Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare最新文献

{"title":"CHARACTERIZING PHYSICAL STRAIN IN NON-ROUTINIZED CLINICAL WORK THROUGH OBSERVATION: AN EXAMPLE OF ORAL HEALTHCARE PROVIDERS.","authors":"Yiyang Fang, Jay M Kapellusch, Nancy A Baker, Shawn C Roll","doi":"10.1177/2327857924131015","DOIUrl":"10.1177/2327857924131015","url":null,"abstract":"<p><p>The Revised Strain Index (RSI), despite its prevalence in ergonomics field practice, is designed to assess jobs with cyclic and predictable physical and behavioral patterns. The quantification of exertion force, posture, and work task duration is substantially more challenging for non-routinized work in clinical and hospital environments. Using dental hygiene work as an exemplar, we proposed a consolidated method to characterize physical exertion for non-routinized work. We conducted the RSI adaptation process in two phases. In phase one, we characterized exertion in non-routinized work and identified representative intensity and posture patterns. In phase two, we validated the consolidated method using a small subset of dental hygiene video recordings and compared the results to the conventional sampling method.</p>","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"13 1","pages":"134-139"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482681","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}

{"title":"Proxy Users for Usability Testing of Medical Devices for Use in Sub-Saharan Africa","authors":"Shababa B Matin, E. Asma, Elizabeth Allen, Lucky Mangwiro, Rowland Mjumira, Maureen Valle, C. Acemyan, Maria Oden, K. Kawaza, P. Kortum, Rebecca Richards-Kortum","doi":"10.1177/2327857923121047","DOIUrl":"https://doi.org/10.1177/2327857923121047","url":null,"abstract":"Medical device implementation in global health requires careful considerations around usability and the use of proxy user groups. Working with appropriate proxy users can address the cost burden of conducting international studies with target users. This study evaluated whether proxy users are a practical substitution for conducting usability testing on devices for implementation in low-resource international settings. Identical usability studies were conducted with 18 clinicians from Blantyre, Malawi, and a carefully selected proxy group of 13 clinicians from Houston, Texas, U.S.A., across seven newborn-focused medical devices. Task success rate, System Usability Scale (SUS) scores, and NASA-Task Load (NASA TLX) scores from the two groups were compared. No significant differences were found between groups other than NASA-TLX temporal demand sub-scale, showing it is possible to use a carefully selected proxy group for usability evaluation in international settings. However, there was no consistent agreement between the groups on a task level, indicating that proxy groups should be used with an abundance of caution. Studies with target users must be additionally conducted to confirm results. Further work needs to be done with a larger sample size to test the viability of a proxy group for international studies on medical devices.","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"208 - 212"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45629365","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}

{"title":"Screening Technologies to Support Infection Prevention and Control in Long-Term Care","authors":"Laura Wheeler, Maryam Attef, Chantal M. J. Trudel, A. Chan, Bruce Wallace","doi":"10.1177/2327857923121018","DOIUrl":"https://doi.org/10.1177/2327857923121018","url":null,"abstract":"Many clinical environments implemented Coronavirus Disease 2019 (COVID-19) screening technologies at entry points to identify and isolate cases. Despite the widespread adoption of screening technologies in vulnerable care settings, such as in long-term care (LTC) homes, implementations and protocols have yet to be thoroughly reviewed in the literature. Therefore, the Dynamic Sustainability Framework was applied to identify the limitations of various screening technology implementations. Based on identified limitations, design recommendations are put forward to support healthcare planning and design teams of long-term care homes, and clinical facilities to improve infection prevention and control (IPC).","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"67 - 70"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42234903","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}

{"title":"Conceptualization and iterative human-centered design of pharmacogenomic order checks","authors":"Margo Kabel, Tim Arnold, Jennifer G. Chapman, D. Voora, Jill Bates","doi":"10.1177/2327857923121008","DOIUrl":"https://doi.org/10.1177/2327857923121008","url":null,"abstract":"The usability of healthcare information systems is vital to providing safe, effective, and efficient patient care. In this paper, we describe human centered design of pharmacogenomic (PGx) clinical decision support (CDS) systems. Operationalizing PGx-based care is a relatively new endeavor, and the complexity of this clinical space requires adapting human factors techniques to fashion usable designs. We had to consider multiple design tradeoffs including whether to group medications by drug class. In this article, we provide additional design tradeoff considerations and lessons learned. Including embedded human factors practices early and throughout as a key consideration for maturing a learning health system.","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"31 - 34"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43090912","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}

