Faculty, Staff and Student Publications
Language
English
Publication Date
1-25-2024
Journal
Studies in Health Technology and Informatics
DOI
10.3233/SHTI230980
PMID
38269818
PMCID
PMC11606403
PubMedCentral® Posted Date
11-29-2024
PubMedCentral® Full Text Version
Author MSS
Abstract
Patients admitted to intensive care units (ICUs) have profound and complex illnesses, often fraught with uncertainties in diagnoses, treatments, and care decisions. Clinicians often deviate from best practices to handle ICUs' myriad complexities and uncertainties. Non-routine events (NREs), defined as any aspect of care perceived by clinicians as deviations from optimal care, are latent and frequent safety threats that, if left unchecked, can be precursors to adverse events. Proper identification and analysis of NREs that represent latent safety threats have been proposed as a feasible and more effective approach for performance improvement than traditional root cause analysis for patient safety events. However, NRE studies to date have yet to show the holistic picture of NREs in the contexts of teamwork and time-dependent tasks that are frequently associated with NREs. NREs, an upstream interventional area to understand root causes, team performance, and human-computer interaction, still needs to be expanded. This article presents concepts of NREs, and the use of real-world data (RWD) and informatics methodology to investigate NREs in contexts and discusses the opportunities and challenges to enhance NREs research in teamwork and time-dependent tasks.
Keywords
Humans, Hospitalization, Intensive Care Units, Root Cause Analysis, Uncertainty, Non-routine events, intensive care units, patient safety, teamwork, tasks, electronic health records, network analysis, EHR access logs
Published Open-Access
yes
Recommended Citation
Yang Gong and You Chen, "Learning from Non-Routine Events and Teamwork in Intensive Care Units: Challenges and Opportunities" (2024). Faculty, Staff and Student Publications. 719.
https://digitalcommons.library.tmc.edu/uthshis_docs/719