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Understanding Delay Awareness and Mitigation Mechanisms through an Iterative Design and Evaluation of a Prototype Alert System for Complex Teamwork

Published: 04 October 2023 Publication History

Abstract

Almost half of the preventable deaths in emergency care can be associated with a medical delay. Understanding how clinicians experience delays can lead to improved alert designs to increase delay awareness and mitigation. In this paper, we present the findings from an iterative user-centered design process involving 48 clinicians to develop a prototype alert system for supporting delay awareness in complex medical teamwork such as trauma resuscitation. We used semi-structured interviews and card-sorting workshops to identify the most common delays and elicit design requirements for the prototype alert system. We then conducted a survey to refine the alert designs, followed by near-live, video-guided simulations to investigate clinicians' reactions to the alerts. We contribute to CSCW by designing a prototype alert system to support delay awareness in time-critical, complex teamwork and identifying four mechanisms through which teams mitigate delays.

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    cover image Proceedings of the ACM on Human-Computer Interaction
    Proceedings of the ACM on Human-Computer Interaction  Volume 7, Issue CSCW2
    CSCW
    October 2023
    4055 pages
    EISSN:2573-0142
    DOI:10.1145/3626953
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    Published: 04 October 2023
    Published in PACMHCI Volume 7, Issue CSCW2

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    Author Tags

    1. alert fatigue
    2. alerts
    3. clinical decision support
    4. complex teamwork
    5. delay awareness
    6. delay mitigation
    7. trauma resuscitation

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