Challenges of disposition decision making for pediatric trauma patients in the emergency department

Bat Zion Hose, Pascale Carayon, Peter Hoonakker, Abigail Wooldridge, Tom Brazelton, Shannon Dean, Ben Eithun, Michelle Kelly, Jonathan Kohler, Joshua Ross, Deborah Rusy, Ayse Gurses

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

About 9.2 million children visit the emergency department (ED) in the US annually because of trauma and 20% experience a missed injury. Upon arriving to the hospital, physicians evaluate the child and make the ED disposition decision of whether to admit, operate or discharge. The objective of this study is to report the challenges mentioned by healthcare professionals about ED disposition decision making. We conducted 11 interviews with 12 healthcare professionals and identified 2 challenges of ED disposition decision making. The first challenge was timing of the decision; e.g., an ED nurse explained that a quick decision by physicians is important for providing timely patient care to critically ill children. The second challenge was leadership and team organization; e.g., the OR nurse and surgery resident both mentioned the need to know who to listen to so that they can understand what to do. Analyzing these challenges to ED disposition decision making can help to identify sociotechnical solutions for enhancing team situation awareness.

LanguageEnglish (US)
Title of host publicationProceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I
Subtitle of host publicationHealthcare Ergonomics
EditorsSebastiano Bagnara, Yushi Fujita, Riccardo Tartaglia, Sara Albolino, Thomas Alexander
PublisherSpringer Verlag
Pages339-345
Number of pages7
ISBN (Print)9783319960975
DOIs
StatePublished - Jan 1 2019
Event20th Congress of the International Ergonomics Association, IEA 2018 - Florence, Italy
Duration: Aug 26 2018Aug 30 2018

Publication series

NameAdvances in Intelligent Systems and Computing
Volume818
ISSN (Print)2194-5357

Other

Other20th Congress of the International Ergonomics Association, IEA 2018
CountryItaly
CityFlorence
Period8/26/188/30/18

Fingerprint

Pediatrics
Decision making
Surgery

Keywords

  • Coordination
  • Decision making
  • ED disposition
  • Patient safety
  • Pediatric trauma
  • Team situational awareness

ASJC Scopus subject areas

  • Control and Systems Engineering
  • Computer Science(all)

Cite this

Hose, B. Z., Carayon, P., Hoonakker, P., Wooldridge, A., Brazelton, T., Dean, S., ... Gurses, A. (2019). Challenges of disposition decision making for pediatric trauma patients in the emergency department. In S. Bagnara, Y. Fujita, R. Tartaglia, S. Albolino, & T. Alexander (Eds.), Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I: Healthcare Ergonomics (pp. 339-345). (Advances in Intelligent Systems and Computing; Vol. 818). Springer Verlag. https://doi.org/10.1007/978-3-319-96098-2_44

Challenges of disposition decision making for pediatric trauma patients in the emergency department. / Hose, Bat Zion; Carayon, Pascale; Hoonakker, Peter; Wooldridge, Abigail; Brazelton, Tom; Dean, Shannon; Eithun, Ben; Kelly, Michelle; Kohler, Jonathan; Ross, Joshua; Rusy, Deborah; Gurses, Ayse.

Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I: Healthcare Ergonomics. ed. / Sebastiano Bagnara; Yushi Fujita; Riccardo Tartaglia; Sara Albolino; Thomas Alexander. Springer Verlag, 2019. p. 339-345 (Advances in Intelligent Systems and Computing; Vol. 818).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Hose, BZ, Carayon, P, Hoonakker, P, Wooldridge, A, Brazelton, T, Dean, S, Eithun, B, Kelly, M, Kohler, J, Ross, J, Rusy, D & Gurses, A 2019, Challenges of disposition decision making for pediatric trauma patients in the emergency department. in S Bagnara, Y Fujita, R Tartaglia, S Albolino & T Alexander (eds), Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I: Healthcare Ergonomics. Advances in Intelligent Systems and Computing, vol. 818, Springer Verlag, pp. 339-345, 20th Congress of the International Ergonomics Association, IEA 2018, Florence, Italy, 8/26/18. https://doi.org/10.1007/978-3-319-96098-2_44
Hose BZ, Carayon P, Hoonakker P, Wooldridge A, Brazelton T, Dean S et al. Challenges of disposition decision making for pediatric trauma patients in the emergency department. In Bagnara S, Fujita Y, Tartaglia R, Albolino S, Alexander T, editors, Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I: Healthcare Ergonomics. Springer Verlag. 2019. p. 339-345. (Advances in Intelligent Systems and Computing). https://doi.org/10.1007/978-3-319-96098-2_44
Hose, Bat Zion ; Carayon, Pascale ; Hoonakker, Peter ; Wooldridge, Abigail ; Brazelton, Tom ; Dean, Shannon ; Eithun, Ben ; Kelly, Michelle ; Kohler, Jonathan ; Ross, Joshua ; Rusy, Deborah ; Gurses, Ayse. / Challenges of disposition decision making for pediatric trauma patients in the emergency department. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I: Healthcare Ergonomics. editor / Sebastiano Bagnara ; Yushi Fujita ; Riccardo Tartaglia ; Sara Albolino ; Thomas Alexander. Springer Verlag, 2019. pp. 339-345 (Advances in Intelligent Systems and Computing).
@inproceedings{16985de7614d45998652484653561c5b,
title = "Challenges of disposition decision making for pediatric trauma patients in the emergency department",
abstract = "About 9.2 million children visit the emergency department (ED) in the US annually because of trauma and 20{\%} experience a missed injury. Upon arriving to the hospital, physicians evaluate the child and make the ED disposition decision of whether to admit, operate or discharge. The objective of this study is to report the challenges mentioned by healthcare professionals about ED disposition decision making. We conducted 11 interviews with 12 healthcare professionals and identified 2 challenges of ED disposition decision making. The first challenge was timing of the decision; e.g., an ED nurse explained that a quick decision by physicians is important for providing timely patient care to critically ill children. The second challenge was leadership and team organization; e.g., the OR nurse and surgery resident both mentioned the need to know who to listen to so that they can understand what to do. Analyzing these challenges to ED disposition decision making can help to identify sociotechnical solutions for enhancing team situation awareness.",
keywords = "Coordination, Decision making, ED disposition, Patient safety, Pediatric trauma, Team situational awareness",
author = "Hose, {Bat Zion} and Pascale Carayon and Peter Hoonakker and Abigail Wooldridge and Tom Brazelton and Shannon Dean and Ben Eithun and Michelle Kelly and Jonathan Kohler and Joshua Ross and Deborah Rusy and Ayse Gurses",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/978-3-319-96098-2_44",
language = "English (US)",
isbn = "9783319960975",
series = "Advances in Intelligent Systems and Computing",
publisher = "Springer Verlag",
pages = "339--345",
editor = "Sebastiano Bagnara and Yushi Fujita and Riccardo Tartaglia and Sara Albolino and Thomas Alexander",
booktitle = "Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I",

}

TY - GEN

T1 - Challenges of disposition decision making for pediatric trauma patients in the emergency department

AU - Hose, Bat Zion

AU - Carayon, Pascale

AU - Hoonakker, Peter

AU - Wooldridge, Abigail

AU - Brazelton, Tom

AU - Dean, Shannon

AU - Eithun, Ben

AU - Kelly, Michelle

AU - Kohler, Jonathan

AU - Ross, Joshua

AU - Rusy, Deborah

AU - Gurses, Ayse

PY - 2019/1/1

Y1 - 2019/1/1

N2 - About 9.2 million children visit the emergency department (ED) in the US annually because of trauma and 20% experience a missed injury. Upon arriving to the hospital, physicians evaluate the child and make the ED disposition decision of whether to admit, operate or discharge. The objective of this study is to report the challenges mentioned by healthcare professionals about ED disposition decision making. We conducted 11 interviews with 12 healthcare professionals and identified 2 challenges of ED disposition decision making. The first challenge was timing of the decision; e.g., an ED nurse explained that a quick decision by physicians is important for providing timely patient care to critically ill children. The second challenge was leadership and team organization; e.g., the OR nurse and surgery resident both mentioned the need to know who to listen to so that they can understand what to do. Analyzing these challenges to ED disposition decision making can help to identify sociotechnical solutions for enhancing team situation awareness.

AB - About 9.2 million children visit the emergency department (ED) in the US annually because of trauma and 20% experience a missed injury. Upon arriving to the hospital, physicians evaluate the child and make the ED disposition decision of whether to admit, operate or discharge. The objective of this study is to report the challenges mentioned by healthcare professionals about ED disposition decision making. We conducted 11 interviews with 12 healthcare professionals and identified 2 challenges of ED disposition decision making. The first challenge was timing of the decision; e.g., an ED nurse explained that a quick decision by physicians is important for providing timely patient care to critically ill children. The second challenge was leadership and team organization; e.g., the OR nurse and surgery resident both mentioned the need to know who to listen to so that they can understand what to do. Analyzing these challenges to ED disposition decision making can help to identify sociotechnical solutions for enhancing team situation awareness.

KW - Coordination

KW - Decision making

KW - ED disposition

KW - Patient safety

KW - Pediatric trauma

KW - Team situational awareness

UR - http://www.scopus.com/inward/record.url?scp=85051944102&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051944102&partnerID=8YFLogxK

U2 - 10.1007/978-3-319-96098-2_44

DO - 10.1007/978-3-319-96098-2_44

M3 - Conference contribution

SN - 9783319960975

T3 - Advances in Intelligent Systems and Computing

SP - 339

EP - 345

BT - Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I

A2 - Bagnara, Sebastiano

A2 - Fujita, Yushi

A2 - Tartaglia, Riccardo

A2 - Albolino, Sara

A2 - Alexander, Thomas

PB - Springer Verlag

ER -