Telecenter for secure, remote, collaborative child fatality review
Identifieur interne : 000421 ( Istex/Corpus ); précédent : 000420; suivant : 000422Telecenter for secure, remote, collaborative child fatality review
Auteurs : Mark R. Zonfrillo ; Mahendra Kumar ; Jose A. Fortes ; Flaura K. WinstonSource :
- Injury Prevention [ 1353-8047 ] ; 2012-12.
Abstract
Objectives Child fatality review (CFR) is the systematic, interdisciplinary, multi-agency examination of paediatric deaths. While CFR findings may influence policies and reduce preventable fatalities, limited resources challenge accurate CFR data collection and prevention recommendations. Therefore, using technology to improve efficiency of reviews and access to remote participants could enhance the CFR experience. This project aimed to adapt a previously developed collaborative web-based appliance for remote, secure, collaborative review of crash investigations for use with CFR. Methods The user-centred design and evaluation process included: (1) key informant interviews and visits to CFR sessions to determine current practices, (2) an anonymous, qualitative, internet-based survey of 64 Pennsylvania CFR team leaders, (3) redesign and adaptation of the Telecenter appliance based on survey results and team feedback and (4) pilot-testing of the adapted Telecenter application at an actual local CFR. Results The qualitative informant interviews identified facilitators and barriers for adoption of the Telecenter. Facilitators included: team member training, improved communication and collaboration, more efficient reviews, and enhanced preventive efforts. Barriers identified included: concern for confidentiality and security, concern about accepting a novel CFR method, low interest in using technology, cost and maintenance. The survey of CFR team leaders identified themes for improving CFR team functioning including the need for evidence-based prevention resources, increased team training and efficient information gathering. The Telecenter was redesigned and adapted based on the information gathered and was successfully piloted for use with CFR. Conclusions Telecenter met the design goal to improve information dissemination and identification of fatality prevention strategies for CFR.
Url:
DOI: 10.1136/injuryprev-2011-040283
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Zonfrillo</name><affiliation><mods:affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: zonfrillo@email.chop.edu</mods:affiliation></affiliation></author><author><name sortKey="Kumar, Mahendra" sort="Kumar, Mahendra" uniqKey="Kumar M" first="Mahendra" last="Kumar">Mahendra Kumar</name><affiliation><mods:affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Fortes, Jose A" sort="Fortes, Jose A" uniqKey="Fortes J" first="Jose A" last="Fortes">Jose A. Fortes</name><affiliation><mods:affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Winston, Flaura K" sort="Winston, Flaura K" uniqKey="Winston F" first="Flaura K" last="Winston">Flaura K. Winston</name><affiliation><mods:affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:E188C0D6FDEB6336F4DBCA54730AE63B811F0054</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1136/injuryprev-2011-040283</idno><idno type="url">https://api.istex.fr/document/E188C0D6FDEB6336F4DBCA54730AE63B811F0054/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000421</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Telecenter for secure, remote, collaborative child fatality review</title><author><name sortKey="Zonfrillo, Mark R" sort="Zonfrillo, Mark R" uniqKey="Zonfrillo M" first="Mark R" last="Zonfrillo">Mark R. Zonfrillo</name><affiliation><mods:affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: zonfrillo@email.chop.edu</mods:affiliation></affiliation></author><author><name sortKey="Kumar, Mahendra" sort="Kumar, Mahendra" uniqKey="Kumar M" first="Mahendra" last="Kumar">Mahendra Kumar</name><affiliation><mods:affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Fortes, Jose A" sort="Fortes, Jose A" uniqKey="Fortes J" first="Jose A" last="Fortes">Jose A. Fortes</name><affiliation><mods:affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</mods:affiliation></affiliation></author><author><name sortKey="Winston, Flaura K" sort="Winston, Flaura K" uniqKey="Winston F" first="Flaura K" last="Winston">Flaura K. Winston</name><affiliation><mods:affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Injury Prevention</title><title level="j" type="abbrev">Inj Prev</title><idno type="ISSN">1353-8047</idno><idno type="eISSN">1475-5785</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2012-12">2012-12</date><biblScope unit="volume">18</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="399">399</biblScope></imprint><idno type="ISSN">1353-8047</idno></series><idno type="istex">E188C0D6FDEB6336F4DBCA54730AE63B811F0054</idno><idno type="DOI">10.1136/injuryprev-2011-040283</idno><idno type="href">injuryprev-18-399.pdf</idno><idno type="ArticleID">injuryprev-2011-040283</idno><idno type="PMID">22328634</idno><idno type="local">injuryprev;18/6/399</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1353-8047</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objectives Child fatality review (CFR) is the systematic, interdisciplinary, multi-agency examination