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

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dc.citation.firstpagee811en_US
dc.citation.issueNumber7-8en_US
dc.citation.journalTitleMilitary Medicineen_US
dc.citation.lastpagee818en_US
dc.citation.volumeNumber186en_US
dc.contributor.authorHughes, Ashley M.en_US
dc.contributor.authorSonesh, Shirley C.en_US
dc.contributor.authorMason, Rachel E.en_US
dc.contributor.authorGregory, Megan E.en_US
dc.contributor.authorMarttos, Antonioen_US
dc.contributor.authorSchulman, Carl I.en_US
dc.contributor.authorSalas, Eduardoen_US
dc.date.accessioned2021-08-05T16:29:39Zen_US
dc.date.available2021-08-05T16:29:39Zen_US
dc.date.issued2021en_US
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 telemedicineen_US
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.en_US
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.en_US
dc.identifier.doihttps://doi.org/10.1093/milmed/usaa434en_US
dc.identifier.urihttps://hdl.handle.net/1911/111141en_US
dc.language.isoengen_US
dc.publisherOxford University Pressen_US
dc.subject.keywordcognitionen_US
dc.subject.keywordsafetyen_US
dc.subject.keywordtelemedicineen_US
dc.subject.keywordwounds and injuriesen_US
dc.subject.keywordmassen_US
dc.subject.keywordmedical devicesen_US
dc.subject.keywordwork teamsen_US
dc.titleTrauma, Teams, and Telemedicine: Evaluating Telemedicine and Teamwork in a Mass Casualty Simulationen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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