Things falling through the cracks: Information loss during pediatric trauma care transitions

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

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

Abstract

Pediatric trauma is one of the leading causes of morbidity and mortality in children in the USA. Several clinical teams converge to support trauma care in the Emergency Department (ED); the most severe trauma cases often need surgery in the operating room (OR) and/or are admitted to the pediatric intensive care unit (PICU). These care transitions can result in loss of information or transfer of incorrect information, We interviewed 18 clinicians about communication and coordination during care transitions between the ED, OR and PICU. Clinicians completed a short questionnaire about patient safety during transitions. Results show that, although many services and units involved in pediatric trauma work well together, important patient care information may be lost in the transitions. To safely manage transitions of this fragile, unstable, complex population, we need to better manage the information flow during these transitions.

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
Pages479-488
Number of pages10
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
Cracks
Operating rooms
Intensive care units
Surgery
Communication

Keywords

  • Care transitions
  • Patient safety
  • Pediatric trauma
  • Teamwork

ASJC Scopus subject areas

  • Control and Systems Engineering
  • Computer Science(all)

Cite this

Hoonakker, P., Wooldridge, A., Hose, B. Z., Carayon, P., Eithun, B., Brazelton, T., ... Gurses, A. (2019). Things falling through the cracks: Information loss during pediatric trauma care transitions. 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. 479-488). (Advances in Intelligent Systems and Computing; Vol. 818). Springer Verlag. https://doi.org/10.1007/978-3-319-96098-2_60

Things falling through the cracks : Information loss during pediatric trauma care transitions. / Hoonakker, Peter; Wooldridge, Abigail; Hose, Bat Zion; Carayon, Pascale; Eithun, Ben; Brazelton, Thomas; Dean, Shannon; 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. 479-488 (Advances in Intelligent Systems and Computing; Vol. 818).

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

Hoonakker, P, Wooldridge, A, Hose, BZ, Carayon, P, Eithun, B, Brazelton, T, Dean, S, Kelly, M, Kohler, J, Ross, J, Rusy, D & Gurses, A 2019, Things falling through the cracks: Information loss during pediatric trauma care transitions. 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. 479-488, 20th Congress of the International Ergonomics Association, IEA 2018, Florence, Italy, 8/26/18. https://doi.org/10.1007/978-3-319-96098-2_60
Hoonakker P, Wooldridge A, Hose BZ, Carayon P, Eithun B, Brazelton T et al. Things falling through the cracks: Information loss during pediatric trauma care transitions. 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. 479-488. (Advances in Intelligent Systems and Computing). https://doi.org/10.1007/978-3-319-96098-2_60
Hoonakker, Peter ; Wooldridge, Abigail ; Hose, Bat Zion ; Carayon, Pascale ; Eithun, Ben ; Brazelton, Thomas ; Dean, Shannon ; Kelly, Michelle ; Kohler, Jonathan ; Ross, Joshua ; Rusy, Deborah ; Gurses, Ayse. / Things falling through the cracks : Information loss during pediatric trauma care transitions. 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. 479-488 (Advances in Intelligent Systems and Computing).
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