Assessment of workload during pediatric trauma resuscitation. (Record no. 1144)

MARC details
000 -LEADER
fixed length control field 03810nam a22004817a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 130917s20122012 xxu||||| |||| 00| 0 eng dOvid Technologies
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 23117383
245 ## - TITLE STATEMENT
Title Assessment of workload during pediatric trauma resuscitation.
251 ## - Source
Source The Journal of Trauma and Acute Care Surgery. 73(5):1267-72, 2012 Nov.
252 ## - Abbreviated Source
Abbreviated source J Trauma Acute Care Surg. 73(5):1267-72, 2012 Nov.
253 ## - Journal Name
Journal name The journal of trauma and acute care surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2012
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Manufacturer FY2013
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Date added to catalog 2013-09-17
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
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Abstract BACKGROUND: Trauma resuscitations are high-pressure, time-critical events during which health care providers form ad hoc teams to rapidly assess and treat injured patients. Trauma team members experience varying levels of workload during resuscitations resulting from the objective demands of their role-specific tasks, the circumstances surrounding the event, and their individual previous experiences. The goal of this study was to determine factors influencing workload experienced by trauma team members during pediatric trauma resuscitations.
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Abstract CONCLUSION: Workload during pediatric trauma resuscitations differed by team role and was increased for higher-level activations and events without previous notification. This study demonstrates the validity of the TLX as a tool to measure workload in trauma resuscitation.
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Abstract LEVEL OF EVIDENCE: Prognostic study, level II.
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Abstract METHODS: Workload was measured using the National Aeronautics and Space Administration Task Load Index (TLX). TLX surveys were administered to four trauma team roles: charge nurse, senior surgical resident (surgical coordinator), emergency medicine physician, and junior surgical resident or nurse practitioner (bedside clinician). A total of 217 surveys were completed. Univariate and multivariate statistical techniques were used to examine the relationship between workload and patient and clinical factors.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Bedside clinicians reported the highest total workload score (208.7), followed by emergency medicine physicians (156.3), surgical coordinators (144.1), and charge nurses (129.1). Workload was higher during higher-level activations (235.3), for events involving intubated patients (249.0), and for patients with an Injury Severity Score greater than 15 (230.4) (p, 0.001 for all). When controlling for potential confounders using multiple linear regression, workload was increased during higher level activations (79.0 points higher, p = 0.01) and events without previous notification (38.9 points higher, p = 0.03). Workload also remained significantly higher for the bedside clinician compared with the other three roles (p <= 0.005 for all).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Patient Care Team/og [Organization & Administration]
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Topical term or geographic name entry element *Resuscitation
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Topical term or geographic name entry element *Trauma Centers/og [Organization & Administration]
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Topical term or geographic name entry element *Traumatology/og [Organization & Administration]
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Topical term or geographic name entry element *Workload
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Adult
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Child
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Topical term or geographic name entry element Health Care Surveys
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Nurse's Role
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Personnel, Hospital
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Physician's Role
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Topical term or geographic name entry element Task Performance and Analysis
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Institution MedStar Health Research Institute
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Medline publication type Journal Article
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Medline publication type Research Support, U.S. Gov't, Non-P.H.S.
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Carter, Elizabeth A
790 ## - Authors
All authors Burd RS, Carter EA, O'Connell KJ, Parsons SE, Sarcevic A, Waterhouse LJ
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="http://dx.doi.org/10.1097/Ta.0b013e318265d15a">http://dx.doi.org/10.1097/Ta.0b013e318265d15a</a>
Public note http://dx.doi.org/10.1097/Ta.0b013e318265d15a
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 09/17/2013   23117383 23117383 09/17/2013 09/17/2013 Journal Article

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