Defining information needs in neonatal resuscitation with work domain analysis

Zestic, Jelena; Sanderson, Penelope; Dawson, Jennifer; Liley, Helen

doi:10.1007/s10877-020-00526-7

Cited by 8 publications

(4 citation statements)

References 102 publications

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“…Fourth, the values of HR and SpO 2 did not change direction in mid-trial, and each trial only lasted 30 seconds. However, in the resuscitation context, monitoring is ongoing and vital sign values can change unpredictably (Zestic et al, 2021). Future studies should use longer scenarios that reflect real HR and SpO 2 variability in the first 10 mins.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Neonatal Pulse Oximetry Sounds for the First Minutes of Life: A Laboratory Trial

et al. 2022

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Objective Auditory enhancements to the pulse oximetry tone may help clinicians detect deviations from target ranges for oxygen saturation (SpO2) and heart rate (HR). Background Clinical guidelines recommend target ranges for SpO2 and HR during neonatal resuscitation in the first 10 minutes after birth. The pulse oximeter currently maps HR to tone rate, and SpO2 to tone pitch. However, deviations from target ranges for SpO2 and HR are not easy to detect. Method Forty-one participants were presented with 30-second simulated scenarios of an infant’s SpO2 and HR levels in the first minutes after birth. Tremolo marked distinct HR ranges and formants marked distinct SpO2 ranges. Participants were randomly allocated to conditions: (a) No Enhancement control, (b) Enhanced HR Only, (c) Enhanced SpO2 Only, and (d) Enhanced Both. Results Participants in the Enhanced HR Only and Enhanced SpO2 Only conditions identified HR and SpO2 ranges, respectively, more accurately than participants in the No Enhancement condition, ps < 0.001. In the Enhanced Both condition, the tremolo enhancement of HR did not affect participants’ ability to identify SpO2 range, but the formants enhancement of SpO2 may have attenuated participants’ ability to identify tremolo-enhanced HR range. Conclusion Tremolo and formant enhancements improve range identification for HR and SpO2, respectively, and could improve clinicians’ ability to identify SpO2 and HR ranges in the first minutes after birth. Application Enhancements to the pulse oximeter tone to indicate clinically important ranges could improve the management of oxygen delivery to the neonate during resuscitation in the first 10 minutes after birth.

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Section: Discussionmentioning

confidence: 99%

Enhanced Neonatal Pulse Oximetry Sounds for the First Minutes of Life: A Laboratory Trial

et al. 2022

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“…To support the neonatal transition effectively, clinicians need access to information regarding particular physiological variables to help them form a mental model of what could be physiologically unfolding in the newborn, guiding their treatment decisions. However, sensors indicating the state of the neonate's physiological and anatomical adaptations are minimal or compromised in the work domain of neonatal resuscitation (Zestic, Sanderson, Dawson, & Liley, 2020).…”

Section: Discussionmentioning

confidence: 99%

Understanding Patterns in Neonatal Trajectories in the First 10 Minutes After Birth

Zestic

Liley

Sanderson

2020

Proceedings of the Human Factors and Ergonomics Society Annual

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“…The neonatal transition from intrauterine life to extrauterine life depends on a series of interrelated physiological processes that must take place to change how every organ system functions in the body; see Zestic et al 1 for a description of some key early components of this transition. Supporting the newborn transition is challenging for clinicians, largely because devices to measure many of the critical physiological variables are not routinely available, either because the relevant sensors do not exist or because they are impractical for routine clinical use.…”

Section: Introductionmentioning

confidence: 99%

“…Supporting the newborn transition is challenging for clinicians, largely because devices to measure many of the critical physiological variables are not routinely available, either because the relevant sensors do not exist or because they are impractical for routine clinical use. 1. , 2.…”

Section: Introductionmentioning

confidence: 99%

Similarity of expert clinicians’ rank order of differential diagnoses in a newborn resuscitation context

Zestic¹,

Liley²,

Sanderson³

2022

Resuscitation Plus

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Defining information needs in neonatal resuscitation with work domain analysis

Cited by 8 publications

References 102 publications

Enhanced Neonatal Pulse Oximetry Sounds for the First Minutes of Life: A Laboratory Trial

Enhanced Neonatal Pulse Oximetry Sounds for the First Minutes of Life: A Laboratory Trial

Understanding Patterns in Neonatal Trajectories in the First 10 Minutes After Birth

Similarity of expert clinicians’ rank order of differential diagnoses in a newborn resuscitation context

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