Military Operating Room of the Future
Abstract
This program of work examined the entire trauma pathway, to include multiple handoff types, in multiple phases of care, and u sed multiple dimensions of intervention. 12 studies were conducted, grouped into categories of systems analysis (4 studies), pre surgery handoffs (2 studies), post surgery handoffs (3 studies), deterioration (2 studies), and technology development (1 study). The systems analysis developed a range of process maps, analyzed clinician interviews, explored incidents associated with handoffs, and flow disruptions in handoffs over the course of trauma care. We examined pre surgery handoffs from the Emergency Department (ED) to Imaging, and transfers from the ED and other locations into the Surgical Intensive Care Unit. Post surgery handoffs examined were the Post Anesthetic Care Unit, the Cardiac Surgery Intensive Care Unit, and in Congenital Heart Surgery. Studies in deterioration explored the relationship between mortality and changes in vital signs from EMS to ED transfer, and the parameters that predict failure to rescue deteriorating patients. Finally, we tested and developed a smartphone app to assist in communications, handoffs, teamwork and delivering better care. Phase II of the Operating Room of the Future program has built a unique set of knowledge around handoffs in high risk patients.
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 01, 2014
- Accession Number
- ADA613988
Entities
People
- A. Gangi
- B. Taggart
- Bruce Gewertz
- C. Karl
- D. Wiegmann
- E. Ley
- J. Blaha
- K. R. Catchpole
- R. Blocker
- R. Karl
Organizations
- Cedars-Sinai Medical Center