Literature DB >> 31246255

Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage.

Sara B Donevant1, Erik R Svendsen2, Jane V Richter1, Abbas S Tavakoli1, Jean B R Craig3, Nicholas D Boltin4, Homayoun Valafar4, Salvatore Robert DiNardi1, Joan M Culley1.   

Abstract

OBJECTIVE: The testing of informatics tools designed for use during mass casualty incidents presents a unique problem as there is no readily available population of victims or identical exposure setting. The purpose of this article is to describe the process of designing, planning, and executing a functional exercise to accomplish the research objective of validating an informatics tool specifically designed to identify and triage victims of irritant gas syndrome agents.
MATERIALS AND METHODS: During a 3-year time frame, the research team and partners developed the Emergency Department Informatics Computational Tool and planned a functional exercise to test it using medical records data from 298 patients seen in 1 emergency department following a chlorine gas exposure in 2005.
RESULTS: The research team learned valuable lessons throughout the planning process that will assist future researchers with developing a functional exercise to test informatics tools. Key considerations for a functional exercise include contributors, venue, and information technology needs (ie, hardware, software, and data collection methods). DISCUSSION: Due to the nature of mass casualty incidents, testing informatics tools and technology for these incidents is challenging. Previous studies have shown a functional exercise as a viable option to test informatics tools developed for use during mass casualty incidents.
CONCLUSION: Utilizing a functional exercise to test new mass casualty management technology and informatics tools involves a painstaking and complex planning process; however, it does allow researchers to address issues inherent in studying informatics tools for mas casualty incidents.
© The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  chlorine exposure; disaster; functional exercise; informatics; mass casualty incident

Mesh:

Substances:

Year:  2019        PMID: 31246255      PMCID: PMC6748810          DOI: 10.1093/jamia/ocz087

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN: 1067-5027            Impact factor:   4.497


  20 in total

1.  The use of FAST scan by paramedics in mass-casualty incidents: a simulation study.

Authors:  Brian West; Andrew Cusser; Stuart Etengoff; Hank Landsgaard; Virginia LaBond
Journal:  Prehosp Disaster Med       Date:  2014-11-13       Impact factor: 2.040

2.  The evaluation of research methods during disaster exercises: applicability for improving disaster health management.

Authors:  G A Guido Legemaate; Frederick M Burkle; Joost J L M Bierens
Journal:  Prehosp Disaster Med       Date:  2012-02       Impact factor: 2.040

3.  A wireless first responder handheld device for rapid triage, patient assessment and documentation during mass casualty incidents.

Authors:  James P Killeen; Theodore C Chan; Colleen Buono; William G Griswold; Leslie A Lenert
Journal:  AMIA Annu Symp Proc       Date:  2006

4.  Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

Authors:  Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde
Journal:  J Biomed Inform       Date:  2008-09-30       Impact factor: 6.317

Review 5.  A review of the literature on the validity of mass casualty triage systems with a focus on chemical exposures.

Authors:  Joan M Culley; Erik Svendsen
Journal:  Am J Disaster Med       Date:  2014

6.  A hospital mass casualty exercise using city buses and a tent as a hybrid system for patient decontamination.

Authors:  Isabelle Imamedjian; Nisreen Hamza M Maghraby; Valérie Homier
Journal:  Am J Disaster Med       Date:  2017

7.  Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident.

Authors:  James S Lee; Jeffrey M Franc
Journal:  Prehosp Disaster Med       Date:  2015-08       Impact factor: 2.040

8.  Epidemiology of mass casualty incidents in the United States.

Authors:  Ellen Schenk; Gamunu Wijetunge; N Clay Mann; E Brooke Lerner; Anders Longthorne; Drew Dawson
Journal:  Prehosp Emerg Care       Date:  2014-03-27       Impact factor: 3.077

9.  Epidemiology of special incidents: Results from national mortality and morbidity registry and the associated factors in Iran in 2014.

Authors:  Javad Bazeli; Aidin Aryankhesal; Davoud Khorasani-Zavareh
Journal:  Electron Physician       Date:  2017-08-01

10.  Mobile Decision Support Tool for Emergency Departments and Mass Casualty Incidents (EDIT): Initial Study.

Authors:  Nicholas Boltin; Diego Valdes; Joan M Culley; Homayoun Valafar
Journal:  JMIR Mhealth Uhealth       Date:  2018-06-22       Impact factor: 4.773

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