Distributed situation awareness: a health-system approach to assessing and designing patient flow management
| Autor: | Abdulrahman A. Alhaider, Melanie K. Morris, Nathan Lau, Paul B. Davenport |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Patient Transfer
Process management Situation awareness Computer science media_common.quotation_subject Decision Making Physical Therapy Sports Therapy and Rehabilitation Human Factors and Ergonomics Health administration 03 medical and health sciences 0302 clinical medicine Command and control Humans 0501 psychology and cognitive sciences Cooperative Behavior Discrete event simulation Social network analysis 050107 human factors media_common Teamwork Communication 05 social sciences 030229 sport sciences Awareness Hospitals Group Processes Centrality Decision model |
| Zdroj: | Ergonomics. 63:682-709 |
| ISSN: | 1366-5847 0014-0139 |
| DOI: | 10.1080/00140139.2020.1755061 |
| Popis: | Patient flow management is a system-wide process but many healthcare providers do not integrate multiple departments into the process to minimise the time between treatments or medical services for maximum patient throughput. This paper presents a case study of applying Distributed Situation Awareness (DSA) to characterise system-wide patient flow management and identify opportunities for improvements in a healthcare system. This case study employed a three-part method of data elicitation, extraction, and representation to investigate DSA. Social, task, and knowledge networks were developed and then combined to characterise patient flow management and identify deficiencies of the command and control centre of a healthcare facility. Social network analysis provided centrality metrics to further characterise patient flow management. The DSA model helped identify design principles and deficiencies in managing patient flow. These findings indicate that DSA is promising for analysing patient flow management from a system-wide perspective. Practitioner summary: This article examines Distribution Situation Awareness (DSA) as an analysis framework to study system-wide patient flow management. The DSA yields social, task, and knowledge networks that can be combined to characterise patient flow and identify deficiencies in the system. DSA appears promising for analysing communication and coordination of complex systems. Abbreviations: CDM: critical decision method; CTaC: carilion transfer and communications center; EAST: event analysis systematic teamwork; ED: emergency department; DES: discrete event simulation; DSA: distributed situation awareness; SA: situation awareness; SNA: social network analysis. |
| Databáze: | OpenAIRE |
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