Navigation Links
Study finds air traffic control tracking method reduces errors in trauma management

CHICAGO (June 11, 2009) New research published in the June issue of the Journal of the American College of Surgeons shows that a method used by air traffic controllers tracks patient data more effectively and with fewer errors compared with current hospital methods, primarily the use of clipboards.

Currently there is no standard practice for tracking the movement of patients from emergency rooms to the radiology suite, operating rooms, the intensive care unit, inpatient rooms or the discharge area. In addition, basic errors such as misidentifying which extremity needs to be amputated have resulted in increased mortality that could be prevented with basic safety measures. Both of these situations underscore the fact that patient safety has become a more visible vulnerability of modern medicine.

Air traffic controllers use a method in which each aircraft is represented by a flight progress strip. Multiple strips are stacked in order of priority within a bay representing a unique stage of flight. Reprioritization regularly occurs for faster aircraft or those that require expedited throughput for emergency or other reasons such as low fuel or weather. Flight progress strips are moved from bay to bay as aircraft move from one stage of flight to another.

"For decades, air traffic controllers have managed the complexities of airspace and aircraft handoff with a simple, manual method that has evolved to an efficient and nearly flawless system," says Jason D. Hoskins, MA, of the Uniformed Services University of the Health Sciences (USUHS) in Maryland. "Our study successfully demonstrated that this method translates to trauma management, and results in increased accuracy and awareness of patient recording, tracking and throughput management. We are currently in discussions to test a more mature version of the system in clinic."

Researchers compared the air traffic control model and the traditional casualty tracking method of paper and clipboard in 18 four-hour casualty scenarios with six groups of senior medical students, each with five to 30 mock casualties as part of training session at the Emergency Medical Support Level II facility at USUHS. The experimental control groups were alternated to maximize exposure and minimize training effects. Results were compiled into performance indices for each scenario, ranging from 0 to 100 percent to represent the number of information items recorded correctly, divided by the number of information items sampled in the scenario.

When compared with the control group, the air traffic control method had fewer errors than the traditional method in critical patient data (99 percent correct versus 87 percent correct, p=0.017). Additionally, the air traffic control method better tracked mechanism of injury (100 percent versus 88 percent, p=0.004), working diagnosis (100 percent versus 93 percent, p=0.045) and disposition of patients through hospital (100 percent versus 93 percent, p=0.009).

The air traffic control method did not significantly vary from the traditional method in recording name, social security number or patient location, or in determining total number of casualties (both were 92 percent). However, the air traffic control method was able to track where patients were at given times, even after each scenario was finished.

By keeping data in "air traffic control" bays, information was available in one location as opposed to on a roving clipboard. This system provided hospital administrators with knowledge of current hospital capacity and throughput efficiency so that resources could be redirected in real time and a dynamic re-triage process could be maintained.

Post-scenario surveys were provided to key student leadership positions after each cycle. Responders (n=75) preferred the data bays to standard clipboard tracking by a ratio of nearly 3:1 (p = 0.003).


Contact: Sally Garneski
Weber Shandwick Worldwide

Related medicine news :

1. Study shows promise for new cancer-stopping therapy
2. Study finds segregation decreases access to surgical care for minorities
3. Kessler Foundation Research Center Study Provides Insight into One of the Most Challenging Symptoms Following a Traumatic Brain Injury
4. Kessler Foundation Research Center Study Provides Insight into One of the Most Challenging Symptoms Following a Traumatic Brain Injury
5. PAREXEL Enhances Study Start-Up and Recruitment Capabilities With Appointment of Dr. Lars-Olof Eriksson, Formerly With Merck
6. Want to Learn How to Testify? New Home Study Course by Practicing Physician Teaches Medical Malpractice Defendants and Physicians How to be Effective in Court
7. Morning Sickness Drug Gets Green Light in Study
8. DaVita Study Demonstrates Clinical Application of Sysmex Reticulocyte Hemoglobin Equivalent (RET-He) Parameter
9. New Study Shows Coaching to Patient Activation Levels Improves Disease Management Outcomes
10. New Jefferson study may redefine how a chronic auto-immune disease is diagnosed
11. ASCO Research Foundation Grant Will Support Study of Peregrines Bavituximab in Lung Cancer
Post Your Comments:
(Date:11/27/2015)... ... November 27, 2015 , ... A simply groundbreaking television series, "Voices in ... that delves into an array of issues that are presently affecting Americans. Dedicated to ... dialogue, this show is changing the subjects consumers focus on, one episode at a ...
(Date:11/27/2015)... ... November 27, 2015 , ... The ... and prominent nonprofit healthcare organizations in the country. They have overseen financial turnarounds, ... and helped advance the healthcare industry as a whole through their advocacy and ...
(Date:11/26/2015)... ... November 26, 2015 , ... Patients at Serenity Point Recovery, ... together on Thanksgiving Day to share the things that they are most grateful ... Point YouTube channel, patients displayed what they wrote on index cards, describing the ...
(Date:11/26/2015)... (PRWEB) , ... November 26, 2015 , ... ... of workshops to discuss bioavailability and the need to integrate dose form selection ... in collaboration with OBN, the membership organization supporting and bringing together the UK’s ...
(Date:11/26/2015)... Viejo, CA (PRWEB) , ... November 26, 2015 ... ... users a new set of retro-fused, self-animating trailer titles with ProTrailer: Vintage. This ... style options. These classically-influenced trailer titles work with any font, giving users limitless ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 26, 2015 ... "Radioimmunoassay Market by Type (Reagents & ... Academics, Clinical Diagnostic Labs), Application (Research, Clinical ... 2020" report to their offering. ... addition of the "Radioimmunoassay Market by ...
(Date:11/25/2015)... , Nov. 25, 2015  The American Academy ... Gynecologists (ACOG), and the March of Dimes cheered ... Protecting Our Infants Act of 2015 (S.799), ... of newborns born exposed to drugs, such as ... bill,s introduction, all three organizations have worked together ...
(Date:11/25/2015)... 25, 2015  Henry Schein, Inc., the world,s largest ... dental, medical and animal health practitioners, will unveil at ... Henry Schein ConnectDental® Pavilion , which brings together for ... solutions designed to help any practice or laboratory enter ... for a schedule of experts appearing at the Pavilion. ...
Breaking Medicine Technology: