Designing Interactive Alerts to Improve Recognition of Critical Events in Medical Emergencies

Angela Mastrianni; Aleksandra Sarcevic; Lauren Chung; Issa Zakeri; Emily Alberto; Zachary Milestone; Ivan Marsic; Randall S Burd; ACM

doi:10.1145/3461778.3462051

Conference proceeding

Designing Interactive Alerts to Improve Recognition of Critical Events in Medical Emergencies

Angela Mastrianni, Aleksandra Sarcevic, Lauren Chung, Issa Zakeri, Emily Alberto, Zachary Milestone, Ivan Marsic, Randall S Burd and ACM

Designing Interactive Systems Conference 2021, Vol.2021, pp.864-878

ACM Conferences

DIS '21: Designing Interactive Systems Conference 2021

06/01/2021

DOI: 10.1145/3461778.3462051

PMID: 35330919

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Abstract

Vital sign values during medical emergencies can help clinicians recognize and treat patients with life-threatening injuries. Identifying abnormal vital signs, however, is frequently delayed and the values may not be documented at all. In this mixed-methods study, we designed and evaluated a two-phased visual alert approach for a digital checklist in trauma resuscitation that informs users about undocumented vital signs. Using an interrupted time series analysis, we compared documentation in the periods before (two years) and after (four months) the introduction of the alerts. We found that introducing alerts led to an increase in documentation throughout the post-intervention period, with clinicians documenting vital signs earlier. Interviews with users and video review of cases showed that alerts were ineffective when clinicians engaged less with the checklist or set the checklist down to perform another activity. From these findings, we discuss approaches to designing alerts for dynamic team-based settings.

Human-centered computing

Human-centered computing -- Human computer interaction (HCI)

Details

Title: Subtitle: Designing Interactive Alerts to Improve Recognition of Critical Events in Medical Emergencies
Creators: Angela Mastrianni - Drexel University
Aleksandra Sarcevic - Drexel University
Lauren Chung - Drexel University
Issa Zakeri - Drexel University
Emily Alberto - Children's National
Zachary Milestone - Children's National
Ivan Marsic - Rutgers, The State University of New Jersey
Randall S Burd - Children's National
ACM
Contributors: Wendy Ju (Editor) - Cornell Tech
Lora Oehlberg (Editor) - University of Calgary
Sean Follmer (Editor) - Stanford University
Sarah Fox (Editor) - Carnegie Mellon University
Stacey Kuznetsov (Editor) - Arizona State University
Resource Type: Conference proceeding
Publication Details: Designing Interactive Systems Conference 2021, Vol.2021, pp.864-878
Conference: DIS '21: Designing Interactive Systems Conference 2021
Series: ACM Conferences
DOI: 10.1145/3461778.3462051
PMID: 35330919
Publisher: ACM
Number of pages: 15
Language: English
Date published: 06/01/2021
Academic Unit: Surgery
Record Identifier: 9985242765102771

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