of paediatric deaths. While CFR findings may influence policies and reduce preventable fatalities, limited resources challenge accurate CFR data collection and prevention recommendations. Therefore, using technology to improve efficiency of reviews and access to remote participants could enhance the CFR experience. This project aimed to adapt a previously developed collaborative web-based appliance for remote, secure, collaborative review of crash investigations for use with CFR. Methods The user-centred design and evaluation process included: (1) key informant interviews and visits to CFR sessions to determine current practices, (2) an anonymous, qualitative, internet-based survey of 64 Pennsylvania CFR team leaders, (3) redesign and adaptation of the Telecenter appliance based on survey results and team feedback and (4) pilot-testing of the adapted Telecenter application at an actual local CFR. Results The qualitative informant interviews identified facilitators and barriers for adoption of the Telecenter. Facilitators included: team member training, improved communication and collaboration, more efficient reviews, and enhanced preventive efforts. Barriers identified included: concern for confidentiality and security, concern about accepting a novel CFR method, low interest in using technology, cost and maintenance. The survey of CFR team leaders identified themes for improving CFR team functioning including the need for evidence-based prevention resources, increased team training and efficient information gathering. The Telecenter was redesigned and adapted based on the information gathered and was successfully piloted for use with CFR. Conclusions Telecenter met the design goal to improve information dissemination and identification of fatality prevention strategies for CFR.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>Mark R Zonfrillo</name><affiliations><json:string>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</json:string><json:string>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</json:string><json:string>E-mail: zonfrillo@email.chop.edu</json:string></affiliations></json:item><json:item><name>Mahendra Kumar</name><affiliations><json:string>Department of Computer Science, University of Florida, Gainesville, Florida, USA</json:string></affiliations></json:item><json:item><name>Jose A Fortes</name><affiliations><json:string>Department of Computer Science, University of Florida, Gainesville, Florida, USA</json:string></affiliations></json:item><json:item><name>Flaura K Winston</name><affiliations><json:string>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</json:string><json:string>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</json:string><json:string>Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Child</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>mortality</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>web-based</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>community research</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>motor vehicle occupant</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>epidemiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>disability</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>concussion</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>public health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>child survival</value></json:item></subject><articleId><json:string>injuryprev-2011-040283</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Objectives Child fatality review (CFR) is the systematic, interdisciplinary, multi-agency examination of paediatric deaths. While CFR findings may influence policies and reduce preventable fatalities, limited resources challenge accurate CFR data collection and prevention recommendations. Therefore, using technology to improve efficiency of reviews and access to remote participants could enhance the CFR experience. This project aimed to adapt a previously developed collaborative web-based appliance for remote, secure, collaborative review of crash investigations for use with CFR. Methods The user-centred design and evaluation process included: (1) key informant interviews and visits to CFR sessions to determine current practices, (2) an anonymous, qualitative, internet-based survey of 64 Pennsylvania CFR team leaders, (3) redesign and adaptation of the Telecenter appliance based on survey results and team feedback and (4) pilot-testing of the adapted Telecenter application at an actual local CFR. Results The qualitative informant interviews identified facilitators and barriers for adoption of the Telecenter. Facilitators included: team member training, improved communication and collaboration, more efficient reviews, and enhanced preventive efforts. Barriers identified included: concern for confidentiality and security, concern about accepting a novel CFR method, low interest in using technology, cost and maintenance. The survey of CFR team leaders identified themes for improving CFR team functioning including the need for evidence-based prevention resources, increased team training and efficient information gathering. The Telecenter was redesigned and adapted based on the information gathered and was successfully piloted for use with CFR. Conclusions Telecenter met the design goal to improve information dissemination and identification of fatality prevention strategies for CFR.