Computer-based videotape analysis of trauma resuscitations for quality assurance and clinical research

Abstract

Purpose: To automate time (and motion) studies of major trauma resuscitations.

Techniques: We modified an existing time-motion study technique based on time-encoded videotaping for medical imaging workstation human factors analysis. Videotapes were recorded of the trauma room during normal clinical activity using an unobtrusive mounted camera. The videotapes are displayed through a customized interface using a Macintosh-based display system. Within this platform, the time-motion study module allows flexible task definition, multiple concordant task assignment, and various summary result presentations. We established an expert panel of two traumatologists, two emergency radiologists, and two time-motion study experts. The expert panel prospectively and uniquely defined important recognizable procedural and cognitive tasks and personnel (MD, RN, EMT, RT, etc.) involved in trauma resuscitation based on pilot recordings and collective experience. These task functions were used to define a menu in the time-motion analysis software. During retrospective videotape review, the beginning and ending times of each task performed were recorded by electronically highlighting each defined individual and task. The summary results can be displayed in list, tabular, or graphic form by individuals, personnel classifications, or tasks.