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Military Operating Room of the Future
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In: DTIC (2012)
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Abstract:
Effective handoffs of care are frequently cited as critical for maintaining safety and avoiding communication problems. This program of work examines multiple handoff types, in multiple phases of care, and uses multiple dimensions of intervention, based on a previous model of improvement, to fundamentally improve transitions of care along the trauma pathway. We have considered all potential handoffs and care transitions during trauma care, their characteristics and how they might affect care, and mapped out the key transition processes along the care pathway. Next, using data collected during our first phase of work, we conducted an analysis of the variety of paths that patients take, the frequencies of each path, the number of transitions they experience, and the disruptions that occur during transition. On average 87% of patients experienced a transition flow disruption during their care, with 49% associated with co-ordination problems. We have also analyzed previous incident data to examine core weaknesses in handoffs across the breadth of care. We will examine three types of handoff: key team handoffs along the trauma pathway; micro-transitions during this period associated with the fluidity of the trauma team; and shift-to-shift handoffs in the ICU. In the next four months we will finalize and deploy task, process and teamwork observation metrics for the variety of handoffs and transitions that occur during trauma care, continue to analyze existing data, and conduct evaluative part-task simulations of our early interventions. Two interventions - Smartphone technology and a Checklist - are already in development as an extension of previous work, with simulation evaluation planned.
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Keyword:
*COMMUNICATION AND RADIO SYSTEMS; *HUMAN FACTORS ENGINEERING; *PROBLEM SOLVING; COOPERATION; Human Factors Engineering & Man Machine System; INTERVENTION; Linguistics; Medicine and Medical Research; PATIENTS; SAFETY; SIMULATION; TEAMS(PERSONNEL); TEST AND EVALUATION; TRANSITIONS; TRAUMA
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URL: http://oai.dtic.mil/oai/oai?&verb=getRecord&metadataPrefix=html&identifier=ADA567887
http://www.dtic.mil/docs/citations/ADA567887
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| 2 |
Evaluation of Auditory Characteristics of Communications and Hearing Protection Systems (C&HPSs) Part II - Speech Intelligibility
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In: DTIC (2010)
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The ICAO English Language Proficiency Rating Scale Applied to Enroute Voice Communication of U.S. and Foreign Pilots
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In: DTIC (2009)
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| 5 |
The Emergence of Compositional Communication in a Synthetic Ethology Framework
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In: DTIC (2005)
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| 7 |
An Acoustic Analysis of ATC Communication
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In: DTIC AND NTIS (1998)
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| 8 |
An Acoustic Analysis of ATC Communication.
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In: DTIC AND NTIS (1998)
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| 9 |
ATC/Pilot Voice Communications - A Survey of the Literature
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In: DTIC AND NTIS (1993)
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| 10 |
Two-Talker Pitch Tracking for Co-Channel Talker Interference Suppression
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In: DTIC AND NTIS (1992)
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| 11 |
The Development of Auditory Performance Standards for Naval Aviators: Radiocommunications Questionnaire Results.
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In: DTIC AND NTIS (1991)
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| 12 |
Narrative Compression Coding for a Channel with Errors.
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In: DTIC AND NTIS (1988)
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| 13 |
The Aerial Exploitation Battalion: Solution to the 'Timely' Intelligence Dilemma at Corps and Below
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In: DTIC AND NTIS (1987)
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| 14 |
Sales Training for Army Recruiter Success: Supplementary Information on Modeling the Sales Strategies and Skills of Excellent Recruiters
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In: DTIC AND NTIS (1987)
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| 15 |
Parameters for Automatic Speaker Recognition over LPC (Linear Predictive-Coding) Systems.
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In: DTIC AND NTIS (1986)
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| 16 |
Multi-User Real-Time Speech Processing Facility.
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In: DTIC AND NTIS (1985)
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| 17 |
Communication Satellites 1958 to 1986
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In: DTIC AND NTIS (1984)
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| 18 |
Research on Narrowband Communications
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In: DTIC AND NTIS (1981)
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