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Alerts as Coordination Mechanisms: Implications for Designing Alerts for Multidisciplinary and Shared Decision Making

Published: 14 January 2022 Publication History

Abstract

In this study, we explore how clinical decision support features can be designed to aid teams in caring for patients during time-critical medical emergencies. We interviewed 12 clinicians with experience in leading pediatric trauma resuscitations to elicit design requirements for decision support alerts and how these alerts should be designed for teams with shared leadership. Based on the interview data, we identified three types of decision support alerts: reminders to perform tasks, alerts to changes in patient status, and suggestions for interventions. We also found that clinicians perceived alerts in this setting as coordination mechanisms and that some alert preferences were associated with leader experience levels. From these findings, we contribute three perspectives on how alerts can aid coordination and discuss implications for designing decision support alerts for shared leadership in time-critical medical processes.

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    cover image Proceedings of the ACM on Human-Computer Interaction
    Proceedings of the ACM on Human-Computer Interaction  Volume 6, Issue GROUP
    GROUP
    January 2022
    992 pages
    EISSN:2573-0142
    DOI:10.1145/3511803
    Issue’s Table of Contents
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Publication History

    Published: 14 January 2022
    Published in PACMHCI Volume 6, Issue GROUP

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    Author Tags

    1. alerts
    2. clinical decision support
    3. coordination mechanisms
    4. shared leadership
    5. teamwork
    6. trauma resuscitation

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    • (2024)Cues facilitating collective sensemaking during emergencies: Gaps, inconsistencies, and indicatorsInternational Journal of Disaster Risk Reduction10.1016/j.ijdrr.2024.104897(104897)Online publication date: Oct-2024
    • (2023)Exploring the Design of Computerized Support for Clinical Decisions about Stopping Life-Saving InterventionsCompanion Publication of the 2023 ACM Designing Interactive Systems Conference10.1145/3563703.3596634(142-146)Online publication date: 10-Jul-2023
    • (2023)Supporting Clinical Teams in Decision-Making: Designing and Evaluating Clinical Decision-Support Systems for Time-Critical Medical WorkCompanion Publication of the 2023 ACM Designing Interactive Systems Conference10.1145/3563703.3593064(32-36)Online publication date: 10-Jul-2023
    • (2023)Construction of a Shared Decision-Making Model Between Doctor and Patient in China Based on Selection PreferencesHumanities and Social Sciences Communications10.1057/s41599-023-02334-110:1Online publication date: 17-Nov-2023
    • (2022)Collaboration Challenges and Technology Opportunities at the Intersection of Perinatal and Mental Health JourneysProceedings of the ACM on Human-Computer Interaction10.1145/35556146:CSCW2(1-28)Online publication date: 11-Nov-2022
    • (2022)”Pop-Up Alerts are the Bane of My Existence”: Designing Alerts for Cognitive Aids Used in Time-Critical Medical SettingsExtended Abstracts of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491101.3519669(1-7)Online publication date: 27-Apr-2022

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