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_第6页

Preliminary Evaluation of Cardiac Telemetry Technician Work in a Large Health System: Mutual Dependence and Considerations for Patient Load 大型卫生系统中心脏遥测技术人员工作的初步评估：患者负荷的相互依赖性和考虑因素

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2023-03-01 DOI: 10.1177/2327857923121019

Daniel T. Nystrom, Joel Thomas, Chris Jones

{"title":"Preliminary Evaluation of Cardiac Telemetry Technician Work in a Large Health System: Mutual Dependence and Considerations for Patient Load","authors":"Daniel T. Nystrom, Joel Thomas, Chris Jones","doi":"10.1177/2327857923121019","DOIUrl":"https://doi.org/10.1177/2327857923121019","url":null,"abstract":"The introduction of continuous cardiac monitoring via telemetry provides a method to ensure patient care is safe and effective. At the same time, the implementation of this technology has raised concerns about telemetry technician (teletech) work. This project provides a two-fold look at teletech’ work in real-time settings to describe teletech interactions with unit staff and to explore the relationship between measures of teletech’ workload and patient load. Results suggest the implementation of telemetry systems necessitate a mutual dependence between teletechs and unit staff: unit staff rely on teletechs to inform them of concerning patient states; teletechs rely on unit staff to maintain the integrity and accuracy of the telemetry system and the patient data they observe. Results from measures of teletech’ workload and patient load align with previous work that explored teletech’ patient load in simulated settings. Agreement between the current project and previous studies also suggest a potential patient load capacity of 33 patients for continuous telemonitoring work. Future research and implications for academics, healthcare operations, and the design of telemetry systems are discussed.","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":"71 - 75"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46166834","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

Applying Failure Mode Effects Analysis (FMEA) to Improve Choking Risk Prevention in a Mental Health Setting: Analysis Outcomes and Lessons Learned on Human Factors Collaboration 应用失效模式效应分析(FMEA)改善心理健康环境中的窒息风险预防:人因协作的分析结果和经验教训

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2023-03-01 DOI: 10.1177/2327857923121034

Anthony Soung Yee, Laurel Cyr, Carleene Bañez, S. Gelmi, C. Gaulton, Trevor N. T. Hall

{"title":"Applying Failure Mode Effects Analysis (FMEA) to Improve Choking Risk Prevention in a Mental Health Setting: Analysis Outcomes and Lessons Learned on Human Factors Collaboration","authors":"Anthony Soung Yee, Laurel Cyr, Carleene Bañez, S. Gelmi, C. Gaulton, Trevor N. T. Hall","doi":"10.1177/2327857923121034","DOIUrl":"https://doi.org/10.1177/2327857923121034","url":null,"abstract":"This paper describes the collaborative work performed as part of a patient safety and quality improvement choking risk prevention initiative in a specialty mental health hospital in Ontario, Canada. In 2021, Ontario Shores Centre for Mental Health Sciences (Ontario Shores), in collaboration with the Healthcare Insurance Reciprocal of Canada (HIROC), conducted a Failure Modes and Effects Analysis (FMEA) to identify potential failure modes for their choking risk prevention process. “Failure modes” refer to states in a process that have the potential for unintended consequences. The interdisciplinary project team developed and validated a current-state process map, through which identified all opportunities for process improvement. A thematic analysis of the barriers revealed 14 distinct failure modes, each of which were rated along three scales (Severity, Occurrence, and Detectability) to form a ranked list based on Risk Priority Number. As part of a prospective analysis, several system-based and people-based mitigations were generated for each of the failure modes. As a result of the FMEA, Ontario Shores developed, and is in the process of, implementing a choking risk prevention and risk mitigation strategies action plan. In addition, the authors offer some reflections on the collaborative work between the two organizations, in recognition of the opportunity for healthcare organizations to benefit from human factors expertise and principles of applied safety science, usability engineering, and user-centered design.","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":"147 - 150"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41858994","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

Amplifiers and Dampeners of Patient Safety Risk in the Operating Room: Interim Analysis of Surgical Video Recorded with the Operating Room Black Box 手术室患者安全风险的放大与抑制:手术室黑匣子手术录像的中期分析

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2023-03-01 DOI: 10.1177/2327857923121031

