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Simulation-based mock-up evaluation to inform the design of a complex continuing care centre. 基于模拟的模型评估，为复杂的持续护理中心的设计提供信息。
Healthcare Management Forum Pub Date : 2025-07-11 DOI: 10.1177/08404704251348375
Jonas Shultz, Mike Rickson, Joanne McGarva, Penny Reynolds, Eleanor Risling, Katelyn Wiley
{"title":"Simulation-based mock-up evaluation to inform the design of a complex continuing care centre.","authors":"Jonas Shultz, Mike Rickson, Joanne McGarva, Penny Reynolds, Eleanor Risling, Katelyn Wiley","doi":"10.1177/08404704251348375","DOIUrl":"https://doi.org/10.1177/08404704251348375","url":null,"abstract":"<p><p>There is a growing trend to conduct simulation-based mock-up evaluations as part of the process to design healthcare facilities. Health Quality Alberta (HQA) has published a framework to provide guidance for organizations wanting to integrate this evaluation methodology into their healthcare facility design process. Several national and international hospital design standards recommend using the framework. Simulation-based mock-up evaluations of various rooms (client rooms, washrooms, medication rooms, and dialysis stations) planned for a new complex continuing care facility were conducted. Healthcare delivery organizations CapitalCare, Alberta Health Services, and HQA conducted the evaluations collaboratively. The evaluations were intended to inform design modifications to enhance client and staff safety for the unique cohorts to be served at this continuing care centre. Observational assessments and staff/client engagement informed evidence-based recommendations that were incorporated into the planned design of the facility.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251348375"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incorporating human factors methods into the configuration and implementation of an electronic health record system. 将人为因素方法纳入电子健康记录系统的配置和实施。
Healthcare Management Forum Pub Date : 2025-07-09 DOI: 10.1177/08404704251355226
Susan Biesbroek, Shaunna Milloy, Amanda Raven, Jessica Martel, Jared Dembicki, Katelyn Wiley, Andrea Opyr, Jason Laberge
{"title":"Incorporating human factors methods into the configuration and implementation of an electronic health record system.","authors":"Susan Biesbroek, Shaunna Milloy, Amanda Raven, Jessica Martel, Jared Dembicki, Katelyn Wiley, Andrea Opyr, Jason Laberge","doi":"10.1177/08404704251355226","DOIUrl":"https://doi.org/10.1177/08404704251355226","url":null,"abstract":"<p><p>Electronic Health Record (EHR) systems can help to improve patient safety by reducing common errors, but they can also introduce new safety risks associated with the technology itself. The application of Human Factor (HF) methods in an EHR implementation project is critical to identify usability issues early and optimize the build to ensure safety, efficiency, and alignment with clinical workflows. Despite the benefits, inclusion of HF evaluations can have time and resource costs which must be accounted for in the overall project plans and timelines. Based on our experiences with a large-scale EHR implementation project, this article outlines recommendations on how to incorporate HF evaluation methods into EHR design. Over the 7-year roll-out, the HF team had the opportunity to engage with over 400 clinical end users in 30 usability evaluations across the EHR project, which yielded over 2,000 recommendations for improvement to address usability issues.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251355226"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study. 医生提供省级实时虚拟支持服务的经验：一项定性访谈研究。
Healthcare Management Forum Pub Date : 2025-07-09 DOI: 10.1177/08404704251351258
Michelle Yang, Kurtis Stewart, Amrit Bhullar, Joanne Chi, Elsie Jiaxi Wang, Ivjot Samra, Kendall Ho, Joan Assali, Mina Han, Helen Novak Lauscher
{"title":"Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study.","authors":"Michelle Yang, Kurtis Stewart, Amrit Bhullar, Joanne Chi, Elsie Jiaxi Wang, Ivjot Samra, Kendall Ho, Joan Assali, Mina Han, Helen Novak Lauscher","doi":"10.1177/08404704251351258","DOIUrl":"https://doi.org/10.1177/08404704251351258","url":null,"abstract":"<p><p>Rural, remote, and Indigenous communities in British Columbia (BC) tend to have lower access to healthcare providers and poorer health outcomes-an inequality that the COVID-19 pandemic has exacerbated. In response, Real-Time Virtual Support (RTVS) pathways were developed to advance equitable access to care for patients and provide peer support to physicians working in underserved communities. This study aimed to describe the perspectives of Virtual Physicians (VPs) who delivered the RTVS services. Forty-five RTVS VPs engaged in 30-minute semi-structured interviews about their experiences and perspectives delivering RTVS. Three themes emerged: (1) RTVS's contributions to VPs' personal and professional development; (2) impacts on communities; and (3) considerations for the availability and expansion. VPs identified incremental expansion and attaining funding stability as critical next steps for virtual healthcare in BC. This evidence informed RTVS program evaluation and may provide learnings relevant to other jurisdictions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251351258"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incorporating digital health into organizational health literacy: An updated definition, tools, and recommendations. 将数字健康纳入组织健康素养：更新的定义、工具和建议。
Healthcare Management Forum Pub Date : 2025-07-08 DOI: 10.1177/08404704251356518
Helen Monkman, Blake J Lesselroth
