The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial
Summary The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the ble...
Gespeichert in:
| Veröffentlicht in: | Anaesthesia 2021-07, Vol.76 (7), p.902-910 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 910 |
|---|---|
| container_issue | 7 |
| container_start_page | 902 |
| container_title | Anaesthesia |
| container_volume | 76 |
| creator | Kataife, E. D. Said, S. Braun, J. Roche, T. R. Rössler, J. Kaserer, A. Spahn, D. R. Mileo, F. G. Tscholl, D. W. |
| description | Summary
The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the bleeding. This investigator‐initiated, randomised, prospective, international, dual‐centre study aimed to validate the Haemostasis Traffic Light by adapting it to the local coagulation protocols of two university hospitals. Between 9 January and 12 May 2020, we recruited 84 participants at the University Hospital Zurich, Switzerland, and the Italian Hospital of Buenos Aires, Argentina. Each centre included 21 resident and 21 staff anaesthetists. Participants were randomly allocated to either the text‐based algorithm or the Haemostasis Traffic Light. All participants managed six bleeding scenarios using the same algorithm. In simulated bleeding scenarios, the design of the Haemostasis Traffic Light algorithm enabled more correctly solved cases, OR (95%CI) 7.23 (3.82–13.68), p |
| doi_str_mv | 10.1111/anae.15314 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_wiley</sourceid><recordid>TN_cdi_wiley_primary_10_1111_anae_15314_ANAE15314</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2462414720</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3704-75948636c983a8b344aad62da08de30341f8705a8f544787a2bc00d6d30bdd3c3</originalsourceid><addsrcrecordid>eNqNkc1u1DAUhSMEokNhwxNYYoOAKdc_SZzuRqNCkUawGdbRjX0zdZXExXaEuuMReAIejifB86MuWCC88ZX8nXOPfIriJYcLns97nJAueCm5elQsuKzKpQClHhcLAJBLoaA5K57FeAvAheb6aXEmpeAgoVkUv7Y3xK6RRh8TRhfZNmDfO8M2bneT3jFkc6Tw-8dPQ1MKZJnxuJsHTM5PbMybdzTmF5a8H1jvA0MzJ2LdQGTdtGPRpfkAx8vsFd140mbHDmP2CzhZP7r9aGccHjaxFBwOz4snPQ6RXpzu8-Lrh6vt-nq5-fLx03q1WRpZg1rWZaN0JSvTaIm6k0oh2kpYBG1JglS81zWUqPtSqVrXKDoDYCsrobNWGnlevD763gX_baaY2hzJ0DDgRH6OrVCVUFzVAjL66i_01s9hyulaUcpSQZ3TZOrNkTLBxxiob--CGzHctxzafWvtvrX20FqG3x7h79T5PhpHk6EHQW6xbIA3vMoT8Ezr_6fXLh3-e-3nKWUpP0ndQPf_iNSuPq-ujuH-AIJRvVo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2535407759</pqid></control><display><type>article</type><title>The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial</title><source>Wiley-Blackwell Backfiles (Open access)</source><source>Wiley Online Library Journals</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>Web of Science - Social Sciences Citation Index – 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>EZB Electronic Journals Library</source><creator>Kataife, E. D. ; Said, S. ; Braun, J. ; Roche, T. R. ; Rössler, J. ; Kaserer, A. ; Spahn, D. R. ; Mileo, F. G. ; Tscholl, D. W.</creator><creatorcontrib>Kataife, E. D. ; Said, S. ; Braun, J. ; Roche, T. R. ; Rössler, J. ; Kaserer, A. ; Spahn, D. R. ; Mileo, F. G. ; Tscholl, D. W.</creatorcontrib><description>Summary
The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the bleeding. This investigator‐initiated, randomised, prospective, international, dual‐centre study aimed to validate the Haemostasis Traffic Light by adapting it to the local coagulation protocols of two university hospitals. Between 9 January and 12 May 2020, we recruited 84 participants at the University Hospital Zurich, Switzerland, and the Italian Hospital of Buenos Aires, Argentina. Each centre included 21 resident and 21 staff anaesthetists. Participants were randomly allocated to either the text‐based algorithm or the Haemostasis Traffic Light. All participants managed six bleeding scenarios using the same algorithm. In simulated bleeding scenarios, the design of the Haemostasis Traffic Light algorithm enabled more correctly solved cases, OR (95%CI) 7.23 (3.82–13.68), p < 0.001, and faster therapeutic decisions, HR (95%CI) 1.97 (1.18–3.29, p = 0.010). In addition, the tool improved therapeutic confidence, OR (95%CI) 4.31 (1.67–11.11, p = 0.003), and reduced perceived work‐load coefficient (95%CI) −6.1 (−10.98 to −1.22), p = 0.020). This study provides empirical evidence for the importance of user‐centred design in the development of haemostatic management protocols.