Simulating Teamwork for Better Decision Making in Pediatric Emergency Medical Services

Overview

Journal AMIA Annu Symp Proc

Specialty Medical Informatics

Date 2021 May 3

PMID 33936475

Citations 2

Authors

Mustafa Ozkaynak

Casey Dolen

Yeshai Dollin

Kathryn Rappaport

Kathleen Adelgais

Affiliations

Soon will be listed here.

Abstract

Emergency Medical Services (EMS) are an essential component of health systems and are critical to the provision of pediatric emergency care. Challenges in this setting include fast pace, need for advanced teamwork, situational awareness and limited resources. The purpose of this study was to identify human factors-related obstacles during care delivery by EMS teams that could lead to inefficiencies and patient safety issues. We examined video recordings of 24 simulations of EMS teams (paramedics and EMTs) who were providing care to pediatric patients. Two reviewers documented a total of 262 efficiency and patient safety issues in 4.25 hours of videos. These issues were grouped into 28 categories. Reviewers also documented 19 decision support opportunities. These issues and decision support opportunities can inform the design of clinical decision support systems that can improve EMS related patient outcomes.

Citing Articles

Improving Critical Care Teamwork: Simulation-Based Interprofessional Training for Enhanced Communication and Safety.

Sung T, Hsu H J Multidiscip Healthc. 2025; 18:355-367.

PMID: 39872869 PMC: 11769723. DOI: 10.2147/JMDH.S500890.

Enhancing prehospital decision-making: exploring user needs and design considerations for clinical decision support systems.

Bai E, Zhang Z, Xu Y, Luo X, Adelgais K BMC Med Inform Decis Mak. 2025; 25(1):31.

PMID: 39825293 PMC: 11742207. DOI: 10.1186/s12911-024-02844-1.

Information Seeking and Sensemaking in Emergency Medical Service through Simulation Video Review.

Zhang Z, Joy K, Bhadani A, Joshi T, Adelgais K, Ozkaynak M AMIA Annu Symp Proc. 2024; 2023:804-813.

PMID: 38222399 PMC: 10785834.

Applications and User Perceptions of Smart Glasses in Emergency Medical Services: Semistructured Interview Study.

Zhang Z, Joy K, Harris R, Ozkaynak M, Adelgais K, Munjal K JMIR Hum Factors. 2022; 9(1):e30883.

PMID: 35225816 PMC: 8922155. DOI: 10.2196/30883.

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