The Haemostasis Traffic Light, a user‐centred coagulation management tool for acute bleeding situations: a simulation‐based randomised dual‐centre trial

Summary The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the ble...

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Bibliographic Details
Published in:Anaesthesia 2021-07, Vol.76 (7), p.902-910
Main Authors: Kataife, E. D., Said, S., Braun, J., Roche, T. R., Rössler, J., Kaserer, A., Spahn, D. R., Mileo, F. G., Tscholl, D. W.
Format: Article
Language:English
Subjects:
Algorithms
Bleeding
Circulatory system
Clinical trials
Coagulation
coagulation management
Cognitive ability
cognitive aid
Decision making
Design
Emergency medical care
Hemorrhage
human factors
Simulation
Situational awareness
Therapeutic applications
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Summary:Summary The Haemostasis Traffic Light is a cognitive aid with a user‐centred design to enhance and simplify situation awareness and decision‐making during peri‐operative bleeding. Its structure helps to prioritise therapeutic interventions according to the pathophysiology and the severity of the bleeding. This investigator‐initiated, randomised, prospective, international, dual‐centre study aimed to validate the Haemostasis Traffic Light by adapting it to the local coagulation protocols of two university hospitals. Between 9 January and 12 May 2020, we recruited 84 participants at the University Hospital Zurich, Switzerland, and the Italian Hospital of Buenos Aires, Argentina. Each centre included 21 resident and 21 staff anaesthetists. Participants were randomly allocated to either the text‐based algorithm or the Haemostasis Traffic Light. All participants managed six bleeding scenarios using the same algorithm. In simulated bleeding scenarios, the design of the Haemostasis Traffic Light algorithm enabled more correctly solved cases, OR (95%CI) 7.23 (3.82–13.68), p 
ISSN:0003-2409
1365-2044
DOI:10.1111/anae.15314