</abstract><qualityIndicators><score>6.613</score><pdfVersion>1.3</pdfVersion><pdfPageSize>595.163 x 793.587 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>10</keywordCount><abstractCharCount>1911</abstractCharCount><pdfWordCount>3613</pdfWordCount><pdfCharCount>24990</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>253</abstractWordCount></qualityIndicators><title>Telecenter for secure, remote, collaborative child fatality review</title><pmid><json:string>22328634</json:string></pmid><genre><json:string>research-article</json:string></genre><host><volume>18</volume><publisherId><json:string>ip</json:string></publisherId><pages><first>399</first></pages><issn><json:string>1353-8047</json:string></issn><issue>6</issue><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1475-5785</json:string></eissn><title>Injury Prevention</title></host><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1136/injuryprev-2011-040283</json:string></doi><id>E188C0D6FDEB6336F4DBCA54730AE63B811F0054</id><score>0.16599508</score><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/E188C0D6FDEB6336F4DBCA54730AE63B811F0054/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/E188C0D6FDEB6336F4DBCA54730AE63B811F0054/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/E188C0D6FDEB6336F4DBCA54730AE63B811F0054/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Telecenter for secure, remote, collaborative child fatality review</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd</publisher><availability><p>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</p></availability><date>2012-02-10</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Telecenter for secure, remote, collaborative child fatality review</title><author xml:id="author-1" corresp="yes"><persName><forename type="first">Mark R</forename><surname>Zonfrillo</surname></persName><email>zonfrillo@email.chop.edu</email><affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</affiliation><affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</affiliation></author><author xml:id="author-2"><persName><forename type="first">Mahendra</forename><surname>Kumar</surname></persName><affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</affiliation></author><author xml:id="author-3"><persName><forename type="first">Jose A</forename><surname>Fortes</surname></persName><affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</affiliation></author><author xml:id="author-4"><persName><forename type="first">Flaura K</forename><surname>Winston</surname></persName><affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</affiliation><affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</affiliation><affiliation>Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</affiliation></author></analytic><monogr><title level="j">Injury Prevention</title><title level="j" type="abbrev">Inj Prev</title><idno type="pISSN">1353-8047</idno><idno type="eISSN">1475-5785</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2012-12"></date><biblScope unit="volume">18</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="399">399</biblScope></imprint></monogr><idno type="istex">E188C0D6FDEB6336F4DBCA54730AE63B811F0054</idno><idno type="DOI">10.1136/injuryprev-2011-040283</idno><idno type="href">injuryprev-18-399.pdf</idno><idno type="ArticleID">injuryprev-2011-040283</idno><idno type="PMID">22328634</idno><idno type="local">injuryprev;18/6/399</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2012-02-10</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Objectives Child fatality review (CFR) is the systematic, interdisciplinary, multi-agency examination of paediatric deaths. While CFR findings may influence policies and reduce preventable fatalities, limited resources challenge accurate CFR data collection and prevention recommendations. Therefore, using technology to improve efficiency of reviews and access to remote participants could enhance the CFR experience. This project aimed to adapt a previously developed collaborative web-based appliance for remote, secure, collaborative review of crash investigations for use with CFR. Methods The user-centred design and evaluation process included: (1) key informant interviews and visits to CFR sessions to determine current practices, (2) an anonymous, qualitative, internet-based survey of 64 Pennsylvania CFR team leaders, (3) redesign and adaptation of the Telecenter appliance based on survey results and team feedback and (4) pilot-testing of the adapted Telecenter application at an actual local CFR. Results The qualitative informant interviews identified facilitators and barriers for adoption of the Telecenter. Facilitators included: team member training, improved communication and collaboration, more efficient reviews, and enhanced preventive efforts. Barriers identified included: concern for confidentiality and security, concern about accepting a novel CFR method, low interest in using technology, cost and maintenance. The survey of CFR team leaders identified themes for improving CFR team functioning including the need for evidence-based prevention resources, increased team training and efficient information gathering. The Telecenter was redesigned and adapted based on the information gathered and was successfully piloted for use with CFR. Conclusions Telecenter met the design goal to improve information dissemination and identification of fatality prevention strategies for CFR.