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/anae.15314</identifier><identifier>PMID: 33210309</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Algorithms ; Anesthesiology ; Bleeding ; Circulatory system ; Clinical trials ; Coagulation ; coagulation management ; Cognitive ability ; cognitive aid ; Decision making ; Design ; Emergency medical care ; Hemorrhage ; human factors ; Life Sciences & Biomedicine ; Science & Technology ; Simulation ; Situational awareness ; Therapeutic applications</subject><ispartof>Anaesthesia, 2021-07, Vol.76 (7), p.902-910</ispartof><rights>2020 Association of Anaesthetists</rights><rights>Copyright © 2021 Association of Anaesthetists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>9</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000590191600001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3704-75948636c983a8b344aad62da08de30341f8705a8f544787a2bc00d6d30bdd3c3</citedby><cites>FETCH-LOGICAL-c3704-75948636c983a8b344aad62da08de30341f8705a8f544787a2bc00d6d30bdd3c3</cites><orcidid>0000-0002-4782-183X ; 0000-0002-3677-3705 ; 0000-0003-4195-8437 ; 0000-0003-2037-4766 ; 0000-0001-8359-6177 ; 0000-0002-7601-6493 ; 0000-0002-1072-5748 ; 0000-0002-6191-1954 ; 0000-0001-9105-8328</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fanae.15314$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fanae.15314$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,1434,27929,27930,39262,39263,45579,45580,46414,46838</link.rule.ids></links><search><creatorcontrib>Kataife, E. D.</creatorcontrib><creatorcontrib>Said, S.</creatorcontrib><creatorcontrib>Braun, J.</creatorcontrib><creatorcontrib>Roche, T. R.</creatorcontrib><creatorcontrib>Rössler, J.</creatorcontrib><creatorcontrib>Kaserer, A.</creatorcontrib><creatorcontrib>Spahn, D. R.</creatorcontrib><creatorcontrib>Mileo, F. G.</creatorcontrib><creatorcontrib>Tscholl, D. W.</creatorcontrib><title>The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial</title><title>Anaesthesia</title><addtitle>ANAESTHESIA</addtitle><description>Summary
The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the bleeding. This investigator‐initiated, randomised, prospective, international, dual‐centre study aimed to validate the Haemostasis Traffic Light by adapting it to the local coagulation protocols of two university hospitals. Between 9 January and 12 May 2020, we recruited 84 participants at the University Hospital Zurich, Switzerland, and the Italian Hospital of Buenos Aires, Argentina. Each centre included 21 resident and 21 staff anaesthetists. Participants were randomly allocated to either the text‐based algorithm or the Haemostasis Traffic Light. All participants managed six bleeding scenarios using the same algorithm. In simulated bleeding scenarios, the design of the Haemostasis Traffic Light algorithm enabled more correctly solved cases, OR (95%CI) 7.23 (3.82–13.68), p < 0.001, and faster therapeutic decisions, HR (95%CI) 1.97 (1.18–3.29, p = 0.010). In addition, the tool improved therapeutic confidence, OR (95%CI) 4.31 (1.67–11.11, p = 0.003), and reduced perceived work‐load coefficient (95%CI) −6.1 (−10.98 to −1.22), p = 0.020). This study provides empirical evidence for the importance of user‐centred design in the development of haemostatic management protocols.