University of Wisconsin–Madison

Teamwork and Care Transitions in Pediatric Trauma Understanding Clinical Information Needs and Health Care Decision Making Processes in the Context of Health Information

  • Overview: Ineffective care transitions and handoffs between different units in a hospital can pose significant risks to patient safety, and result in poor clinical and financial outcomes; this is especially true for pediatric trauma care transitions that often take place under high-stress and time-pressure. This proposal is aimed at developing a deep and broad understanding of the cognitive work of clinician teams and family members involved in pediatric trauma care transitions in order to design usable and useful health information technologies. The results of our research will aid in producing innovative concepts, tools, and methods needed for the next generation of information technology-supported work systems that provide integrated, seamless, safe, and patient and family-centered care.

    Aims:

    - to describe cognitive teamwork involved in care transitions of pediatric trauma patients.

    - to develop and test design requirements for future HIT, referred to as the team-centric information technology (TACIT), that supports cognitive teamwork for enhancing safety, quality, and family-centeredness of care.

    Funding: Agency for Healthcare Research and Quality (AHRQ)

  • Ayse Gurses, PhD
    Associate Professor, School of Medicine
    Johns Hopkins University

    Michael Rosen, PhD
    Associate Professor, School of Medicine
    Johns Hopkins University

    James Fackler, MD
    Associate Professor, School of Medicine
    Johns Hopkins University

    Peter Pronovost, MD, PhD
    Director of the Armstrong Institute for Patient Safety and Quality
    Professor, School of Nursing
    Johns Hopkins University

    Fray Stewart, MD
    Director of Pediatric Trauma and Burn Program
    Assistant Professor, Department of Surgery
    Johns Hopkins University

    Elizabeth Hunt, MD, PhD
    Assistant Professor, Anesthesiology and Critical Care Medicine
    Johns Hopkins University

    David Thompson, DNSc, MS
    Director of Patient Safety Education
    Associate Professor, Anesthesiology and Critical Care Medicine
    Johns Hopkins University

    Martha Stevens, MD
    Assistant Professor, Pediatrics
    Johns Hopkins University

    Pascale Carayon, PhD
    Procter & Gamble Bascom Professor in Total Quality
    Department of Industrial and Systems Engineering
    Director, Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Peter Hoonakker, PhD
    Research Scientist, Associate Director of Research
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Tom Brazelton, MD, MPH|
    School of Medicine and Public Health
    University of Wisconsin-Madison

    Roger Brown, PhD
    Professor, School of Nursing
    University of Wisconsin-Madison

    Shannon Dean, MD
    School of Medicine and Public Health
    University of Wisconsin Madison

    Michelle Kelly, MD
    School of Medicine and Public Health
    University of Wisconsin Madison

    Jonathan Kohler, MD
    Assistant Professor, Department of Surgery
    University of Wisconsin-Madison

    Joshua Ross, MD
    School of Medicine and Public Health
    University of Wisconsin-Madison

    Abigail Wooldridge, PhD Student
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Nicole Chandler, MD
    Department of Pediatric Surgery
    All Children’s Hospital
    Johns Hopkins Medicine

    Ant Ozok, PhD
    Associate Professor, Department of Information Systems
    University of Maryland, Baltimore County

    Emilie Roth, PhD
    Cognitive Engineering Specialist
    Roth Cognitive Engineering

  • Hose, B-Z., Carayon, P., Hoonakker, P., Wooldridge, A.R., Ross, J., Kohler, J., Brazelton, T., Eithun, B., Kelly, M., Dean, S., Rusy, D., Gurses, A. (Accepted). Information Needs of Physicians in Pediatric Trauma. Poster to be presented at the Human Factors and Ergonomics in Healthcare, March 5-8, New Orleans, Louisiana.

    McGeorge, N.M., Durojaiye, A.B., Fackler, J.C., Xie, A., Rosen, M.A., Hundt, E.A., Steward, D., Puett, L.L., Wooldridge, A.R., Carayon, P., Hoonakker, P., Gurses, A.P. (2016). Pediatric Trauma Care Transitions: Understanding Teamwork for Health IT Design. Seventh Annual Johns Hopkins Medicine Patient Safety Summit: Working Together to Achieve Zero Preventable Harm, October, 2016, Baltimore, MD.

    Wooldridge, A. R., Carayon, P., Hoonakker, P., Hose, B.-Z., Ross, J., Kohler, J., Brazelton, T., Eithun, B., Kelly, M., Dean, S., Rusy, D., Gurses, A. (Accepted). Understanding Team Complexity in Pediatric Trauma Care. Human Factors and Ergonomics in Healthcare, March 5-8, New Orleans, Louisiana.

     

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