{"title":"Incorporating digital health into organizational health literacy: An updated definition, tools, and recommendations.","authors":"Helen Monkman, Blake J Lesselroth","doi":"10.1177/08404704251356518","DOIUrl":"https://doi.org/10.1177/08404704251356518","url":null,"abstract":"<p><p>Health literacy is important from two perspectives: the individuals (personal health literacy) and the organizations providing information and services (organizational health literacy). While research has addressed digitalization in healthcare and associated barriers and enablers in personal health literacy (e.g., digital health literacy), these developments have not been paraleled in organizational health literacy. In this article, we proposed an augmented definition of organizational health literacy and conducted a gap analysis of the Health Literacy Universal Precautions Toolkit to expand it for digital health. Important advancements, specifically for virtual care, have been made, yet a broader approach must be adopted for all digital health technology. We proposed a series of modifications to emphasize the importance of digital health in organizational health literacy. Organizations must equitably enable individuals to understand and use digital information and services. In this monograph, we describe the current informatics gap and the required competencies, policies, and infrastructure to close the gap.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251356518"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Remote usability testing in healthcare: Evaluating tools and technologies from afar. 医疗保健中的远程可用性测试：远程评估工具和技术。
Healthcare Management Forum Pub Date : 2025-07-05 DOI: 10.1177/08404704251355207
Shaunna Milloy, Jared Dembicki
{"title":"Remote usability testing in healthcare: Evaluating tools and technologies from afar.","authors":"Shaunna Milloy, Jared Dembicki","doi":"10.1177/08404704251355207","DOIUrl":"https://doi.org/10.1177/08404704251355207","url":null,"abstract":"<p><p>In healthcare settings, frustrating and confusing product and system designs can lead to use errors that can negatively impact patient safety. Usability testing is an established and widely used human factors evaluation method which can be employed to assess ease of use. In a usability test, participants complete simulated tasks using a product or system, and insights gained from their interactions are used to inform design changes. COVID-19, cost savings, and reduced travel have driven the expansion of remote usability beyond more traditional in-person testing. Two project examples are used to showcase how remote usability testing can be applied to both a dynamic web-based patient safety reporting system and a static clinical cognitive aid. Next, the benefits and pitfalls of remote usability testing, and when the method can be utilized effectively, are examined. Finally, strategies for using videoconferencing platforms to successfully evaluate various healthcare products and systems are shared.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251355207"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health data access, quality, and use - factors impacting physician performance. 健康数据访问、质量和使用——影响医生表现的因素。
Healthcare Management Forum Pub Date : 2025-07-05 DOI: 10.1177/08404704251355187
Ewan Affleck, Nicole Kain, Cliff Lindeman, Iryna Hurava, Yeong-Bae Kim, Katie Kjelland, Kushagr Kumar
{"title":"Health data access, quality, and use - factors impacting physician performance.","authors":"Ewan Affleck, Nicole Kain, Cliff Lindeman, Iryna Hurava, Yeong-Bae Kim, Katie Kjelland, Kushagr Kumar","doi":"10.1177/08404704251355187","DOIUrl":"https://doi.org/10.1177/08404704251355187","url":null,"abstract":"<p><p>High-performing physicians are an essential attribute of quality health services and public safety. Inaccessibility to quality health data by health providers can lead to individual, population, or health system harm suggesting a relationship between health data and the delivery of high-performing health programs and services. Yet the characteristics of health data have not been considered as a factor that may impact physician performance. There is evidence that limitations in health data access, quality, and effective and appropriate use can impair the capacity of physicians to provide high-quality clinical health services and use secondary health data to generate beneficial insights. Failure to acknowledge and mitigate health data factors can potentially hinder efforts to promote patient safety, reduce physician burnout, and address broader healthcare inefficiencies including a lack of interoperability. Efforts to enhance physician performance and safeguard public well-being must include a proactive approach to improving health data access, quality, and user literacy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251355187"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the bottom line: Why patient input matters in medical device purchasing decisions. 超越底线：为什么患者的意见在医疗设备购买决策中很重要。
Healthcare Management Forum Pub Date : 2025-07-04 DOI: 10.1177/08404704251356971
Shaunna Milloy, Jessica Martell
