TY - JOUR
T1 - Team Cognition as a Barrier and Facilitator in Care Transitions
T2 - 63rd International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2019
AU - Wooldridge, Abigail R.
AU - Carayon, Pascale
AU - Hoonakker, Peter
AU - Hose, Bat Zion
AU - Brazelton, Thomas B.
AU - Eithun, Ben
AU - Dean, Shannon M.
AU - Kelly, Michelle M.
AU - Kohler, Jonathan E.
AU - Ross, Joshua C.
AU - Rusy, Deborah
AU - Gurses, Ayse P.
N1 - Publisher Copyright:
© 2019 by Human Factors and Ergonomics Society.
PY - 2019
Y1 - 2019
N2 - Inpatient care of pediatric trauma patients includes care transitions, including from emergency department (ED) to operating room (OR), OR to pediatric intensive care unit (PICU) and ED to PICU, which are important to patient safety and quality of care. Previous research identified work system barriers and facilitators in these transitions; the most common related to team cognition. We conducted interviews with 18 healthcare professionals to better understand how work system design influences team cognition barriers and facilitators. Using Systems Engineering Initiative for Patient Safety (SEIPS)-based process modeling, we identified when each barrier/facilitator occurred. The ED to OR transition had more barriers in transition preparation, while OR to PICU had more facilitators in the transition. Future research should explore solutions to support team cognition early in the ED to OR transition, such as designing a technology to be used by distributed teams.
AB - Inpatient care of pediatric trauma patients includes care transitions, including from emergency department (ED) to operating room (OR), OR to pediatric intensive care unit (PICU) and ED to PICU, which are important to patient safety and quality of care. Previous research identified work system barriers and facilitators in these transitions; the most common related to team cognition. We conducted interviews with 18 healthcare professionals to better understand how work system design influences team cognition barriers and facilitators. Using Systems Engineering Initiative for Patient Safety (SEIPS)-based process modeling, we identified when each barrier/facilitator occurred. The ED to OR transition had more barriers in transition preparation, while OR to PICU had more facilitators in the transition. Future research should explore solutions to support team cognition early in the ED to OR transition, such as designing a technology to be used by distributed teams.
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U2 - 10.1177/1071181319631303
DO - 10.1177/1071181319631303
M3 - Conference article
AN - SCOPUS:85164068029
SN - 1071-1813
VL - 63
SP - 648
EP - 652
JO - Proceedings of the Human Factors and Ergonomics Society
JF - Proceedings of the Human Factors and Ergonomics Society
IS - 1
Y2 - 28 October 2019 through 1 November 2019
ER -