ArticleCognition, technology & work (Online)2019
Complexity of the pediatric trauma care process: Implications for multi-level awareness.
Article in Cognition, technology & work (Online), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
22 citing papers in PubMed, 43 citations in OpenAlex.
- Impact of Pediatric Trauma Resuscitation Module (PTRM) on Clinical Outcomes in a Level-1 Trauma Centre in India.Indian pediatrics · 2026Article
- Severe Paediatric Trauma in Australia: A 5-Year Retrospective Epidemiological Analysis of High-Severity Fractures in Rural New South Wales.Journal of clinical medicine · 2025Article
- Improving pediatric trauma care at a level 1 pediatric trauma center through the multi-year implementation of a Pediatric Trauma Boot Camp curriculum.Advances in simulation (London, England) · 2025Article
- Team Cognition in Handoffs: Relating System Factors, Team Cognition Functions and Outcomes in Two Handoff Processes.Human factors · 2024Article
- Work system barriers and facilitators of a team health information technology.Applied ergonomics · 2023Article
- Distributed team processes in healthcare services: a scoping review.Frontiers in medicine · 2023Article
- Situation Awareness-Oriented Dashboard in ICUs in Support of Resource Management in Time of Pandemics.IEEE journal of translational engineering in health and medicine · 2023Article
- Towards better understanding of workplace factors contributing to hospitalist burden and burnout prior to COVID-19 pandemic.Applied ergonomics · 2023Article
- Managing multiple perspectives in the collaborative design process of a team health information technology.Applied ergonomics · 2023Article
- Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study.JMIR human factors · 2022Article
- Human-centered design of team health IT for pediatric trauma care transitions.International journal of medical informatics · 2022Article
- A task analysis of central line-associated bloodstream infection (CLABSI) surveillance in home infusion therapy.American journal of infection control · 2022Article
- Examining Diurnal Differences in Multidisciplinary Care Teams at a Pediatric Trauma Center Using Electronic Health Record Data: Social Network Analysis.Journal of medical Internet research · 2022Article
- Scenario-Based Evaluation of Team Health Information Technology to Support Pediatric Trauma Care Transitions.Applied clinical informatics · 2022Article
- Care transition of trauma patients: Processes with articulation work before and after handoff.Applied ergonomics · 2022Article
- Human Factors and Organizational Issues.Yearbook of medical informatics · 2020Review
- Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.Applied ergonomics · 2020Article
- Crash analysis of mountainous freeways with high bridge and tunnel ratios using road scenario-based discretization.PloS one · 2020Article
- Information flow during pediatric trauma care transitions: things falling through the cracks.Internal and emergency medicine · 2019Article
- Human Factors and Usability for Health Information Technology: Old and New Challenges.Yearbook of medical informatics · 2019Article
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 1 country.
Funding
Abstract
Trauma is the leading cause of disability and death in children and young adults in the US. While much is known about the medical aspects of inpatient pediatric trauma care, not much is known about the processes and roles involved in in-hospital care. Using human factors engineering (HFE) methods, we combine interview, archival document and trauma registry data to describe how intra-hospital care transitions affect process and team complexity. Specifically, we identify the 53 roles directly involved in patient care in each hospital unit and describe the 3324 total transitions between hospital units and the 69 unique pathways, from arrival to discharge, experienced by pediatric trauma patients. We continue the argument to shift from eliminating complexity to coping with it and propose supporting three levels of awareness to enhance the resilience and adaptation necessary for patient safety in health care, i.e. safety in complex systems. We discuss three levels of awareness (individual, team and organizational) and describe challenges and potential sociotechnical solutions for each. For example, one challenge to individual awareness is high time pressure. A potential solution is clinical decision support of information perception, integration and decision making. A challenge to team awareness is inadequate "non-technical" skills, e.g., leadership, communication, role clarity; simulation or another form of training could improve these. The complex, distributed nature of this process is a challenge to organizational awareness; a potential solution is to develop awareness of the process and the roles and interdependencies within it, by using process modeling or simulation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.