</description><subject>Algorithms</subject><subject>Anesthesiology</subject><subject>Bleeding</subject><subject>Circulatory system</subject><subject>Clinical trials</subject><subject>Coagulation</subject><subject>coagulation management</subject><subject>Cognitive ability</subject><subject>cognitive aid</subject><subject>Decision making</subject><subject>Design</subject><subject>Emergency medical care</subject><subject>Hemorrhage</subject><subject>human factors</subject><subject>Life Sciences & Biomedicine</subject><subject>Science & Technology</subject><subject>Simulation</subject><subject>Situational awareness</subject><subject>Therapeutic applications</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>GIZIO</sourceid><sourceid>HGBXW</sourceid><recordid>eNqNkc1u1DAUhSMEokNhwxNYYoOAKdc_SZzuRqNCkUawGdbRjX0zdZXExXaEuuMReAIejifB86MuWCC88ZX8nXOPfIriJYcLns97nJAueCm5elQsuKzKpQClHhcLAJBLoaA5K57FeAvAheb6aXEmpeAgoVkUv7Y3xK6RRh8TRhfZNmDfO8M2bneT3jFkc6Tw-8dPQ1MKZJnxuJsHTM5PbMybdzTmF5a8H1jvA0MzJ2LdQGTdtGPRpfkAx8vsFd140mbHDmP2CzhZP7r9aGccHjaxFBwOz4snPQ6RXpzu8-Lrh6vt-nq5-fLx03q1WRpZg1rWZaN0JSvTaIm6k0oh2kpYBG1JglS81zWUqPtSqVrXKDoDYCsrobNWGnlevD763gX_baaY2hzJ0DDgRH6OrVCVUFzVAjL66i_01s9hyulaUcpSQZ3TZOrNkTLBxxiob--CGzHctxzafWvtvrX20FqG3x7h79T5PhpHk6EHQW6xbIA3vMoT8Ezr_6fXLh3-e-3nKWUpP0ndQPf_iNSuPq-ujuH-AIJRvVo</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Kataife, E. D.</creator><creator>Said, S.</creator><creator>Braun, J.</creator><creator>Roche, T. R.</creator><creator>Rössler, J.</creator><creator>Kaserer, A.</creator><creator>Spahn, D. R.</creator><creator>Mileo, F. G.</creator><creator>Tscholl, D. W.</creator><general>Wiley</general><general>Blackwell Publishing Ltd</general><scope>17B</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>GIZIO</scope><scope>HGBXW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4782-183X</orcidid><orcidid>https://orcid.org/0000-0002-3677-3705</orcidid><orcidid>https://orcid.org/0000-0003-4195-8437</orcidid><orcidid>https://orcid.org/0000-0003-2037-4766</orcidid><orcidid>https://orcid.org/0000-0001-8359-6177</orcidid><orcidid>https://orcid.org/0000-0002-7601-6493</orcidid><orcidid>https://orcid.org/0000-0002-1072-5748</orcidid><orcidid>https://orcid.org/0000-0002-6191-1954</orcidid><orcidid>https://orcid.org/0000-0001-9105-8328</orcidid></search><sort><creationdate>202107</creationdate><title>The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial</title><author>Kataife, E. D. ; Said, S. ; Braun, J. ; Roche, T. R. ; Rössler, J. ; Kaserer, A. ; Spahn, D. R. ; Mileo, F. G. ; Tscholl, D. W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3704-75948636c983a8b344aad62da08de30341f8705a8f544787a2bc00d6d30bdd3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Algorithms</topic><topic>Anesthesiology</topic><topic>Bleeding</topic><topic>Circulatory system</topic><topic>Clinical trials</topic><topic>Coagulation</topic><topic>coagulation management</topic><topic>Cognitive ability</topic><topic>cognitive aid</topic><topic>Decision making</topic><topic>Design</topic><topic>Emergency medical care</topic><topic>Hemorrhage</topic><topic>human factors</topic><topic>Life Sciences & Biomedicine</topic><topic>Science & Technology</topic><topic>Simulation</topic><topic>Situational awareness</topic><topic>Therapeutic applications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kataife, E. D.</creatorcontrib><creatorcontrib>Said, S.</creatorcontrib><creatorcontrib>Braun, J.</creatorcontrib><creatorcontrib>Roche, T. R.</creatorcontrib><creatorcontrib>Rössler, J.</creatorcontrib><creatorcontrib>Kaserer, A.</creatorcontrib><creatorcontrib>Spahn, D. R.</creatorcontrib><creatorcontrib>Mileo, F. G.</creatorcontrib><creatorcontrib>Tscholl, D. W.</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Web of Science - Social Sciences Citation Index – 2021</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kataife, E. D.</au><au>Said, S.</au><au>Braun, J.</au><au>Roche, T. R.</au><au>Rössler, J.</au><au>Kaserer, A.</au><au>Spahn, D. R.</au><au>Mileo, F. G.</au><au>Tscholl, D. W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial</atitle><jtitle>Anaesthesia</jtitle><stitle>ANAESTHESIA</stitle><date>2021-07</date><risdate>2021</risdate><volume>76</volume><issue>7</issue><spage>902</spage><epage>910</epage><pages>902-910</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><abstract>Summary