</p></abstract><textClass><keywords scheme="keyword"><list><head>keywords</head><item><term>Child</term></item><item><term>mortality</term></item><item><term>web-based</term></item><item><term>community research</term></item><item><term>motor vehicle occupant</term></item><item><term>epidemiology</term></item><item><term>disability</term></item><item><term>concussion</term></item><item><term>public health</term></item><item><term>child survival</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2012-02-10">Created</change><change when="2012-12">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/E188C0D6FDEB6336F4DBCA54730AE63B811F0054/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">injuryprev</journal-id><journal-id journal-id-type="nlm-ta">Inj Prev</journal-id><journal-id journal-id-type="publisher-id">ip</journal-id><journal-title>Injury Prevention</journal-title><abbrev-journal-title abbrev-type="publisher">Inj Prev</abbrev-journal-title><abbrev-journal-title>Inj Prev</abbrev-journal-title><issn pub-type="ppub">1353-8047</issn><issn pub-type="epub">1475-5785</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">injuryprev-2011-040283</article-id><article-id pub-id-type="doi">10.1136/injuryprev-2011-040283</article-id><article-id pub-id-type="other">injuryprev;18/6/399</article-id><article-id pub-id-type="other">injuryprev;injuryprev-2011-040283</article-id><article-id pub-id-type="pmid">22328634</article-id><article-id pub-id-type="other">399</article-id><article-id pub-id-type="other">injuryprev-2011-040283</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original articles</subject></subj-group></article-categories><title-group><article-title>Telecenter for secure, remote, collaborative child fatality review</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Zonfrillo</surname><given-names>Mark R</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Kumar</surname><given-names>Mahendra</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Fortes</surname><given-names>Jose A</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Winston</surname><given-names>Flaura K</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</aff><aff id="aff2"><label>2</label>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</aff><aff id="aff3"><label>3</label>Department of Computer Science, University of Florida, Gainesville, Florida, USA</aff><aff id="aff4"><label>4</label>Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</aff><author-notes><corresp><label>Correspondence to</label> Dr Mark R Zonfrillo, Division of Emergency Medicine, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA; <email>zonfrillo@email.chop.edu</email></corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2012</year></pub-date><pub-date pub-type="epub-original"><day>29</day><month>12</month><year>2011</year></pub-date><pub-date pub-type="epub"><day>10</day><month>2</month><year>2012</year></pub-date><volume>18</volume><volume-id pub-id-type="other">18</volume-id><volume-id pub-id-type="other">18</volume-id><issue>6</issue><issue-id pub-id-type="other">injuryprev;18/6</issue-id><issue-id pub-id-type="other">6</issue-id><issue-id pub-id-type="other">18/6</issue-id><fpage>399</fpage><history><date date-type="accepted"><day>29</day><month>12</month><year>2011</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="injuryprev-18-399.pdf"></self-uri><abstract><sec><title>Objectives</title><p>Child fatality review (CFR) is the systematic, interdisciplinary, multi-agency examination of paediatric deaths. While CFR findings may influence policies and reduce preventable fatalities, limited resources challenge accurate CFR data collection and prevention recommendations. Therefore, using technology to improve efficiency of reviews and access to remote participants could enhance the CFR experience. This project aimed to adapt a previously developed collaborative web-based appliance for remote, secure, collaborative review of crash investigations for use with CFR.</p></sec><sec><title>Methods</title><p>The user-centred design and evaluation process included: (1) key informant interviews and visits to CFR sessions to determine current practices, (2) an anonymous, qualitative, internet-based survey of 64 Pennsylvania CFR team leaders, (3) redesign and adaptation of the Telecenter appliance based on survey results and team feedback and (4) pilot-testing of the adapted Telecenter application at an actual local CFR.</p></sec><sec><title>Results</title><p>The qualitative informant interviews identified facilitators and barriers for adoption of the Telecenter. Facilitators included: team member training, improved communication and collaboration, more efficient reviews, and enhanced preventive efforts. Barriers identified included: concern for confidentiality and security, concern about accepting a novel CFR method, low interest in using technology, cost and maintenance. The survey of CFR team leaders identified themes for improving CFR team functioning including the need for evidence-based prevention resources, increased team training and efficient information gathering. The Telecenter was redesigned and adapted based on the information gathered and was successfully piloted for use with CFR.