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Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage
Sara B Donevant1, Erik R Svendsen2, Jane V Richter1
1College of Nursing University of South Carolina, Columbia, South Carolina, USA.
Summary
Testing informatics tools for mass casualty incidents is challenging. A functional exercise using real patient data proved effective for validating a new emergency department tool for identifying and triaging victims of chemical agents.
Area of Science:
- Disaster medicine
- Health informatics
- Emergency preparedness
Background:
- Testing informatics tools for mass casualty incidents (MCIs) is difficult due to the lack of realistic scenarios and victim populations.
- Previous research indicates functional exercises are a viable method for evaluating MCI informatics tools.
Purpose of the Study:
- To describe the design, planning, and execution of a functional exercise to validate an informatics tool for identifying and triaging victims of irritant gas syndrome agents.
Main Methods:
- A 3-year development and planning phase for the Emergency Department Informatics Computational Tool (EDICT).
- A functional exercise was planned using medical records from 298 patients exposed to chlorine gas in 2005.
Main Results:
- Valuable lessons were learned regarding key considerations for functional exercises, including contributors, venue, and IT infrastructure (hardware, software, data collection).
Conclusions:
- Functional exercises, while complex to plan, are essential for addressing challenges in testing informatics tools for mass casualty incidents.
- This study highlights the importance of meticulous planning for functional exercises to effectively validate critical health informatics tools.
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