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Towards Dynamic Checklists: Understanding Contexts of Use and Deriving Requirements for Context-Driven Adaptation

Published: 17 April 2021 Publication History

Abstract

The goal of this in-the-wild study was to understand how different patient, provider, and environment contexts affected the use of a tablet-based checklist in a dynamic medical setting. Fifteen team leaders used the digital checklist in 187 actual trauma resuscitations. The measures of checklist interactions included the number of unchecked items and the number of notes written on the checklist. Of the 10 contexts we studied, team leaders’ arrival after the patient and patients with penetrating injuries were both associated with more unchecked items. We also found that the care of patients with external injuries contributed to more notes written on the checklist. Finally, our results showed that more experienced leaders took significantly more notes overall and more numerical notes than less experienced leaders. We conclude by discussing design implications and steps that can be achieved with context-aware computing towards adaptive checklists that meet the needs of dynamic use contexts.

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    cover image ACM Transactions on Computer-Human Interaction
    ACM Transactions on Computer-Human Interaction  Volume 28, Issue 2
    April 2021
    264 pages
    ISSN:1073-0516
    EISSN:1557-7325
    DOI:10.1145/3461620
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    Publication History

    Published: 17 April 2021
    Accepted: 01 December 2020
    Revised: 01 December 2020
    Received: 01 July 2019
    Published in TOCHI Volume 28, Issue 2

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    Author Tags

    1. Context-aware computing
    2. adaptive checklist
    3. clinical checklist
    4. emergency medicine
    5. trauma resuscitation
    6. video review

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    • (2022)Checklists and cognitive aids: underutilized and under-researched tools to promote patient safety and optimize clinician performanceCurrent Opinion in Anaesthesiology10.1097/ACO.000000000000119335:6(723-727)Online publication date: 20-Oct-2022
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