{"title":"TRUSTS Technology Integration Inventory: Assessing the Impact of a New Technology on Work System Resilience","authors":"E. Patterson, K. Neville, Stephen L. Dorton, Emily Barrett, Theresa Fersch, Andrew Langone, Bianica Pires, Kristine Rosfjord","doi":"10.1177/2327857923121024","DOIUrl":"https://doi.org/10.1177/2327857923121024","url":null,"abstract":"We present the Transform with Resilience during Upgrades to Socio-Technical Systems (TRUSTS) Framework, which specifies sources of work system resilience. A work system is defined as elements, including technology, people, policies, protocols, and procedures, that cooperatively function to achieve shared goals. By describing sources of work system resilience, the framework can help a work system’s stakeholders preserve its resilience. This is especially important for high-consequence work systems; these are work systems involved in healthcare, military operations, and national airspace management, as examples. In these work systems, responsivity and adaptivity, i.e., resilience, are requisites to achieving missions and goals in the face of outages and other unexpected events, high demands, and nonroutine conditions. In event-driven environments, system resilience is also required to respond to routine variety produced by uncontrollable aspects of the work, such as treatment responses, weather, and adversary behaviors. The TRUSTS framework is derived from foundational literature in complex systems science and resilience engineering. We build upon prior research in resilience engineering. In that body of work, work system resilience has been defined by Erik Hollnagel and colleagues as based on four cornerstones: anticipating, monitoring, responding, and learning. Its fundamental principles have been described in David Woods’ Theory Graceful Extensibility and writings on complex systems’ adaptive capacity. These cornerstones and principles have typically been described as high-level system capabilities that are illustrated by examples. With TRUSTS, we identify detailed system characteristics and capabilities that afford those high-level cornerstones. The framework is organized into five inter-related factors (a.k.a. the “Big Five” factors) that allow a high-consequence work system and its operations to be responsive and adaptive in the face of challenges. Each of the “Big Five” consists of three to four sub-factors, and each sub-factor consists of two or more resilience requirements. The framework and our associated efforts to operationalize work system resilience are heavily informed by targeted analysis of case studies of new technologies introduced into high-consequence work operations, including healthcare work operations, and interviews with military planning and command and control experts. Currently, we are endeavoring to integrate the TRUSTS Framework into the development of new technologies for health care and other high-consequence work systems. Increasingly, technologies are designed to participate in core work system activities, such as assessment, decision making, planning, and resource brokering and allocation. In these roles, they become integral to the work of other system elements—both technological and human—and the work system as a whole; i.e., they are a part of that work system. When technologies have core roles such as these, t","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"101 - 102"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41908972","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}

{"title":"Toward Joint Activity Design: Augmenting User-Centered Design with Heuristics for Supporting Joint Activity.","authors":"Aaron Cochran, Michael F Rayo","doi":"10.1177/2327857923121006","DOIUrl":"10.1177/2327857923121006","url":null,"abstract":"<p><p>From their common roots in Human Factors Engineering, Human-Centered Design and Cognitive Systems Engineering have drifted into distinct fields over the past three decades, each developing beneficial heuristics, design patterns, and evaluation methods for designing for individuals and teams, respectively. <i>GeoHAI</i>, a clinical decision support application for preventing hospital-acquired infection, has yielded positive results in early usability testing and is expected to test positively in supporting joint activity, which will be measured through the novel implementation of Joint Activity Monitoring . The design and implementation of this application provide a demonstration of the possibilities and necessities to unify the work of Human-Centered Design and Cognitive Systems Engineering when designing technologies that are usable and useful to individuals engaged in joint activity with machine counterparts and other people. We are calling this unified process Joint Activity Design, which supports designing for machines to be good team players.</p>","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263067/pdf/nihms-1904592.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9722498","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}