Arthur Tung, M. Fan, S. Pinkney, B. Armstrong, Kenneth R Catchpole, P. Trbovich

{"title":"Amplifiers and Dampeners of Patient Safety Risk in the Operating Room: Interim Analysis of Surgical Video Recorded with the Operating Room Black Box","authors":"Arthur Tung, M. Fan, S. Pinkney, B. Armstrong, Kenneth R Catchpole, P. Trbovich","doi":"10.1177/2327857923121031","DOIUrl":"https://doi.org/10.1177/2327857923121031","url":null,"abstract":"Preventable intraoperative adverse events (iAEs) may emerge from interactions between multiple work system factors (WSFs) (e.g., technology design, organizational policy, physical environment); these interactions may amplify or dampen patient safety risk. We conducted an exploratory observational study using audiovisual data captured by the Operating Room Black Box to characterize the relationships between associated WSFs. Human factors specialists reviewed video recordings of surgical procedures before transcribing events of interest and classifying them into the relevant WSF categories as defined by the Systems Engineering Initiative for Patient Safety model. Each WSF code was categorized as either a safety threat (ST) or resilience support (RS), and their interactions with associated WSFs were characterized. We transcribed 706 events over 73.5 hours of surgery, and 32 iAEs were identified. We coded 382 STs and 312 RSs, and 249 co-occurring WSF pairings. Co-occurring team (e.g., clear communication, feedback, and leadership) RSs were found to be the most prevalent mechanism to dampen all categories of ST. Co-occurring task (e.g., challenging anatomy) and environment (e.g., disruptive working environments, suboptimal ergonomic monitor setups) STs were the most common risk amplifiers contributing to the occurrence of iAEs. By assessing WSFs in the context of other WSFs, future research may develop interventions that more precisely target risk reduction in the operating room.","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":"130 - 135"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45451311","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

Autoinjector Design Parameters: A Human Factors Perspective 自动注射器设计参数:人为因素的角度

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2023-03-01 DOI: 10.1177/2327857923121042

Safa Elkefi, Esther W. Foo, Jiaying Shen

{"title":"Autoinjector Design Parameters: A Human Factors Perspective","authors":"Safa Elkefi, Esther W. Foo, Jiaying Shen","doi":"10.1177/2327857923121042","DOIUrl":"https://doi.org/10.1177/2327857923121042","url":null,"abstract":"Subcutaneous drug delivery systems have evolved to include patient-operated devices such as pen injectors, autoinjectors, and on-body injectors. This evolution is driven by a rising need for devices that enable users across chronic disease states to routinely self-administer medications at home instead of going to a clinic. Convenient and easy-to-use autoinjectors are a primary target of interest due to its simplicity to operate. There is an anticipated substantial growth in the autoinjectors market, which is driven by many factors, such as the growing demand for home care due to the increased chronic diseases rate. Autoinjectors that are easy to operate may reduce users’ anxiety related to needle-related phobia, accidents, and errors. Human factors development work is critical since enhanced usability can increase patient acceptability, safety, and compliance. Human factors methodologies can be applied to not only evaluate the safe and effectiveness of a user interface, but also to optimize the design of user interface by considering the user population characteristics including physical, cognitive, and sensory abilities. In this investigation, we focus our efforts on user interface attributes relating to critical tasks in operating the autoinjector device, by consolidating information from successful autoinjector design published in literature and different anthropometric and ergonomic parameters, that could inform the user interface requirements that drive design specifications for autoinjectors.","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":"184 - 190"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45759052","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

Design of a Decision Support Based Mobile Application for Mental Health Crisis 基于决策支持的心理健康危机移动应用程序设计

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2022-10-01 DOI: 10.1177/2327857922111012

Amanda J. Johnson, A. Bisantz, A. Reynolds, S. Meier

引用次数: 0

In the Face of New Challenges; Effective Human Factors Engineering for Software as Medical Device Products 面对新的挑战;医疗器械产品软件的有效人因工程

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2022-10-01 DOI: 10.1177/2327857922111002

Trine Groenborg

引用次数: 0

Accelerating the Continuous Improvement of Connected Medical Devices Using Product Analytics 使用产品分析加速互联医疗设备的持续改进

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2022-10-01 DOI: 10.1177/2327857922111017

Randy Horton, Bob Moll, K. Yew

引用次数: 0

Bridging Conversation Islands to Connect Healthcare: Introducing Unique Co-occurring Word Networks to Find Distinct Themes 弥合对话孤岛以连接医疗保健:引入独特的共发生词网络以查找不同的主题

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2022-10-01 DOI: 10.1177/2327857922111008

Tim Arnold

{"title":"Bridging Conversation Islands to Connect Healthcare: Introducing Unique Co-occurring Word Networks to Find Distinct Themes","authors":"Tim Arnold","doi":"10.1177/2327857922111008","DOIUrl":"https://doi.org/10.1177/2327857922111008","url":null,"abstract":"A common step in any modeling, study, or design project is gathering, reviewing, and making sense of relevant information. Common themes and variation are unearthed from text documents and shaped into usable forms to support the information needs of the project team. It can be a challenge to gather needed information from large numbers of texts and documents necessary to inform design decisions. Computational approaches can be useful in filtering and interpreting information. Unsupervised learning approaches like topic modeling can help to group similar texts and visualize potential themes. Just like grouping texts into similar themes, identifying distinctions can be helpful. This paper describes an approach for finding distinctions across texts and examples of using this information to inform decisions. Finding distinct themes can help to identify gaps and opportunities while guiding decisions and next steps. Identifying and bridging conversation islands across information sources and professions is another step towards managing complexity and connecting the dots of healthcare.","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":"94 1","pages":"44 - 47"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76183080","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: 2

