Human-centered design of team health IT for pediatric trauma care transitions

Pascale Carayon; Bat-Zion Hose; Abigail Wooldridge; Thomas B Brazelton 3rd; Shannon M Dean; Ben L Eithun; Michelle M Kelly; Jonathan E Kohler; Joshua Ross; Deborah A Rusy; Peter L T Hoonakker

doi:10.1016/j.ijmedinf.2022.104727

Human-centered design of team health IT for pediatric trauma care transitions

Int J Med Inform. 2022 Mar 2:162:104727. doi: 10.1016/j.ijmedinf.2022.104727. Online ahead of print.

Authors

Affiliations

¹ Department of Industrial and Systems Engineering, University of Wisconsin-Madison, United States; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States. Electronic address: pcarayon@wisc.edu.
² Department of Anesthesiology and Critical Care at the Perelman School of Medicine, University of Pennsylvania, United States.
³ Department of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign, United States.
⁴ American Family Children's Hospital, UW Health, United States; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, United States.
⁵ Department of Pediatric Medicine, St Jude's Hospital, United States.
⁶ American Family Children's Hospital, UW Health, United States.
⁷ Department of Surgery, UC Davis Children's Hospital, United States.
⁸ American Family Children's Hospital, UW Health, United States; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, United States; Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, United States.
⁹ American Family Children's Hospital, UW Health, United States; Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, United States.
¹⁰ Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States.

Abstract

Background: As problems of acceptance, usability and workflow integration continue to emerge with health information technologies (IT), it is critical to incorporate human factors and ergonomics (HFE) methods and design principles. Human-centered design (HCD) provides an approach to integrate HFE and produce usable technologies. However, HCD has been rarely used for designing team health IT, even though team-based care is expanding.

Objective: To describe the HCD process used to develop a usable team health IT (T³ or Teamwork Transition Technology) that provides cognitive support to pediatric trauma care teams during transitions from the emergency department to the operating room and the pediatric intensive care unit.

Methods: The HCD process included seven steps in three phases of analysis, design activities and feedback.

Results: The HCD process involved multiple perspectives and clinical roles that were engaged in inter-related activities, leading to design requirements, i.e., goals for the technology, a set of 47 information elements, and a list of HFE design principles applied to T³. Results of the evaluation showed a high usability score for T³.

Conclusions: HFE can be integrated in the HCD process through a range of methods and design principles. That design process can produce a usable technology that provides cognitive support to a large diverse team involved in pediatric trauma care transitions. Future research should continue to focus on HFE-based design of team health IT.

Keywords: Care transition; Human factors and ergonomics; Human-centered design; Pediatric trauma; Team health IT.

Abstract

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