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Decision-centred design in healthcare: The process of identifying a decision support tool for airway management

机译:医疗保健方面的定期设计:确定航空管理管理决策支持工具的过程

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Current decision support interventions for airway management in anaesthesia lack the application of Human Factors Engineering; leading to interventions that can be disruptive, inefficient and error-inducing. This study followed a decision-centred design process to identify decision support that can assist anaesthesia teams with challenging airway management situations. Field observations, Critical Decision Method interviews and focus groups were conducted to identify the most difficult decisions and their requirements. Data triangulation narrowed the focus to key decisions related to preparation and planning, and the transitioning between airway techniques during difficulties. Five decision-support interventions were identified and positively rated by anaesthesia team members in relation to their perceived effectiveness. An organized airway equipment trolley was chosen as the most beneficial decision support intervention. This study reiterated the key importance of both Human Factors Engineering and data triangulation when designing for healthcare.
机译:目前在麻醉中对气道管理的决策支持干预缺乏人类因素工程的应用;导致干预措施,可能具有破坏性,效率低,令人出错。本研究遵循了一个集中的设计过程,以确定可以帮助麻醉团队有挑战性的气道管理情况的决策支持。现场观察,进行关键决策方法访谈和焦点小组,以确定最困难的决策及其要求。数据三角测量将重点缩小到与准备和规划相关的关键决策,以及在困难期间的气道技术之间的转换。有五种决策支持干预措施被发现和麻醉团队成员与其感知效力有关。选择了一个有组织的气道设备推车被选为最有益的决策支持干预。本研究重申人类因素工程和数据三角扫描在设计医疗保健时的关键重要性。

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