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

doi:10.1007/978-3-319-96098-2_44

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

School of Medicine

Research output: Chapter in Book/Report/Conference proceeding › Conference 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.

Original language	English (US)
Title of host publication	Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume I
Subtitle of host publication	Healthcare Ergonomics
Editors	Sebastiano Bagnara, Yushi Fujita, Riccardo Tartaglia, Sara Albolino, Thomas Alexander
Publisher	Springer Verlag
Pages	339-345
Number of pages	7
ISBN (Print)	9783319960975
DOIs	https://doi.org/10.1007/978-3-319-96098-2_44
State	Published - 2019
Event	20th Congress of the International Ergonomics Association, IEA 2018 - Florence, Italy Duration: Aug 26 2018 → Aug 30 2018

Publication series

Name	Advances in Intelligent Systems and Computing
Volume	818
ISSN (Print)	2194-5357

Other

Other	20th Congress of the International Ergonomics Association, IEA 2018
Country/Territory	Italy
City	Florence
Period	8/26/18 → 8/30/18

Keywords

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

ASJC Scopus subject areas

Control and Systems Engineering
General Computer Science

Access to Document

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

Cite this

Hose, B. Z., 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 (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 et al.
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 proceeding › Conference 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). doi: 10.1007/978-3-319-96098-2_44

Hose, Bat Zion ; Carayon, Pascale ; Hoonakker, Peter et al. / 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).

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

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Keywords

ASJC Scopus subject areas

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