Factors Influencing the Willingness to Download COVID-19 Contact Tracing Apps: The Moderating Effect of Persuasive Design and Smartphone Usage Experience 影响COVID-19接触者追踪app下载意愿的因素:说服性设计和智能手机使用体验的调节作用

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2022-10-01 DOI: 10.1177/2327857922111033

Kiemute Oyibo, Plinio Pelegrini Morita

{"title":"Factors Influencing the Willingness to Download COVID-19 Contact Tracing Apps: The Moderating Effect of Persuasive Design and Smartphone Usage Experience","authors":"Kiemute Oyibo, Plinio Pelegrini Morita","doi":"10.1177/2327857922111033","DOIUrl":"https://doi.org/10.1177/2327857922111033","url":null,"abstract":"The COVID-19 pandemic culminated in the global roll-out of contact tracing apps, also known as exposure notification apps (ENAs), to contain the spread of the virus. ENAs notify users about a possible infection and advises them to take certain health measures such as self-isolation and COVID-19 test. While some work has been done on the factors that influence ENA adoption, little attention has been paid to the moderating effect of persuasive design and smartphone usage experience. This paper sets out to bridge this gap using the Government of Canada’s official app “COVID Alert” and Canadian non-adopter population (n = 133) as a case study. Of the seven factors we investigated, perceived trust (β = 0.29, p < 0.01) and perceived enjoyment (β = 0.21, p < 0.05) turned out to be the only significant predictors of non-adopters’ willingness to download the app in the overall model. Both persuasive design and smartphone usage experience moderated some of the relationships in the model. For example, while perceived enjoyment is significant in the persuasive design submodel (β = 0.34, p < 0.01) and low-experience submodel (β = 0.36, p < 0.001), it is not in the control design and high-experience submodels. Moreover, perceived enjoyment (β = 0.36, p < 0.001) and privacy concern (β = -0.46, p < 0.05) turned out to be the strongest predictors in the low-experience and high-experience submodels, respectively. These results indicate that, to improve the download of ENAs, sponsors should implement and highlight app features that foster trust in marketing campaigns and app-store descriptions. Particularly, they should highlight their privacy-protection feature and hedonic attribute among the high-experience and low-experience groups, respectively.","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":"33 3 1","pages":"163 - 169"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72927473","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: 3

The Final Inch: What Pop-Up COVID Testing Tells Us about Community Engagement 最后一寸:弹出式COVID测试告诉我们的社区参与

Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare Pub Date : 2022-10-01 DOI: 10.1177/2327857922111015

Dante Della Vella, Michael F. Rayo

{"title":"The Final Inch: What Pop-Up COVID Testing Tells Us about Community Engagement","authors":"Dante Della Vella, Michael F. Rayo","doi":"10.1177/2327857922111015","DOIUrl":"https://doi.org/10.1177/2327857922111015","url":null,"abstract":"The COVID-19 pandemic has highlighted the need for increased and more dynamic access to healthcare resources. It has also revealed a novel complication to the effective delivery of health resources to communities, which we call the final inch problem. In our recent COVID-19 pop-up testing work with Columbus Public Health and the Ohio National Guard, we have observed that, even when a healthcare-related service is transported directly to community members, it is not a given that they will use that service. We argue that crossing this final inch will require us to reframe public health initiatives through the lens of joint activity: a partnership between healthcare institutions and the public. Our work focuses on three questions. How do we engage with the public and foster common ground between people and our healthcare providers? As part of this, how can we work with the community to determine where to dynamically direct our resources on a given day? Finally, when we show up at the “right” place, will the community join us? Our recent work creating and deploying the Flexible Algorithmic, Adaptive Surveillance Testing (FAAST) has generated promising insights to answer these questions. Throughout our initial tests, we observed a continuous increase in community participation as well as increased positivity through multiple iterations of the program. We consistently overrepresented traditionally underserved minority groups in all testing locations as well. Insights for convincing communities to participate in pop-up testing may yield repeatable, generalizable strategies by which public health officials and healthcare providers may cross the final inch. Through establishing and nurturing reliable community relationships, public health institutions working in partnership with their constituent communities can proactively monitor the health of their communities, thereby facilitating a more resilient response to emerging threats.","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":"37 1","pages":"76 - 81"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73686927","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: 1