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.
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
Assistant Professor
Department of Industrial & Enterprise Systems Engineering
University of Illinois at Urbana-Champaign
Nicole Chandler, MD
Department of Pediatric Surgery
All Children’s Hospital
Johns Hopkins Medicine
Deborah Rusy, MD, MBA
School of Medicine and Public Health
University of Wisconsin-Madison
Ant Ozok, PhD
Associate Professor, Department of Information Systems
University of Maryland, Baltimore County
Emilie Roth, PhD
Cognitive Engineering Specialist
Roth Cognitive Engineering
Betsy Hose
Research Assistant
Center for Quality and Productivity Improvement
University of Wisconsin-Madison
Jordan Ramsey
Research Assistant
Center for Quality and Productivity Improvement
University of Wisconsin-Madison
2020
Wooldridge, A.R., Carayon, P, Hoonakker, P.L.T., Hose, B.-Z., Eithun, B.L., Brazelton, T.B., Ross, J.C., Kohler, J.E, Kelly, M.M., Dean, S.M., Rusy, D.A., Gurses, A.P. (2020, Online first). Work System Barriers and Facilitators in Inpatient Care Transitions of Pediatric Trauma Patients. Applied Ergonomics Special Issue on Care Transitions, Vol. 85, May 2020. https://doi.org/10.1016/j.apergo.2020.103059
2019
Hose, B.-T., Hoonakker, P., Wooldrige, A., Brazelton, T., Dean, S., Eithun, B., Fackler, J., Gurses, A.P., Kelly, M.M., Kohler, J.E., McGeorge, N., Ross, J., Rusy, D. and Carayon, P. Physician Perceptions of the Electronic Problem List in Pediatric Trauma Care. Appl Clin Inform, 10(1), 113-122. https://doi.org/10.1055/s-0039-1677737
Hoonakker, P.L.T., Carayon, P., Hose, B-Z, Ramsey, J., Eithun, B., Kim, M.K., Koffarnus, K.S., Kohler, J.E., Nieman, J.A., Reisman, M.M., Ross, J.C.,., Rusy, D.A., Soetenga, D.J., (2019). Proactive Risk Assessment of Team Health IT for Pediatric Trauma Care Transitions (T3). In: Health and Social Care Systems for the Future: Demographic Changes, Digital Age and Human Factors (Cotrim, T.P., Serranheira, F., Sousa, P., Hignett, S., Albolino, S., Tartaglia, R. (eds.)), pp. 213-221.
Wooldridge, A. R., Carayon, P., Hoonakker, P. L. T., Hose, B.-Z., Ross, J., Kohler, J., Brazelton, T., Eithun, B., Kelly, M., Dean, S., Rusy, D., Durojaiye, A. & Gurses, A. P. (2019). Complexity of the Pediatric Trauma Care Process: Implications for Multi-Level Awareness. Cognition, Technology and Work, 21: 397-416. doi:10.1007/s10111-018-0520-0.
Hoonakker, P.L.T., Wooldridge, A.R, Carayon, P., Hose, B.-Z., Eithun, B.L., Brazelton, T.B., Dean, S.M., Kelly, M.M., Kohler, J.E, Ross, J.C., Rusy, D.A., Gurses, A.P. (published online). Information Loss during Pediatric Trauma Care Transitions: Things Falling Through the Cracks. Paper published online in Internal and Emergency Medicine. https://doi.org/10.1007/s11739-019-02110-7
2018
Durojaiye, A.B., McGeorge, N.M., Puett, L.L., Stewart, D., Fackler, J.C., Hoonakker, P.L.T., Lehmann, H.P., Gurses, A.P. (2018). Mapping the flow of pediatric trauma patients using process mining on trauma registry data. Applied Clinical Informatics, 9 (3); pp. 654-666. https://doi.org/10.1055/s-0038-1668089.
Hoonakker, P.L.T., Wooldridge, A.R, Carayon, P., Hose, B.-Z., Eithun, B.L., Brazelton, T.B., Dean, S.M., Kelly, M.M., Kohler, J.E, Ross, J.C., Rusy, D.A., Gurses, A.P (2019). Things Falling Through the Cracks: Information Loss During Pediatric Trauma Care Transitions. In: Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018), pp. 479-488. IEA 2018, Florence, Italy, August 26-30, 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_60
Hose BZ., Carayon, P., Hoonakker, P.L.T., Wooldridge, A.R, Brazelton, T.B., Eithun, B.L., Kelly, M.M., Dean, S.M., Eithun, B., Kelly, M., Kohler, J.C., Ross, J.E, Rusy, D.A., Gurses, A.P. (2018) Challenges of Disposition Decision Making for Pediatric Trauma Patients in the Emergency Department. In: Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol. 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_44
Wooldridge, A. R., Carayon, P., Hoonakker, P., Hose, B.-Z., Gurses, A. (Accepted). Redefining the Scope of the Care Transition Process: A Study of Pediatric Trauma Care Transitions. Paper accepted for presentation at the HFES Conference, Philadelphia, PA, Oct 1-5, 2018.
2017
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. (2017). Information Needs of Physicians in Pediatric Trauma. Poster presented at the Human Factors and Ergonomics in Healthcare Conference, March 5-8, 2017, New Orleans, Louisiana.
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. (2017). Understanding Team Complexity in Pediatric Trauma Care. Poster presented at the Human Factors and Ergonomics in Healthcare Conference, March 5-8, 2017, New Orleans, Louisiana.
Wooldridge, A., Gurses, A., Carman, E.M., Waterson, P. Sesto, M., Hoonakker, P.L.T. (2017). Designing and managing healthcare transitions. Proceedings of the ODAM conference, Banff, Canada, July 31-Aug 3, 2017, pp. 538-542.
2016
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.
Evaluation of Design Session Survey
Pediatric Trauma Expert Interview Guide Problem List
Pediatric Trauma Transitions Interview Guide
AHRQ Patient Safety Survey in Peds Trauma Transition Interviews
Adult OR to TLC Trauma Transitions Interview Guide
Teamwork Transitions Technology (T3) for Pediatric Trauma Patients Interview Guide
- T3© by Peter Hoonakker, Pascale Carayon, Abigail Wooldridge, Betsy Hose, CQPI, WIHSE is licensed under CC BY-NC 4.0
For more information on T3, see:
- Hoonakker, P. L. T., et al. (2019). Proactive Risk Assessment of Team Health IT for Pediatric Trauma Care Transitions (T3). Health and Social Care Systems of the Future: Demographic Changes, Digital Age and Human Factors. T. P. Cotrim, F. Serranheira, P. Sousa et al. Cham, Switzerland, Springer International Publishing: 213-221.
T3 Evaluation Mock-Up Survey Tool: Physicians