Situation awareness in clinical decision support system case trauma team

Tällä hetkellä tutkimuskohteessa ei ole käytössä elektronista päätöksen- tukijärjestelmää. Tutkimuksen tarkoituksena oli selvittää, miten kliininen päätöksentukijärjestelmä voi auttaa tilannetietoisuuden muodostumista päätöksenteon tueksi traumatiimin toiminnassa Keski-Suomen keskussairaalassa. Trau...

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Päätekijä: Puhilas, Paula
Muut tekijät: Faculty of Information Technology, Informaatioteknologian tiedekunta, Tietojenkäsittelytieteiden laitos, Department of Computer Science and Information Systems, University of Jyväskylä, Jyväskylän yliopisto
Aineistotyyppi: Pro gradu
Kieli:eng
Julkaistu: 2015
Aiheet:
Linkit: https://jyx.jyu.fi/handle/123456789/45412
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author Puhilas, Paula
author2 Faculty of Information Technology Informaatioteknologian tiedekunta Tietojenkäsittelytieteiden laitos Department of Computer Science and Information Systems University of Jyväskylä Jyväskylän yliopisto
author_facet Puhilas, Paula Faculty of Information Technology Informaatioteknologian tiedekunta Tietojenkäsittelytieteiden laitos Department of Computer Science and Information Systems University of Jyväskylä Jyväskylän yliopisto Puhilas, Paula Faculty of Information Technology Informaatioteknologian tiedekunta Tietojenkäsittelytieteiden laitos Department of Computer Science and Information Systems University of Jyväskylä Jyväskylän yliopisto
author_sort Puhilas, Paula
datasource_str_mv jyx
description Tällä hetkellä tutkimuskohteessa ei ole käytössä elektronista päätöksen- tukijärjestelmää. Tutkimuksen tarkoituksena oli selvittää, miten kliininen päätöksentukijärjestelmä voi auttaa tilannetietoisuuden muodostumista päätöksenteon tueksi traumatiimin toiminnassa Keski-Suomen keskussairaalassa. Traumatiimi on moniammatillinen tiimi, joka hoitaa loukkaantuneita potilaita ensiavussa. Parempi tilannetietoisuus johtaa parempiin päätöksiin. Tutkimuksen fokuksena on selvittää, mitä tietoa traumatiimiläiset tarvitsevat tilannetietoisuuden muodostamiseksi ja ylläpitämiseksi. Tutkimuksen menetelmänä on tulkitseva kvalitatiivinen case-tutkimus, jossa tuotetaan malli vastaamaan tutkimuskysymykseen. Traumatiimin harjoituksia kuvattiin ja havainnoitiin 8 kappaletta. Lisäksi harjoitusten palautetilaisuudet litteroitiin haastattelukysymysten pohjaksi. 15 traumatiimin jäsentä haastateltiin yksilöittäin puolistrukturoidusti. Haastateltavat jakautuivat viiteen kirurgiin, neljään anestesialääkäriin, kolmeen kiertohoitajaan ja kolmeen traumahoitajaan. Haastattelut litteroitiin ja analysoitiin. Haastatteluissa mainittujen tietoelementtien pohjalta koottiin kaksi matriisia, joita käytettiin tilannetietoisuuden mallin jatkokehittämiseen haastattelussa esille tulleiden tavoitteiden ja päätösten kera. Traumatiimin tavoite on pitää potilas hengissä. Hengityksen ja verenkierron turvaaminen sekä vitaalien monitorointi ovat päätöksiä, jotka liittyvät tähän tavoitteeseen. Näihin päätöksiin tarvittavat tietoelementit ovat perussairaudet ja lääkitykset, vammaenergia, vammat, tieto poikkeavuuksista (hengitysäänet), happisaturaatioa, verenpaine, sydämen syke, tajunta ja ulkonäkö. Edelleen kehitetystä tilannetietoisuuden mallista nähdään alustavia vaatimuksia, joita tarvitaan päätöksenteon tukemisessa autokolaritilanteessa. Mallia voidaan hyödyntää syvällisemmän elektronisen kliinisen päätöksentukijärjestelmän vaatimusmäärittelyn tekemisessä. At this moment there is no electronic clinical decision support system in use at the case site. Study aimed to find out how a clinical decision support system can support situation awareness in trauma team’s decision making in the Central Finland Central Hospital. Trauma team is a multidisciplinary team performing trauma resuscitation in an emergency department. Better situation awareness results in better decision making. Research focus was set on finding out what information the trauma team needs to be aware of to gain and maintain situation awareness. An interpretive qualitative case study is performed to construct a model, which answers the research question. Eight trauma team exercises were video recorded, observed and debriefing sessions were transcribed to form a basis for interview questions. 15 trauma team members including 5 surgeons, 4 anaesthesiologists, 3 anaesthesia nurses and 3 trauma nurses were semi-structurally interviewed. Two matrixes were developed from the information elements mentioned in the interviews. A situation awareness model was further developed to support trauma team activities based on the matrixes, goals and decisions mentioned in the interviews. Trauma team’s goal is to keep the patient alive. Ensuring breathing and blood circulation and monitoring vital signs are decisions associated with this goal. Information for this decisions are basic illnesses and medication, injury energy, injuries, information about abnormalities (breathing sounds), oxygen saturation, blood pressure, heart rate, consciousness and looks. The model presents these preliminary requirements for decision support in a car crash situation. The model can be used to derive more profound requirements analysis for an electronic clinical decision support system.
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spellingShingle Puhilas, Paula Situation awareness in clinical decision support system : case trauma team traumatiimi Information Systems Science Tietojärjestelmätiede 601 tilannekuva päätöksentukijärjestelmät päätöksenteko ensiapu
title Situation awareness in clinical decision support system : case trauma team
title_full Situation awareness in clinical decision support system : case trauma team
title_fullStr Situation awareness in clinical decision support system : case trauma team Situation awareness in clinical decision support system : case trauma team
title_full_unstemmed Situation awareness in clinical decision support system : case trauma team Situation awareness in clinical decision support system : case trauma team
title_short Situation awareness in clinical decision support system
title_sort situation awareness in clinical decision support system case trauma team
title_sub case trauma team
title_txtP Situation awareness in clinical decision support system : case trauma team
topic traumatiimi Information Systems Science Tietojärjestelmätiede 601 tilannekuva päätöksentukijärjestelmät päätöksenteko ensiapu
topic_facet 601 Information Systems Science Tietojärjestelmätiede ensiapu päätöksenteko päätöksentukijärjestelmät tilannekuva traumatiimi
url https://jyx.jyu.fi/handle/123456789/45412 http://www.urn.fi/URN:NBN:fi:jyu-201502271385
work_keys_str_mv AT puhilaspaula situationawarenessinclinicaldecisionsupportsystemcasetraumateam