次优护理）是可归因于领先的 医疗第一阶段的死亡原因。在某种程度上，这种误导源于复杂而混乱的性质 创伤复苏环境。虽然这是创伤团队讲话的情况下固有的，但有方面 可以更改以改善沟通和捕获的患者数据质量的环境。目前， 美国许多创伤中心都依靠在创伤复苏期间记录数据。由于护士抄写员被指控 数据输入，人为错误进一步导致数据不准确或可能影响管理质量的遗漏 创伤案。由于传输的信息量的庞大，零碎的信息也很困难 各种显示上介绍的信息的性质，以及信息不会同时流向 治疗团队。不幸的是，当前的电子健康记录（EHRS）不支持数据的快速输入，实际上， 已知会减慢许多过程。此外，当前使用的任何方法都没有考虑前线员工 工作流或提供情境意识。为了解决这些问题，我们开发了一个原型电子 平台与情况意识监视器结合在一起，该监视器无缝集成到当前的复苏工作流中。我们 在早期工作中，已经对创伤人员进行了可用性测试，我们在其中建立了无线连接 所有系统组件，证明用户接受界面设计的接口设计，抄写员护士和 来自情境意识监视器（SAM）的数据输出的验证完整性。该第二阶段项目的目标是 将该独立产品集成到一个常用的电子健康记录平台中，以优化安全性，数据 共享和更容易地采用该平台。我们将严格测试系统以正确整合，同化 护理工作流程和可用性。测试将使用模拟的创伤复苏和实际创伤进行。这 设备有可能通过有效，更完整的能力大大提高复苏效率和患者安全 和准确的数据捕获。我们的技术将通过改善情况意识对患者的结果产生积极影响 和更快的干预。成功完成本第二阶段赠款后，我们将准备遵循我们的销售计划和 致力于在流行的EHR平台上更广泛的集成。