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  1. Article ; Online: A review of the effects of head-worn displays on teamwork for emergency response.

    Davidson, Thomas J / Sanderson, Penelope M

    Ergonomics

    2021  Volume 65, Issue 2, Page(s) 188–218

    Abstract: Head-Worn Displays (HWD) can potentially support the mobile work of emergency responders, but it remains unclear whether teamwork is affected when emergency responders use HWDs. We reviewed studies that examined HWDs in emergency response contexts to ... ...

    Abstract Head-Worn Displays (HWD) can potentially support the mobile work of emergency responders, but it remains unclear whether teamwork is affected when emergency responders use HWDs. We reviewed studies that examined HWDs in emergency response contexts to evaluate the impact of HWDs on team performance and on team processes of situation awareness, communication, and coordination. Sixteen studies were identified through manual and systematic literature searches. HWDs appeared to improve the quality of team performance but they increased time to perform under some conditions; effects on team processes were mixed. We identify five challenges to explain the mixed results. We discuss four theoretical perspectives that might address the challenges and guide research needs-joint cognitive systems, distributed cognition, common ground, and dynamical systems. Researchers and designers should use process-based measures and apply greater theoretical guidance to uncover mechanisms by which HWDs shape team processes, and to understand the impact on team performance.
    MeSH term(s) Awareness ; Cognition ; Communication ; Data Display ; Humans ; Patient Care Team
    Language English
    Publishing date 2021-10-14
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1920-3
    ISSN 1366-5847 ; 0014-0139
    ISSN (online) 1366-5847
    ISSN 0014-0139
    DOI 10.1080/00140139.2021.1968041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Exploring the Effect of Head-Worn Displays on Prehospital Teamwork Using Online Simulation: A Crossover Randomized Controlled Trial.

    Davidson, Thomas J / Waxenegger, Harald / Mohamed, Ismail / McConnell, Duncan S / Sanderson, Penelope M

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2024  

    Abstract: Introduction: Prehospital teamwork occurs in dynamic environments where paramedics work together using technologies to care for patients. Despite increasing interest in using head-worn displays (HWDs) to support prehospital workers, little is known ... ...

    Abstract Introduction: Prehospital teamwork occurs in dynamic environments where paramedics work together using technologies to care for patients. Despite increasing interest in using head-worn displays (HWDs) to support prehospital workers, little is known about how HWDs affect teamwork.
    Methods: We tested the effect of HWDs on the team processes and patient care of paramedic trainee teams in a laboratory study using an online prehospital simulation environment, SPECTRa. In a randomized crossover design, 20 two-person teams worked in the SPECTRa laptop environment from separate physical rooms to assess and treat 2 simulated patients in 3 prehospital patient care scenarios. In each scenario, each trainee used either an HWD, a tablet computer (TAB), or no mobile device (CON) to help them monitor the vital signs of both patients. We measured team processes based around 3 themes of mutual understanding, team performance, and administered an 18-item questionnaire about teamwork and use of the devices.
    Results: The mean number (HWD = 11; TAB = 7; P = 0.061) and duration (HWD = 1746 milliseconds; TAB = 1563 milliseconds; P = 0.504) of attention switches that teams made toward the mobile device did not differ with HWDs or TABs. However, teams switched attention between patients less with HWDs than with TABs (P = 0.026) or CON (P = 0.007) (medians: HWD = 5; TAB = 8; CON = 8). Teams communicated less when using HWDs than TABs (P = 0.017) (medians: HWD = 76; TAB = 96; CON = 83), but there were other mixed effects on communication. Team performance did not differ across device conditions on the timeliness to notice critical patient changes (P = 0.387) (medians: HWD = 244 seconds; TAB = 246 seconds; CON = 168 seconds) or to complete the scenarios (P = 0.212) (medians: HWD = 800 seconds; TAB = 913 seconds; CON = 835 seconds). Questionnaire results revealed some perceived benefits of the HWD.
    Conclusions: Head-worn displays may let prehospital teams monitor each other's performance more efficiently than TABs or CON, requiring less communication to maintain patient care performance with lower workload than with TABs. However, improvements in mutual understanding with HWDs compared with CON were more evident in teams' preferences than in actual behavior. Further research is needed to confirm and extend these results.
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000770
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effects of Augmented Reality-Based Remote Mentoring on Task Performance and Communication: A Simulation Study in the Context of Emergency Medical Services.

    Schlosser, Paul D / Matthews, Ben / Sanderson, Penelope M / Donohue, Andrew / Hayes, Sass

    Telemedicine journal and e-health : the official journal of the American Telemedicine Association

    2024  

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2035659-6
    ISSN 1556-3669 ; 1530-5627
    ISSN (online) 1556-3669
    ISSN 1530-5627
    DOI 10.1089/tmj.2023.0379
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Similarity of expert clinicians' rank order of differential diagnoses in a newborn resuscitation context.