{"title":"Formative Usability Testing of TrachAlarm, a device that detects tracheostomy tube decannulation","authors":"Jena Mota, G. Good, Dorothy Owens, Darleen Sawyer, Patrice D. Tremoulet","doi":"10.1177/2327857923121046","DOIUrl":"https://doi.org/10.1177/2327857923121046","url":null,"abstract":"","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"207 - 207"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41527202","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}

{"title":"Preventing Hospital-Acquired Venous Thrombosis Embolism in Medical Patients Admitted to Acute Care Hospitals","authors":"Alexandra Beam, Sommer Bulka, Jennifer Evans Goodwin, Nicole Mauck, Malaz Alissa, Jonathan Patrick","doi":"10.1177/2327857923121004","DOIUrl":"https://doi.org/10.1177/2327857923121004","url":null,"abstract":"Venous thrombosis embolism (VTE) is a leading cause of preventable death in the nation and has been identified as a high priority quality metric for clinical improvement at MedStar Health. Not only do VTEs impact several financial and reputational quality programs, but they also effect patient outcomes and patient safety. In an effort to reduce hospital acquired VTEs, MedStar Health developed a multi-disciplinary task force that identified four primary areas of opportunity that will provide awareness, improve compliance, and enhance clinical workflows that will contribute to the reduction of VTEs.","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"14 - 16"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41328986","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}

{"title":"A celebration of the work of Richard Cook, MD: A pioneer in understanding accidents, safety, human factors, and resilience","authors":"Michael F. O'Connor, David D. Woods, S. Perry, E. Patterson, M. Nunnally, C. Nemeth, R. Fairbanks, Y. Donchin, Yuval Bitan","doi":"10.1177/2327857923121021","DOIUrl":"https://doi.org/10.1177/2327857923121021","url":null,"abstract":"Dr. Richard Cook was a physician, educator, scholar, and researcher. He was a brilliant thinker and writer. Richard's CV lists 41 peer reviewed publications, 39 conference proceedings, 6 technical reports, 30 books/book chapters that were cited about 10,000 times (as of September 2022). Richard has excelled in multiple careers and was remarkably giving of his time, devoting 100s of thousands of hours of his life presenting, debating, corresponding, mentoring, and challenging the world, in formal and informal settings, to mature toward more complex, realistic thinking about the world as a sociotechnical entity. Our community recognizes him mainly for his key role in the start and expansion of the patient safety movement. This paper presents quintessence from a panel session that honors Richard’s work. The 7 panelists and moderator present Richard’s legacy, introduce varied aspects of his work, and consider how we can take his legacy forward to cope with future challenges. It is a moment to step back, remind ourselves of patient safety’s evolution from the 90’s until today, the power of resilience for the future of healthcare complex systems, and how to build momentum that can succeed at scale.","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"82 - 88"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49356360","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}

{"title":"Designing to Drive Practice Change: Automated Extraction of Resident Clinical Experiences","authors":"Alexander Fidel, Mark V. Mai, Naveen Muthu, Adam C. Dziorny","doi":"10.1177/2327857923121026","DOIUrl":"https://doi.org/10.1177/2327857923121026","url":null,"abstract":"Exposure to patients and clinical diagnoses drives learning in graduate medical education (GME). However, variation exists in the breadth of experiences. Measuring such variation would provide practice data to inform residents’ understanding of the breadth of their patient experiences. We have developed an automated system to identify resident provider-patient interactions (rPPIs) and demonstrated accurate attribution at a single institution. The objective of this study was to understand the landscape of trainee planned learning, and iteratively design a tool to be used for this goal. To achieve these objectives at two institutions new to the AMA “Advancing Change” initiative, we used a mixed-methods approach to develop and evaluate a “mid-point report” of patients encounters. Qualitative outcomes include a guided exploration of usefulness, usability, and intent to use, as well as understanding the resources trainees would use for learning and how our system may deliver these resources. Quantitative outcomes from a summative usability test of the midpoint report will include time on task, task completion rate, and proportion of trainees who perceive the report to be useful to identify gaps in clinical experiences and guide learning.","PeriodicalId":74550,"journal":{"name":"Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare","volume":"12 1","pages":"108 - 110"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48198823","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}