Trauma, Teams, and Telemedicine: Evaluating Telemedicine and Teamwork in a Mass Casualty Simulation

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dc.citation.firstpagee811
dc.citation.issueNumber7-8
dc.citation.journalTitleMilitary Medicine
dc.citation.lastpagee818
dc.citation.volumeNumber186
dc.contributor.authorHughes, Ashley M.
dc.contributor.authorSonesh, Shirley C.
dc.contributor.authorMason, Rachel E.
dc.contributor.authorGregory, Megan E.
dc.contributor.authorMarttos, Antonio
dc.contributor.authorSchulman, Carl I.
dc.contributor.authorSalas, Eduardo
dc.date.accessioned2021-08-05T16:29:39Z
dc.date.available2021-08-05T16:29:39Z
dc.date.issued2021
dc.description.abstractIntroduction: Mass casualty events (MASCAL) are on the rise globally. Although natural disasters are often unavoidable, the preparation to respond to unique patient demands in MASCAL can be improved. Utilizing telemedicine can allow for a better response to such disasters by providing access to a virtual team member with necessary specialized expertise. The purpose of this study was to examine the positive and/or negative impacts of telemedicine on teamwork in teams responding to MASCAL events. Methods: We introduced a telemedical device (DiMobile Care) to Forward Surgical Teams during a MASCAL simulated training event. We assessed teamwork-related attitudes, behaviors, and cognitions during the MASCAL scenario through pre-post surveys and observations of use. Analyses compare users and nonusers of telemedicine and pre-post training differences in teamwork. Results: We received 50 complete responses to our surveys. Overall, clinicians have positive reactions toward the potential benefits of telemedicine
dc.description.abstractfurther, participants report a significant decrease in psychological safety after training, with users rating psychological safety as significantly higher than non-telemedicine users. Neither training nor telemedicine use produced significant changes in cognitive and behavioral-based teamwork. Nonetheless, participants reported perceiving that telemedicine improved leadership and adaptive care plans. Conclusions: Telemedicine shows promise in connecting Forward Surgical Teams with nuanced surgical expertise without harming quality of care metrics (i.e., teamwork). However, we advise future iterations of DiMobile Care and other telemedical devices to consider contextual features of information flow to ensure favorable use by teams in time-intensive, high-stakes environments, such as MASCAL.
dc.identifier.citationHughes, Ashley M., Sonesh, Shirley C., Mason, Rachel E., et al.. "Trauma, Teams, and Telemedicine: Evaluating Telemedicine and Teamwork in a Mass Casualty Simulation." <i>Military Medicine,</i> 186, no. 7-8 (2021) Oxford University Press: e811-e818. https://doi.org/10.1093/milmed/usaa434.
dc.identifier.doihttps://doi.org/10.1093/milmed/usaa434
dc.identifier.urihttps://hdl.handle.net/1911/111141
dc.language.isoeng
dc.publisherOxford University Press
dc.subject.keywordcognition
dc.subject.keywordsafety
dc.subject.keywordtelemedicine
dc.subject.keywordwounds and injuries
dc.subject.keywordmass
dc.subject.keywordmedical devices
dc.subject.keywordwork teams
dc.titleTrauma, Teams, and Telemedicine: Evaluating Telemedicine and Teamwork in a Mass Casualty Simulation
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpublisher version
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