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Challenges of Disposition Decision Making for Pediatric Trauma Patients in the Emergency Department

机译：急诊部儿科创伤患者处置决策挑战

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About 9.2 million children visit the emergency department (ED) in the US annually because of trauma and 20% experience a missed injury. Upon arriving to the hospital, physicians evaluate the child and make the ED disposition decision of whether to admit, operate or discharge. The objective of this study is to report the challenges mentioned by healthcare professionals about ED disposition decision making. We conducted 11 interviews with 12 healthcare professionals and identified 2 challenges of ED disposition decision making. The first challenge was timing of the decision; e.g., an ED nurse explained that a quick decision by physicians is important for providing timely patient care to critically ill children. The second challenge was leadership and team organization; e.g., the OR nurse and surgery resident both mentioned the need to know who to listen to so that they can understand what to do. Analyzing these challenges to ED disposition decision making can help to identify sociotechnical solutions for enhancing team situation awareness.
机译：约有920万儿童每年访问美国的急诊部门（ED），因为创伤和20％的经历失误。到达医院后，医生评估孩子，并使ED配置决定是否承认，经营或排放。本研究的目的是报告医疗保健专业人员关于ED处置决策的挑战。我们对12名医疗保健专业人员进行了11次采访，并确定了ED处置决策的2个挑战。第一个挑战是决定的时间;例如，ED护士解释说，医生的快速决定对于为危重儿童提供及时的患者护理是重要的。第二个挑战是领导和团队组织;例如，或护士和手术居民都提到了需要了解谁要听谁，以便他们能够理解该怎么做。分析了对ED处置决策的这些挑战可以帮助识别社会技术解决方案，以提高团队局势意识。

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