2023
DOI: 10.1111/trf.17315
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Multicenter, multidisciplinary user‐centered design of a clinical decision‐support and simulation system for massive transfusion

Abstract: Background: Managing critical bleeding with massive transfusion (MT) requires a multidisciplinary team, often physically separated, to perform several simultaneous tasks at short notice. This places a significant cognitive load on team members, who must maintain situational awareness in rapidly changing scenarios.Similar resuscitation scenarios have benefited from the use of clinical decision support (CDS) tools. Study Design and Methods: A multicenter, multidisciplinary, user-centered design (UCD) study was c… Show more

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Cited by 6 publications
(4 citation statements)
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“…These systems usually lead to an increased percentage of single-unit transfusions, which translates into a decrease in the number of blood components used while the number of orders remains unchanged [ 27 , 28 ]. It is also correlated with the reduction of costs associated with these procedures [ 29 ]. Implementing this method can lead to an immediate reduction of unnecessary blood components; however, the physician should be mindful of the potential for off-label use [ 30 ].…”
Section: Discussionmentioning
confidence: 99%
“…These systems usually lead to an increased percentage of single-unit transfusions, which translates into a decrease in the number of blood components used while the number of orders remains unchanged [ 27 , 28 ]. It is also correlated with the reduction of costs associated with these procedures [ 29 ]. Implementing this method can lead to an immediate reduction of unnecessary blood components; however, the physician should be mindful of the potential for off-label use [ 30 ].…”
Section: Discussionmentioning
confidence: 99%
“…Research focused on end users' involvement in the design of CDSS and communication channels yields technology that supports decision making for team members in various roles and team awareness for team members in physically distant areas. 48 This study indicates that improved CDSS design should support differentiation of communication channel use to limit unnecessary interruptions, leading to undue physician stress while still meeting nurse communication needs to support ideal patient outcomes. Research indicates that nurses find CDSS that support the use of technology enhances their perceived usefulness of the technology.…”
Section: Implications For Practice and Researchmentioning
confidence: 92%
“…To address the potential impact of a CDS for MT, we recently conducted a multicenter, multidisciplinary user‐centered design study to develop a prototype computerized CDS for MT 12 . Following the iterative design of this web‐based prototype CDS, MTP Assistant , it was evaluated with an online major hemorrhage case simulation and demonstrated above average usability 12 .…”
Section: Introductionmentioning
confidence: 99%
“…To address the potential impact of a CDS for MT, we recently conducted a multicenter, multidisciplinary user‐centered design study to develop a prototype computerized CDS for MT 12 . Following the iterative design of this web‐based prototype CDS, MTP Assistant , it was evaluated with an online major hemorrhage case simulation and demonstrated above average usability 12 . Given the vulnerability and time‐sensitive nature of managing patients with major hemorrhage, its impact on the efficacy and efficiency of clinical decision‐making of MT requires evaluation.…”
Section: Introductionmentioning
confidence: 99%