Surveying work-as-done in post-operative delirium risk factors collection and diagnosis monitoring

Andrea Falegnami; Riccardo Patriarca; Francesco Costantino; Giulio Di Gravio; Federico Bilotta

doi:10.1016/j.apergo.2020.103347

Surveying work-as-done in post-operative delirium risk factors collection and diagnosis monitoring

Appl Ergon. 2021 Apr:92:103347. doi: 10.1016/j.apergo.2020.103347. Epub 2020 Dec 31.

Authors

Andrea Falegnami¹, Riccardo Patriarca², Francesco Costantino², Giulio Di Gravio², Federico Bilotta³

Affiliations

¹ University of Rome "La Sapienza", Department of Mechanical and Aerospace Engineering, Rome, Italy. Electronic address: andrea.falegnami@uniroma1.it.
² University of Rome "La Sapienza", Department of Mechanical and Aerospace Engineering, Rome, Italy.
³ University of Rome "La Sapienza", Department of Anesthesiology, Critical Care and Pain Medicine, Rome, Italy.

PMID: 33388635
DOI: 10.1016/j.apergo.2020.103347

Abstract

Post-operative delirium (POD) is a health hazard condition for the patients and it is associated with increased costs for the healthcare system. Following a system-theoretic approach, firstly a model, then a questionnaire, have been designed to probe the collective awareness about POD throughout the entire patient's perioperative pathway. The 58 reported answers pointed out that most of the information, specifically associated with POD, are routinely recorded but not used to stratify the patients' individual risk to develop POD. The results suggest the need for design a new socio-technical role within modern health care systems: the POD analyst. A Systems-Theoretic Accident Model and Processes (STAMP) model is proposed both to propel the awareness about POD and as a template for future POD risk factors collections.

Keywords: RiskSOAP; STAMP; Team awareness.

MeSH terms

Delirium* / etiology
Humans
Postoperative Complications*
Risk Factors
Surveys and Questionnaires