In vitro evaluation of a computer-assisted decision support system for the primary care of polytrauma patients.
Introduction: The management of polytraumatized patients is set in a stressful environment with numerous critical decisions in a brief amount of time. Working along a standardised procedure can improve the outcome for these patients and reduce mortality. To help clinical practitioners, we developed...
| Published in: | European Journal of Trauma & Emergency Surgery Vol. 49; no. 5; pp. 2187 - 2193 |
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| Main Authors: | , , , , , , |
| Format: | pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Oct2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172329428&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172329428 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Oct2023 vid: 49 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172329428 164167121 172329428 172329428 10.1007/s00068-023-02295-9 172329428 ppf: 2187 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: In vitro evaluation of a computer-assisted decision support system for the primary care of polytrauma patients. aug: au: Vogel, Christoph Neumann, Juliane Kießling, Lisa Hempel, Gunther Neumuth, Thomas Kleber, Christian Osterhoff, Georg affil: https://ror.org/028hv5492 Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany sug: subj: Decision Support Systems, Management Primary Health Care Multiple Trauma Workflow Job Performance Evaluation Guideline Adherence Human Students, Medical Workload Interns and Residents Adult Female Male Descriptive Statistics Simulations Questionnaires Life Support Care Treatment Outcomes Stress, Occupational Chi Square Test Data Analysis Software In Vitro Studies Adult: 19-44 years Female Male ab: Introduction: The management of polytraumatized patients is set in a stressful environment with numerous critical decisions in a brief amount of time. Working along a standardised procedure can improve the outcome for these patients and reduce mortality. To help clinical practitioners, we developed "TraumaFlow", a workflow management system for the primary care of polytrauma patients based on the current treatment guidelines. This study sought to validate the system and investigate its effect on user performance and perceived workload. Methods: The computer-assisted decision support system was tested in two scenarios in a trauma room of a level 1 trauma centre by 11 final-year medical students and 3 residents. In simulated polytrauma scenarios, the participants functioned as a trauma leader. The first scenario was performed without decision support and the second with support by "TraumaFlow" via tablet. During each scenario, the performance was evaluated in a standardized assessment. After each scenario, the participants answered a questionnaire on workload [NASA Raw Task Load Index (NASA RTLX)]. Results: In total, 14 participants (mean 28 ± 4 years, 43% female) managed 28 scenarios. During the first scenario without computer-assisted support, the participants achieved a mean of 6.6 out of 12 points (SD 1.2, range 5 to 9). With the support of TraumaFlow, the mean performance score was significantly higher with 11.6 out of 12 points (SD 0.5, range 11 to 12, p < 0.001). In the 14 scenarios performed without support, there was no run in which no errors were made. In comparison, ten of the 14 scenarios performed with TraumaFlow ran free of relevant errors. The mean improvement in the performance score was 42%. There was a significant decrease in the mean self-reported mental stress level in scenarios with support of TraumaFlow (55, SD 24) as compared to scenarios without support (72, SD 13, p = 0.041). Conclusion: In a simulated environment, computer-assisted decision-making improved the performance of the trauma leader, helped to adhere to clinical guidelines, and reduced stress in a fast-acting environment. In reality, this may improve the treatment outcome for the patient. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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