: New technologies are expanding the amount of information available to health care practitioners. In the perioperative environment, this includes an increase in patient monitoring data. The dynamic nature of the perioperative environment makes it especially susceptible to problems of information overload. There is a need for a holistic and human centered approach in the analysis and redesign of perioperative information displays. The main hypothesis for this research is that the application of human factors design principles and the use of a human centered design process will lead to the design of perioperative information displays that improve patient care compared to current systems. This research plan involves four main components: 1. Identification of human factors design principles based on contemporary theories of human decisionmaking, situation awareness, and teamwork that are relevant to the dynamic, mobile, risky, team-based, and information-rich perioperative environment; 2. The application of cognitive task analyses and knowledge elicitation methods to identify the important information requirements for the perioperative environment; 3. The design of perioperative information displays using a human-centered approach that includes a process of iterative user evaluation and redesign;and 4. Comparison of the new designs with conventional perioperative information displays under anesthesia crisis management scenarios using a human patient simulator. In addition to the potential to improve patient safety through better information management in the perioperative environment, the results of this effort will have implications for: (1) training in the perioperative environment;and (2) system design in other dynamic, safety-critical health care environments.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Scientist Development Award - Research (K02)
Project #
5K02HS015704-04
Application #
7627314
Study Section
HSR Health Care Research Training SS (HCRT)
Program Officer
Anderson, Kay
Project Start
2006-08-01
Project End
2011-07-31
Budget Start
2009-08-01
Budget End
2010-07-31
Support Year
4
Fiscal Year
2009
Total Cost
Indirect Cost
Name
Duke University
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
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Wright, Melanie C; Dunbar, Sherry; Macpherson, Brekk C et al. (2016) Toward Designing Information Display to Support Critical Care. A Qualitative Contextual Evaluation and Visioning Effort. Appl Clin Inform 7:912-929
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Stafford-Smith, Mark (2013) Can ""earlier biomarkers"" help early biomarkers predict acute kidney injury? Crit Care Med 41:914-5
Segall, Noa; Bonifacio, Alberto S; Schroeder, Rebecca A et al. (2012) Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg 115:102-15
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