    Zestic, Jelena / Liley, Helen G / Sanderson, Penelope M

    Resuscitation plus

    2022  Volume 11, Page(s) 100263

    Abstract: Background: We tested principles that could lead to a future cognitive aid that offers an interpretation of the newborn's physiological state during resuscitation after birth. Using concordance among experts' interpretations of newborn vital sign ... ...

    Abstract Background: We tested principles that could lead to a future cognitive aid that offers an interpretation of the newborn's physiological state during resuscitation after birth. Using concordance among experts' interpretations of newborn vital sign patterns as an approximation for an algorithm that could provide an interpretation of the newborn's state, we explored the reliability and generalisability of experts' interpretations.
    Methods: Twelve neonatal experts viewed eight pairs of graphical trajectories showing newborns' heart rate and oxygen saturation records supplemented with differential diagnoses elicited previously from other experts. Each pair of trajectories included one trajectory on which the original differential diagnoses had been based, and a similar but novel trajectory to which the original differential diagnoses were now generalised. For each trajectory, experts ranked the differential diagnoses according to their likelihood. We calculated how similar the new experts' ranking was to the original experts' ranking for both original and novel trajectories. We used descriptive categories to interpret the strength of the similarity.
    Results: For the original and novel trajectories, the experts' rank ordering of differential diagnoses was mostly moderately to substantially similar to the original rank ordering by the original participants. There were mostly small differences in similarity scores between the paired original and novel trajectories; fewer than 25% of the participants suggested an alternative differential diagnosis.
    Conclusions: The concordance of experts' interpretations could serve as an approximation of the newborn's physiological state, and the interpretations could be generalised. The results may justify pursuing an algorithm to underpin a cognitive aid.
    Language English
    Publishing date 2022-07-01
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-5204
    ISSN (online) 2666-5204
    DOI 10.1016/j.resplu.2022.100263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effects of multitasking on interpreting a spearcon sequence display for monitoring multiple patients.

    Neary, Alexandra / Li, Simon Y W / Salisbury, Isaac / Loeb, Robert G / Sanderson, Penelope M

    Applied ergonomics

    2023  Volume 112, Page(s) 104072

    Abstract: Spearcons are time-compressed speech phrases. When arranged in a sequence representing vital signs of multiple patients, spearcons may be more informative than conventional auditory alarms. However, multiple resource theory suggests that certain ... ...

    Abstract Spearcons are time-compressed speech phrases. When arranged in a sequence representing vital signs of multiple patients, spearcons may be more informative than conventional auditory alarms. However, multiple resource theory suggests that certain timeshared tasks might interfere with listeners' ability to understand spearcons. We tested the relative interference with spearcon identification from the following ongoing tasks: (1) manual tracking, (2) linguistic detection of spoken target words, (3) arithmetic true-false judgments, or (4) an ignored background speech control. Participants were 80 non-clinicians. The linguistic task worsened spearcon identification more than the tracking task, p < .001, and more than ignored background speech, p = .012. The arithmetic task worsened spearcon identification more than the tracking task, p < .001. The linguistic task and arithmetic task both worsened performance, p = .674. However, no ongoing task affected participants' ability to detect which patient(s) in a sequence had abnormal vital signs. Future research could investigate whether timeshared tasks affect non-speech auditory alerts.
    MeSH term(s) Humans ; Linguistics ; Vital Signs ; Monitoring, Physiologic ; Speech ; Clinical Alarms
    Language English
    Publishing date 2023-06-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2003513-5
    ISSN 1872-9126 ; 0003-6870
    ISSN (online) 1872-9126
    ISSN 0003-6870
    DOI 10.1016/j.apergo.2023.104072
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Improving pulse oximetry auditory displays: Anesthesiologists' perceptions.

    Paterson, Estrella / Sanderson, Penelope M / Loeb, Robert G / Paterson, Neil A B

    Acta anaesthesiologica Scandinavica

    2022  Volume 66, Issue 8, Page(s) 1027–1028

    MeSH term(s) Anesthesiologists ; Humans ; Oximetry ; Oxygen
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-07-16
    Publishing country England
    Document type Letter
    ZDB-ID 80002-8
    ISSN 1399-6576 ; 0001-5172
    ISSN (online) 1399-6576
    ISSN 0001-5172
    DOI 10.1111/aas.14114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: From bartending interruptions to medication delivery interruptions: Managing the risks of a high-fidelity simulation study with pilot research.

    Santomauro, Chiara M / Sanderson, Penelope M

    Journal of experimental psychology. Applied

    2019  Volume 26, Issue 3, Page(s) 522–537

    Abstract: In this paper we describe the risks of complex applied research, especially in work domains where professional practitioners are scarce. For such research, careful preparation and piloting is needed, especially when estimating sample size is required for ...

