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Using Cognitive task analysis to understand the decision making process for pediatric blunt abdominal trauma

Using Cognitive task analysis to understand the decision making process for pediatric blunt abdominal trauma

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Using Cognitive task analysis to understand the decision making process for pediatric blunt abdominal trauma

  1. 1. ALERT Presentation (New Project): Using Cognitive Task Analysis to Understand the Decision-Making Process for Pediatric Blunt Abdominal Trauma Tania Ahluwalia, Serkan Toy & Chris Kennedy Children’s Mercy Hospital, Kansas City INSPIRE @ IMSH 2017 – Orlando, FL, USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • Injury is a leading cause of death for children • Trauma is not a single disease but a complex array of responses to injury • Critical trauma care requires rapid decision making – Correct decision making requires practice International Network for Simulation-based Pediatric Innovation, Research and Education Background
  3. 3. • Challenges in pediatric trauma education – Duty hour restrictions for trainees – Limited high acuity patients on the job – Lack of focus on children in trauma courses • Providers need training focused on improving decision-making skills – Simulation is effective for the team – How can we train individuals? International Network for Simulation-based Pediatric Innovation, Research and Education Background
  4. 4. • Cognitive task analysis (CTA) is a way to dissect a task or skill into critical steps by identifying associated cognitive decisions • Concepts that characterize expert performance can be scripted for teaching and learning by non-experts • Recent surgical studies ex. line placement, vaginal hysterectomies International Network for Simulation-based Pediatric Innovation, Research and Education Background
  5. 5. • What is the the clinical decision-making process of pediatric management for blunt abdominal injury using cognitive task analysis? International Network for Simulation-based Pediatric Innovation, Research and Education Research Question
  6. 6. • Single site qualitative study • Interview experts from Pediatric Emergency Medicine and Pediatric Trauma Surgery • Use CTA to outline clinical decisions • Create an algorithm to be used as a tool for teaching through simulation and/or serious video games International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design
  7. 7. International Network for Simulation-based Pediatric Innovation, Research and Education Timeline IRB Exempt July 2016 Grant Proposal Accepted July 2016 Data Collection August-October 2016 Abstract Presentation January 2017 Manuscript Preparation June 2017
  8. 8. 1. Who should be included as an external expert? Should we expand the design to include national or international experts? 2. What are suggested ways to build consensus? 3. How can we improve the algorithm? International Network for Simulation-based Pediatric Innovation, Research and Education 3 Questions to Improve Study
  9. 9. At INSPIRE @ IMSH 2017: Network with providers to improve our algorithm for management of pediatric blunt abdominal trauma In 2 months: Complete data analysis International Network for Simulation-based Pediatric Innovation, Research and Education Goals to Accomplish
  10. 10. Name: Tania Ahluwalia Institution: Children’s Mercy Kansas City E-mail, Phone: tahluwalia@cmh.edu, 480- 478-5144 Website / QR Code: N/A International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information

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Using Cognitive task analysis to understand the decision making process for pediatric blunt abdominal trauma

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