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Addressing Teamwork Delays during Life-Saving Interventions through an Activity Theory-Informed Analysis.
Katherine Ann Zellner1, Aleksandra Sarcevic1, Maja Barnouw1
1Drexel University, USA.
Proceedings of the ACM on Human-Computer Interaction
|August 28, 2025
Summary
Severe blood loss (hemorrhage) is a leading cause of preventable death. This study used activity theory to analyze team hemorrhage control during trauma resuscitation, identifying delays and opportunities for computerized support.
Area of Science:
- Medical teamwork
- Trauma resuscitation
- Activity theory applications
Background:
- Hemorrhage is a leading cause of preventable death after injury.
- Effective team-based hemorrhage control is critical during trauma resuscitation.
- Existing activity theory analyses have not fully explored speech intentions in teamwork.
Purpose of the Study:
- To understand team dynamics in hemorrhage control using activity theory.
- To identify delays and develop models for routine and non-routine activities.
- To explore computerized support for time- and safety-critical medical teamwork.
Main Methods:
- Analysis of 25 resuscitation case videos.
- Application of nine activity theory prompts, including speech intention.
- Development of routine and non-routine activity models for hemorrhage control.
Main Results:
- Identified common activities causing delays in hemorrhage control.
- Developed routine and non-routine activity models, highlighting variations.
- Found that changes in labor division, instruments, community, and speech intentions caused deviations.
Conclusions:
- Computerized support can address delays in complex medical teamwork.
- Analyzing speech data aids in identifying contradictions within activity models.
- Activity theory provides a framework for designing socio-technical systems in healthcare.
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