    Abstract In this paper we describe the risks of complex applied research, especially in work domains where professional practitioners are scarce. For such research, careful preparation and piloting is needed, especially when estimating sample size is required for a full study. However, such pilot work may reduce the potential sample size for the full study. We describe how the these issues have been addressed in applied psychology contexts. We then present a case study illustrating how we determined sample size for a study investigating the impact of workplace interruptions on errors that intensive care unit nurses might make during medication preparation and administration. The pilot work was performed in a functionally related domain to nursing-bartending-and bartender participants filled cocktail orders. Pilot 1 investigated performance with 0 interruptions and applied a model from a field observation to estimate probable effect sizes and sample sizes with 1 or 4 interruptions per medication scenario. Pilot 2 collected empirical data on the effect of 1 or 4 interruptions per cocktail scenario on cocktail errors and estimated sample size for the medication study, which was subsequently successfully run. The applied community could benefit from further discussions about these issues and the means for addressing them. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    MeSH term(s) Critical Care Nursing ; Female ; High Fidelity Simulation Training ; Humans ; Male ; Medication Errors/statistics & numerical data ; Organizational Case Studies ; Pilot Projects ; Psychology, Applied ; Workload
    Language English
    Publishing date 2019-11-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2103149-6
    ISSN 1939-2192 ; 1076-898X
    ISSN (online) 1939-2192
    ISSN 1076-898X
    DOI 10.1037/xap0000255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: More evidence for a "black box" to measure and improve outcomes in the delivery room.

    Liley, Helen G / Sanderson, Penelope M

    Resuscitation

    2018  Volume 132, Page(s) A3–A4

    MeSH term(s) Delivery Rooms ; Drug Labeling ; Humans ; Infant, Newborn ; Pregnancy ; Respiration ; Resuscitation
    Language English
    Publishing date 2018-08-20
    Publishing country Ireland
    Document type Editorial ; Comment
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2018.08.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: SPECTRa: An Online Tool for Simulating Prehospital Patient Care.

    Davidson, Thomas J / Waxenegger, Harald / Mohamed, Ismail / McConnell, Duncan S / Sanderson, Penelope M

    HERD

    2022  Volume 15, Issue 3, Page(s) 375–394

    Abstract: Objectives: To (1) develop a simulation software environment to conduct prehospital research during the COVID-19 pandemic on paramedics' teamwork and use of mobile computing devices, and (2) establish its feasibility for use as a research and training ... ...

    Abstract Objectives: To (1) develop a simulation software environment to conduct prehospital research during the COVID-19 pandemic on paramedics' teamwork and use of mobile computing devices, and (2) establish its feasibility for use as a research and training tool.
    Background: Simulation-based research and training for prehospital environments has typically used live simulation, with highly realistic equipment and technology-enhanced manikins. However, such simulations are expensive, difficult to replicate, and require facilitators and participants to be at the same location. Although virtual simulation tools exist for prehospital care, it is unclear how best to use them for research and training.
    Methods: We present SPECTRa-Simulated Prehospital Emergency Care for Team Research-an online simulated prehospital environment that lets participants care concurrently for single or multiple patients remotely. Patient scenarios are designed using Laerdal's SimDesigner. SPECTRa records data about scenario states and participants' virtual interaction with the simulated patients. SPECTRa's supporting environment records participants' verbal communication and their visual and physical interactions with their interface and devices using Zoom conferencing and audiovisual recording. We discuss a pilot research implementation to assess SPECTRa's feasibility.
    Results: SPECTRa allows researchers to systematically test small-team interaction in single- or multipatient care scenarios and assess the impact of mobile devices on participants' assessment and care of patients. SPECTRa also supports pedagogical features that could allow prehospital educators to provide individual trainees or teams with online simulation training and evaluation.
    Conclusions: SPECTRa, an online tool for simulating prehospital patient care, shows potential for remote healthcare research and training.
    MeSH term(s) COVID-19 ; Emergency Medical Services ; Humans ; Manikins ; Pandemics ; Patient Care ; Patient Care Team
    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2525547-2
    ISSN 2167-5112 ; 1937-5867
    ISSN (online) 2167-5112
    ISSN 1937-5867
    DOI 10.1177/19375867221090984
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Evaluating enhanced pulse oximetry auditory displays for neonatal oxygen targeting: A randomized laboratory trial with clinicians and non-clinicians.

    Hinckfuss, Kelly / Sanderson, Penelope M / Brecknell, Birgit / Loeb, Robert G / Liu, David / Liley, Helen

    Applied ergonomics

    2022  Volume 107, Page(s) 103918

    Abstract: Standard pulse oximeter auditory tones do not clearly indicate departures from the target range of oxygen saturation ( ... ...

    Abstract Standard pulse oximeter auditory tones do not clearly indicate departures from the target range of oxygen saturation (SpO
    MeSH term(s) Humans ; Infant, Newborn ; Acoustics ; Heart Rate ; Oximetry ; Oxygen
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-11-14
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2003513-5
    ISSN 1872-9126 ; 0003-6870
    ISSN (online) 1872-9126
    ISSN 0003-6870
    DOI 10.1016/j.apergo.2022.103918
    Database MEDical Literature Analysis and Retrieval System OnLINE

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