{"title":"Beyond the bottom line: Why patient input matters in medical device purchasing decisions.","authors":"Shaunna Milloy, Jessica Martell","doi":"10.1177/08404704251356971","DOIUrl":"https://doi.org/10.1177/08404704251356971","url":null,"abstract":"<p><p>Remote Patient Monitoring (RPM) technologies, including blood pressure monitor, pulse oximeter, thermometer, scale, and tablet, allow eligible patients to monitor and share their vitals with their healthcare team from the comfort of their home. When procuring new RPM devices, human factors specialists sought feedback from patients and clinicians using the RPM devices and conducted usability testing with patient advisors to inform the purchasing decision. Usability testing is a validated human factors technique that evaluates the ease of use and safety of medical devices and equipment. A device that is easy to use can increase patient adherence to reporting their vitals, reduce stress for the patient, and increase the pool of patients who can use the devices easily at home. Lessons learned on how to incorporate usability testing into the procurement cycle, and the value of involving end-users in patient facing medical device evaluations will be provided.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251356971"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preparing the workforce for the non-linear implementation of health information technology. 使工作人员为卫生信息技术的非线性实施做好准备。
Healthcare Management Forum Pub Date : 2025-07-02 DOI: 10.1177/08404704251345739
Rebecca Meehan, Julaine Clunis, Grazia Serratore, John Sharp
{"title":"Preparing the workforce for the non-linear implementation of health information technology.","authors":"Rebecca Meehan, Julaine Clunis, Grazia Serratore, John Sharp","doi":"10.1177/08404704251345739","DOIUrl":"https://doi.org/10.1177/08404704251345739","url":null,"abstract":"<p><p>This article addresses how the dynamic, interdisciplinary, and non-linear nature of health information technology implementations require a workforce equipped with both technical competencies and an understanding of the relationships between healthcare system components. The article identifies key workforce preparation strategies including ongoing education and training for certificates or degrees through universities, professional associations, or health information technology vendors, tuition reimbursement, title changes, paid time off, and increased pay or bonuses. Helping employees to understand how their work is integrated into the overall healthcare data ecosystem creates a more efficient and effective health information technology implementation. As an example, we highlight how to prepare employees to consider clinical knowledge organization systems and standards, and how they ensure data accuracy and interoperability for data exchange of newly implemented health information systems and related artificial intelligence tools.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251345739"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The low-carbon fruit tree for primary care. 初级保健的低碳果树。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-05-14 DOI: 10.1177/08404704251333639
Myles Sergeant, Danish Zahid, Elizaveta Zvereva, Rebecca Douglass, Laura Kroeker, Martin Tieu, Brian Mckenna, W Scott Nash
{"title":"The low-carbon fruit tree for primary care.","authors":"Myles Sergeant, Danish Zahid, Elizaveta Zvereva, Rebecca Douglass, Laura Kroeker, Martin Tieu, Brian Mckenna, W Scott Nash","doi":"10.1177/08404704251333639","DOIUrl":"10.1177/08404704251333639","url":null,"abstract":"<p><p>Primary care practitioners are optimally positioned to reduce the Greenhouse Gas (GHG) emissions produced by the healthcare system, which pose great risk to the health of people and the environment. This narrative review discusses 19 initiatives that can be implemented into primary care practices to reduce GHG emissions and financial costs through decreasing highly intensive emergency room visits and hospitalizations. This article also summarizes the time it may take for primary care practitioners to embed each of these initiatives into their care delivery. Lastly, this article demonstrates how best practice initiatives in primary care may show a higher GHG reduction than commonly conducted initiatives aimed at reducing GHGs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"331-338"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Producing more effective physician leaders through medical training: Expanding the focus beyond the doctor-patient relationship. 通过医疗培训培养更有效的医生领导者：将重点扩展到医患关系之外。
Healthcare Management Forum Pub Date : 2025-07-01 Epub Date: 2025-03-19 DOI: 10.1177/08404704251327091
Mark Downing
{"title":"Producing more effective physician leaders through medical training: Expanding the focus beyond the doctor-patient relationship.","authors":"Mark Downing","doi":"10.1177/08404704251327091","DOIUrl":"10.1177/08404704251327091","url":null,"abstract":"<p><p>Most of what physicians learn in their training when it comes to ethics focuses on the principles related to the doctor-patient relationship: beneficence, non-maleficence, and autonomy. At a system level, this translates into an obligation for physicians to advocate for their patients based on these principles. Advocacy does not necessarily have answers when resources are scarce, and as a result, physicians often find that they are not \"at the table\" when important decisions are made at the organizational level. I will argue that for physicians to be more effective leaders within their organizations, there needs to be more of a focus on principle of justice within medical training, specifically when it comes to theories around resource allocation and social justice. This will help physicians to more effectively advocate for their patients, have conversations with health leaders who have different points of view, and participate in organizational decision-making.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"301-304"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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