Challenges to effective crisis management: Using information and communication technologies to coordinate emergency medical services and emergency department teams

Madhu C. Reddy, Sharoda A. Paul, Joanna Abraham, Michael McNeese, Christopher DeFlitch, John Yen

Research output: Contribution to journalArticle

87 Scopus citations


Objective: The purpose of this study is to identify the major challenges to coordination between emergency department (ED) teams and emergency medical services (EMS) teams. Design: We conducted a series of focus groups involving both ED and EMS team members using a crisis scenario as the basis of the focus group discussion. We also collected organizational workflow data. Results: We identified three major challenges to coordination between ED and EMS teams including ineffectiveness of current information and communication technologies, lack of common ground, and breakdowns in information flow. Discussion: The three challenges highlight the importance of designing systems from socio-technical perspective. In particular, these inter-team coordination systems must support socio-technical issues such as awareness, context, and workflow between the two teams.

Original languageEnglish (US)
Pages (from-to)259-269
Number of pages11
JournalInternational Journal of Medical Informatics
Issue number4
StatePublished - Apr 1 2009


All Science Journal Classification (ASJC) codes

  • Health Informatics

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