{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:08:32Z","timestamp":1740136112521,"version":"3.37.3"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T00:00:00Z","timestamp":1561593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000092","name":"National Library of Medicine","doi-asserted-by":"publisher","award":["1R01LM011648"],"award-info":[{"award-number":["1R01LM011648"]}],"id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The testing of informatics tools designed for use during mass casualty incidents presents a unique problem as there is no readily available population of victims or identical exposure setting. The purpose of this article is to describe the process of designing, planning, and executing a functional exercise to accomplish the research objective of validating an informatics tool specifically designed to identify and triage victims of irritant gas syndrome agents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>During a 3-year time frame, the research team and partners developed the Emergency Department Informatics Computational Tool and planned a functional exercise to test it using medical records data from 298 patients seen in 1 emergency department following a chlorine gas exposure in 2005.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The research team learned valuable lessons throughout the planning process that will assist future researchers with developing a functional exercise to test informatics tools. Key considerations for a functional exercise include contributors, venue, and information technology needs (ie, hardware, software, and data collection methods).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Due to the nature of mass casualty incidents, testing informatics tools and technology for these incidents is challenging. Previous studies have shown a functional exercise as a viable option to test informatics tools developed for use during mass casualty incidents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Utilizing a functional exercise to test new mass casualty management technology and informatics tools involves a painstaking and complex planning process; however, it does allow researchers to address issues inherent in studying informatics tools for mas casualty incidents.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocz087","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T19:37:12Z","timestamp":1557862632000},"page":"1091-1098","source":"Crossref","is-referenced-by-count":1,"title":["Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1446-4706","authenticated-orcid":false,"given":"Sara B","family":"Donevant","sequence":"first","affiliation":[{"name":"College of Nursing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik R","family":"Svendsen","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane V","family":"Richter","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbas S","family":"Tavakoli","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean B r","family":"Craig","sequence":"additional","affiliation":[{"name":"Office of Biomedical Informatics Center Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas D","family":"Boltin","sequence":"additional","affiliation":[{"name":"College of Engineering and Computing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Homayoun","family":"Valafar","sequence":"additional","affiliation":[{"name":"College of Engineering and Computing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore Robert","family":"DiNardi","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan M","family":"Culley","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina, Columbia, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,6,27]]},"reference":[{"issue":"1","key":"2020110613094920800_ocz087-B1","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1017\/S1049023X11006789","article-title":"The evaluation of research methods during disaster exercises: applicability for improving disaster health management","volume":"27","author":"Legemaate","year":"2012","journal-title":"Prehosp Disaster Med"},{"author":"Killeen","journal-title":"AMIA 2006 Annual Symposium Proceedings","article-title":"A wireless first responder handheld device for rapid triage, patient assessment and documentation during mass casualty incidents","key":"2020110613094920800_ocz087-B2"},{"issue":"6","key":"2020110613094920800_ocz087-B3","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1136\/amiajnl-2011-000229","article-title":"Design and evaluation of a wireless electronic health records system for field care in mass casualty settings","volume":"18","author":"Lenert","year":"2011","journal-title":"J Am Med Inform Assoc"},{"issue":"6","key":"2020110613094920800_ocz087-B4","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1111\/tct.12744","article-title":"Crash simulation: an immersive learning model","volume":"15","author":"Wenham","year":"2018","journal-title":"Clin Teach"},{"issue":"2","key":"2020110613094920800_ocz087-B5","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1017\/S1049023X14000223","article-title":"High-fidelity human patient simulators compared with human actors in an unannounced mass-casualty exercise","volume":"29","author":"Schulz","year":"2014","journal-title":"Prehosp Disaster Med"},{"issue":"6","key":"2020110613094920800_ocz087-B6","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1017\/S1049023X14001204","article-title":"The use of FAST scan by paramedics in mass-casualty incidents: a simulation study","volume":"29","author":"West","year":"2014","journal-title":"Prehosp Disaster