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J Med Syst ; 41(12): 186, 2017 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-29039621

RESUMO

The work of a hospital's medical staff is safety critical and often occurs under severe time constraints. To provide timely and effective cognitive support to medical teams working in such contexts, guidelines in the form of best practice workflows for healthcare have been developed by medical organizations. However, the high cognitive load imposed in such stressful and rapidly changing environments poses significant challenges to the medical staff or team in adhering to these workflows. In collaboration with physicians and nurses from Carle Foundation Hospital, we first studied and modeled medical team's individual responsibilities and interactions in cardiac arrest resuscitation and decomposed their overall task into a set of distinct cognitive tasks that must be specifically supported to achieve successful human-centered system design. We then developed a medical Best Practice Guidance (BPG) system for reducing medical teams' cognitive load, thus fostering real-time adherence to best practices. We evaluated the resulting system with physicians and nurses using a professional patient simulator used for medical training and certification. The evaluation results point to a reduction of cognitive load and enhanced adherence to medical best practices.


Assuntos
Parada Cardíaca/terapia , Equipe de Respostas Rápidas de Hospitais/organização & administração , Sistemas de Informação/organização & administração , Corpo Clínico Hospitalar/organização & administração , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Estresse Ocupacional/psicologia , Meio Ambiente , Humanos , Corpo Clínico Hospitalar/psicologia , Monitorização Fisiológica , Recursos Humanos de Enfermagem Hospitalar/psicologia , Equipe de Assistência ao Paciente/organização & administração , Guias de Prática Clínica como Assunto , Treinamento por Simulação , Fatores de Tempo , Fluxo de Trabalho
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