Medical School Collaboration: Transporting Critically Ill Children

1
Medical School Collaboration Transporting
Critically Ill Children

• Creating and Consuming Medical Information on the
  Fly

2
Collaboration with Stanford Hospital

• Content Supporting information-mediated
  collaboration during transport of critically ill
  infants and children
• Purpose Study information production and
  consumption in mobile setting with well-defined
  user tasks
• Strategy

1. Study current process with ethnographic
   techniques
2. Construct partial prototype
3. Gather feedback and refine
4. Transition to funding from medical sources

3
(Sub-) Agenda

• Karen Butler ethnographic study of information
  flow
• Nigel Choi and Ryan Radecki Snapshot of evolving
  prototype

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Transporting Critically Ill Infants from Regional
Hospitals to Stanford Hospital
1
ReceivingHospital
ReferringHospital
4
2
3
PerformanceStatistics
5
6
TransportRecord
WWW
Proxy
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Current Breakdowns

• Repetitive information capture and wasted staff
  time
• Inconsistent data through repetition
• Lost information
• Delays/obstacles in timely information sharing
• Lack of flexibility
• Potential miscommunication over phone
• Difficult to collect statistics

6
Special Challenges and Constraints

• Harsh environmental conditions for information
  capture
• Mobility issues
• Event driven data production/consumption
• Multiple users
• Significant number of information items
• Multiple artifacts, devices, equipment used
• Interoperability with existing systems (export
  data models)

7
Project Phases Overview

• User interviews, observations
• Participants Transport Team, Respiratory RNs,
  MDs, Dispatchers, EMTs, Administrators..
• Information Analysis/ Task Analysis
• Information Clustering
• Observational Study
• Hospital, Field Based
• Surprises
• Iterative Prototyping with Users