Med"},{"issue":"1","key":"2020110613094920800_ocz087-B7","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/MEJ.0b013e328347a2c7","article-title":"Data collection in a live mass casualty incident simulation: automated RFID technology versus manually recorded system","volume":"19","author":"Ingrassia","year":"2012","journal-title":"Eur J Emerg Med"},{"issue":"3","key":"2020110613094920800_ocz087-B8","doi-asserted-by":"crossref","first-page":"189","DOI":"10.5055\/ajdm.2017.0273","article-title":"A hospital mass casualty exercise using city buses and a tent as a hybrid system for patient decontamination","volume":"12","author":"Imamedjian","year":"2017","journal-title":"Am J Disaster Med"},{"issue":"4","key":"2020110613094920800_ocz087-B9","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1017\/S1049023X15004835","article-title":"Impact of a two-step emergency department triage model with START, then CTAS, on patient flow during a simulated mass-casualty incident","volume":"30","author":"Lee","year":"2015","journal-title":"Prehosp Disaster Med"},{"year":"2018","key":"2020110613094920800_ocz087-B10"},{"issue":"3","key":"2020110613094920800_ocz087-B11","doi-asserted-by":"crossref","first-page":"449","DOI":"10.3346\/jkms.2016.31.3.449","article-title":"Epidemiology of emergency medical services-assessed mass casualty incidents according to causes","volume":"31","author":"Park","year":"2016","journal-title":"J Korean Med Sci"},{"issue":"8","key":"2020110613094920800_ocz087-B12","doi-asserted-by":"crossref","first-page":"5113","DOI":"10.19082\/5113","article-title":"Epidemiology of special incidents: results from national mortality and morbidity registry and the associated factors in Iran in 2014","volume":"9","author":"Bazeli","year":"2017","journal-title":"Electron Phys"},{"issue":"3","key":"2020110613094920800_ocz087-B13","doi-asserted-by":"crossref","first-page":"408","DOI":"10.3109\/10903127.2014.882999","article-title":"Epidemiology of mass casualty incidents in the United States","volume":"18","author":"Schenk","year":"2014","journal-title":"Prehosp Emerg Care"},{"issue":"3","key":"2020110613094920800_ocz087-B14","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1513\/AnnalsATS.201508-525OC","article-title":"Lung function before and after a large chlorine gas release in Graniteville, South Carolina","volume":"13","author":"Clark","year":"2016","journal-title":"Annals ATS"},{"issue":"5","key":"2020110613094920800_ocz087-B15","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.jen.2014.04.020","article-title":"A validation study of 5 triage systems using data from the 2005 Graniteville, South Carolina, chlorine spill","volume":"40","author":"Culley","year":"2014","journal-title":"J Emerg Nurs"},{"issue":"2","key":"2020110613094920800_ocz087-B16","doi-asserted-by":"crossref","first-page":"137","DOI":"10.5055\/ajdm.2014.0150","article-title":"A review of the literature on the validity of mass casualty triage systems with a focus on chemical exposures","volume":"9","author":"Culley","year":"2014","journal-title":"Am J Disaster Med"},{"issue":"3","key":"2020110613094920800_ocz087-B17","first-page":"10","article-title":"Data capture and analysis of signs and symptoms of a chemically exposed population","volume":"3","author":"Craig","year":"2018","journal-title":"JIN"},{"issue":"2","key":"2020110613094920800_ocz087-B18","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"issue":"4","key":"2020110613094920800_ocz087-B19","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.jen.2016.11.001","article-title":"Validating signs and symptoms from an actual mass casualty incident to characterize an irritant gas syndrome agent (IGSA) exposure: a first step in the development of a novel IGSA triage algorithm","volume":"43","author":"Culley","year":"2017","journal-title":"J Emerg Nurs"},{"issue":"1","key":"2020110613094920800_ocz087-B20","doi-asserted-by":"crossref","first-page":"13","DOI":"10.5055\/ajdm.2018.0284","article-title":"Validation of a novel irritant gas syndrome triage algorithm","volume":"13","author":"Culley","year":"2018","journal-title":"Am J Disaster Med"},{"issue":"6","key":"2020110613094920800_ocz087-B21","doi-asserted-by":"crossref","first-page":"e10727","DOI":"10.2196\/10727","article-title":"Mobile decision support tool for emergency departments and mass casualty incidents (EDIT): initial study","volume":"6","author":"Boltin","year":"2018","journal-title":"JMIR mHealth uHealth"},{"year":"2018","author":"Net MarketShare. Operating system market share;","key":"2020110613094920800_ocz087-B22"},{"year":"2015","author":"Vanderbuilt Univesity Medical Center","key":"2020110613094920800_ocz087-B23"},{"key":"2020110613094920800_ocz087-B24","first-page":"4","volume-title":"Usability Evaluation in Industry","author":"Brooke","year":"1996"},{"year":"2011","author":"Sauro","key":"2020110613094920800_ocz087-B25"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/26\/10\/1091\/34151616\/ocz087.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/26\/10\/1091\/34151616\/ocz087.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T20:45:07Z","timestamp":1607805907000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/26\/10\/1091\/5524241"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,27]]},"references-count":25,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,6,27]]},"published-print":{"date-parts":[[2019,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocz087","relation":{},"ISSN":["1527-974X"],"issn-type":[{"type":"electronic","value":"1527-974X"}],"subject":[],"published-other":{"date-parts":[[2019,10]]},"published":{"date-parts":[[2019,6,27]]}}}