The electronic Trauma Health Record: design and usability of a novel tablet-based tool for trauma care and injury surveillance in low resource settings

Journal of the American College of Surgeons
Eiman ZargaranS Morad Hameed

Abstract

Ninety percent of global trauma deaths occur in under-resourced or remote environments, with little or no capacity for injury surveillance. We hypothesized that emerging electronic and web-based technologies could enable design of a tablet-based application, the electronic Trauma Health Record (eTHR), used by front-line clinicians to inform trauma care and acquire injury surveillance data for injury control and health policy development. The study was conducted in 3 phases: 1. Design of an electronic application capable of supporting clinical care and injury surveillance; 2. Preliminary feasibility testing of eTHR in a low-resource, high-volume trauma center; and 3. Qualitative usability testing with 22 trauma clinicians from a spectrum of high- and low-resource and urban and remote settings including Vancouver General Hospital, Whitehorse General Hospital, British Columbia Mobile Medical Unit, and Groote Schuur Hospital in Cape Town, South Africa. The eTHR was designed with 3 key sections (admission note, operative note, discharge summary), and 3 key capabilities (clinical checklist creation, injury severity scoring, wireless data transfer to electronic registries). Clinician-driven registry data collection proved to be feasib...Continue Reading

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Citations

Oct 1, 2015·Methods of Information in Medicine·D Lindoerfer, U Mansmann
Jan 21, 2015·Journal of Medical Systems·Belén Cruz ZapataAmbrosio Toval
Aug 28, 2016·The Journal of Surgical Research·Richard Trafford SpenceAndrew Nicol
Oct 9, 2014·Revista do Colégio Brasileiro de Cirurgiões·Paulo Roberto Lima CarreiroRoberto Marini Ladeira
Jul 28, 2020·The International Journal of Health Planning and Management·Kevin CrokeWakisa Mulwafu
Jul 7, 2017·World Journal of Surgery·Christopher Zuraik, John Sampalis
Apr 20, 2016·World Journal of Surgery·Richard Trafford SpencePradeep Navsaria
May 20, 2020·Trauma Surgery & Acute Care Open·Leah RosenkrantzMorad S Hameed
Jul 28, 2016·World Journal of Surgery·Mohini DasariJuan Carlos Puyana
Apr 4, 2018·Health Systems·Emmanuel EzeCiara Heavin
Jun 14, 2019·Journal of Medical Systems·Marta Elena Losa-IglesiasRicardo Becerro-de-Bengoa Vallejo

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