</p></sec><sec><title>Conclusions</title><p>Telecenter met the design goal to improve information dissemination and identification of fatality prevention strategies for CFR.</p></sec></abstract><kwd-group><kwd>Child</kwd><kwd>mortality</kwd><kwd>web-based</kwd><kwd>community research</kwd><kwd>motor vehicle occupant</kwd><kwd>epidemiology</kwd><kwd>disability</kwd><kwd>concussion</kwd><kwd>public health</kwd><kwd>child survival</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Telecenter for secure, remote, collaborative child fatality review</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Telecenter for secure, remote, collaborative child fatality review</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Mark R</namePart><namePart type="family">Zonfrillo</namePart><affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</affiliation><affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</affiliation><affiliation>E-mail: zonfrillo@email.chop.edu</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mahendra</namePart><namePart type="family">Kumar</namePart><affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jose A</namePart><namePart type="family">Fortes</namePart><affiliation>Department of Computer Science, University of Florida, Gainesville, Florida, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Flaura K</namePart><namePart type="family">Winston</namePart><affiliation>Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA</affiliation><affiliation>Department of Pediatrics, The Perelman School of Medicine, Philadelphia, Pennsylvania, USA</affiliation><affiliation>Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2012-12</dateIssued><dateCreated encoding="w3cdtf">2012-02-10</dateCreated><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Objectives Child fatality review (CFR) is the systematic, interdisciplinary, multi-agency examination of paediatric deaths. While CFR findings may influence policies and reduce preventable fatalities, limited resources challenge accurate CFR data collection and prevention recommendations. Therefore, using technology to improve efficiency of reviews and access to remote participants could enhance the CFR experience. This project aimed to adapt a previously developed collaborative web-based appliance for remote, secure, collaborative review of crash investigations for use with CFR. Methods The user-centred design and evaluation process included: (1) key informant interviews and visits to CFR sessions to determine current practices, (2) an anonymous, qualitative, internet-based survey of 64 Pennsylvania CFR team leaders, (3) redesign and adaptation of the Telecenter appliance based on survey results and team feedback and (4) pilot-testing of the adapted Telecenter application at an actual local CFR. Results The qualitative informant interviews identified facilitators and barriers for adoption of the Telecenter. Facilitators included: team member training, improved communication and collaboration, more efficient reviews, and enhanced preventive efforts. Barriers identified included: concern for confidentiality and security, concern about accepting a novel CFR method, low interest in using technology, cost and maintenance. The survey of CFR team leaders identified themes for improving CFR team functioning including the need for evidence-based prevention resources, increased team training and efficient information gathering. The Telecenter was redesigned and adapted based on the information gathered and was successfully piloted for use with CFR. Conclusions Telecenter met the design goal to improve information dissemination and identification of fatality prevention strategies for CFR.</abstract><subject><genre>keywords</genre><topic>Child</topic><topic>mortality</topic><topic>web-based</topic><topic>community research</topic><topic>motor vehicle occupant</topic><topic>epidemiology</topic><topic>disability</topic><topic>concussion</topic><topic>public health</topic><topic>child survival</topic></subject><relatedItem type="host"><titleInfo><title>Injury Prevention</title></titleInfo><titleInfo type="abbreviated"><title>Inj Prev</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1353-8047</identifier><identifier type="eISSN">1475-5785</identifier><identifier type="PublisherID">ip</identifier><identifier type="PublisherID-hwp">injuryprev</identifier><identifier type="PublisherID-nlm-ta">Inj Prev</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>18</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>399</start></extent></part></relatedItem><identifier type="istex">E188C0D6FDEB6336F4DBCA54730AE63B811F0054</identifier><identifier type="DOI">10.1136/injuryprev-2011-040283</identifier><identifier type="href">injuryprev-18-399.pdf</identifier><identifier type="ArticleID">injuryprev-2011-040283</identifier><identifier type="PMID">22328634</identifier><identifier type="local">injuryprev;18/6/399</identifier><accessCondition type="use and reproduction" contentType="copyright">Published by the BMJ Publishing Group Limited. 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