The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the bleeding. This investigator‐initiated, randomised, prospective, international, dual‐centre study aimed to validate the Haemostasis Traffic Light by adapting it to the local coagulation protocols of two university hospitals. Between 9 January and 12 May 2020, we recruited 84 participants at the University Hospital Zurich, Switzerland, and the Italian Hospital of Buenos Aires, Argentina. Each centre included 21 resident and 21 staff anaesthetists. Participants were randomly allocated to either the text‐based algorithm or the Haemostasis Traffic Light. All participants managed six bleeding scenarios using the same algorithm. In simulated bleeding scenarios, the design of the Haemostasis Traffic Light algorithm enabled more correctly solved cases, OR (95%CI) 7.23 (3.82–13.68), p < 0.001, and faster therapeutic decisions, HR (95%CI) 1.97 (1.18–3.29, p = 0.010). In addition, the tool improved therapeutic confidence, OR (95%CI) 4.31 (1.67–11.11, p = 0.003), and reduced perceived work‐load coefficient (95%CI) −6.1 (−10.98 to −1.22), p = 0.020). This study provides empirical evidence for the importance of user‐centred design in the development of haemostatic management protocols.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>33210309</pmid><doi>10.1111/anae.15314</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4782-183X</orcidid><orcidid>https://orcid.org/0000-0002-3677-3705</orcidid><orcidid>https://orcid.org/0000-0003-4195-8437</orcidid><orcidid>https://orcid.org/0000-0003-2037-4766</orcidid><orcidid>https://orcid.org/0000-0001-8359-6177</orcidid><orcidid>https://orcid.org/0000-0002-7601-6493</orcidid><orcidid>https://orcid.org/0000-0002-1072-5748</orcidid><orcidid>https://orcid.org/0000-0002-6191-1954</orcidid><orcidid>https://orcid.org/0000-0001-9105-8328</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-2409 |
| ispartof | Anaesthesia, 2021-07, Vol.76 (7), p.902-910 |
| issn | 0003-2409 1365-2044 |
| language | eng |
| recordid | cdi_wiley_primary_10_1111_anae_15314_ANAE15314 |
| source | Wiley-Blackwell Backfiles (Open access); Wiley Online Library Journals; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; Web of Science - Social Sciences Citation Index – 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; EZB Electronic Journals Library |
| subjects | Algorithms Anesthesiology Bleeding Circulatory system Clinical trials Coagulation coagulation management Cognitive ability cognitive aid Decision making Design Emergency medical care Hemorrhage human factors Life Sciences & Biomedicine Science & Technology Simulation Situational awareness Therapeutic applications |
| title | The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-13T21%3A47%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_wiley&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Haemostasis%20Traffic%20Light,%20a%20user%E2%80%90centred%20coagulation%20management%20tool%20for%20acute%20bleeding%20situations:%20a%20simulation%E2%80%90based%20randomised%20dual%E2%80%90centre%20trial&rft.jtitle=Anaesthesia&rft.au=Kataife,%20E.%20D.&rft.date=2021-07&rft.volume=76&rft.issue=7&rft.spage=902&rft.epage=910&rft.pages=902-910&rft.issn=0003-2409&rft.eissn=1365-2044&rft_id=info:doi/10.1111/anae.15314&rft_dat=%3Cproquest_wiley%3E2462414720%3C/proquest_wiley%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2535407759&rft_id=info:pmid/33210309&rfr_iscdi=true |