An assessment of information needs and workflows for emergency service providers and caregivers of children with medical complexity.

BACKGROUND: The goal of Project Austin, an initiative to improve emergency care for rural children who are medically complex (CMC), is to provide an Emergency Information Form (EIF) to their parents/caregivers, to local Emergency Medical Services, and Emergency Departments. EIFs are standard forms recommended by the American Academy of Pediatrics that provide pre-planned rapid response instructions, including medical conditions, medications, and care recommendations, for emergency providers. Our objective is to describe the workflows and perceived utility of the provided emergency information forms (EIFs) in the acute medical management of CMC. METHODS: We sampled from two key stakeholder groups in the acute management of CMC: four focus groups with emergency medical providers from rural and urban settings and eight key informant interviews with parents/caregivers enrolled in an emergency medical management program for CMC. Transcripts were thematically analyzed in NVivo© by two coders using a content analysis approach. The thematic codes were combined into a codebook and revised the themes present through combining relevant themes and developing of sub-themes until they reached consensus. RESULTS: All parents/caregivers interviewed were enrolled in Project Austin and had an EIF. Emergency medical providers and parents/caregivers supported the usage of EIFs for CMC. Parents/caregivers also felt EIFs made emergency medical providers more prepared for their child. Providers identified that EIFs helped provide individualized care, however they were not confident the data was current and so felt unsure they could rely on the recommendations on the EIF. CONCLUSION: EIFs are an easy way to engage parents, caregivers, and emergency medical providers about the specifics of a care for CMC during an emergency. Timely updates and electronic access to EIFs could improve their value for medical providers.

Virtual teamwork in healthcare delivery: I-O psychology in telehealth research and practice

[...]research on virtual healthcare teams will take place primarily in field-based versus laboratory-based settings, which may improve the ecological validity of research findings when applied in practice. [...]the rapid transition to telehealth due to the COVID-19 pandemic presents a significant opportunity for longitudinal research to study healthcare teams with a prior (and, perhaps long-term) history of face-to-face (FTF) interactions that now take place with some extent of virtuality. [...]in the inpatient setting, teams engaging in virtual rounding or teams working within inpatient COVID-19 care units will exhibit variations in functional diversity (e.g., clinical expertise), technology used (e.g., videoconferencing, telephone), and geographic dispersion (e.g., locally within the hospital with some in/out of the patient room) throughout the duration of a patient’s hospitalization. [...]there is an opportunity to move beyond subjective satisfaction and experience indicators of virtual team performance to more objective outcomes.