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":"Can Behavioural Science Be the Key to Unlocking Patient Adherence? Evidence-Led Development of an Engaging Digital Health Solution","authors":"Natasha Fosker, Alejandra Anderson, Laura Morton, Andrea M. Pisa","doi":"10.1177/2327857922111007","DOIUrl":"https://doi.org/10.1177/2327857922111007","url":null,"abstract":"Patient self-management of illnesses place a greater responsibility on the patient, as they administer or track their own treatment. This amplifies the impact of adherence on outcomes – any missed or incorrect actions have the potential to reduce treatment efficacy. However, adherence is often lower than expected (e.g., around 50% for chronic conditions; WHO, 2003), making it a crucial aspect to address for effective patient centered management. This work created and evaluated a digital health concept (the Abily app) to increase patient adherence. Crux’s behavioural design methodology was used to integrate behavioural insights with design, developing the Abily app, which: (1) increased user attention, (2) increased task comprehension, and (3) reduced use problems. The results give promising evidence for using digital health solutions to raise adherence.","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":"57 1","pages":"38 - 43"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84568095","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":"Characterizing and Contextualizing the Use of the Surgical Safety Checklist in General Surgery","authors":"Jeunice Vianca Evangelista, Cherryl Li, Kimberley-Dale Ng, M. Fan, P. Trbovich","doi":"10.1177/2327857922111016","DOIUrl":"https://doi.org/10.1177/2327857922111016","url":null,"abstract":"The Surgical Safety Checklist (SSCL) is a widely implemented intervention; however, limited studies have explored system factors that impact adherence to proper checklist completion. Using an audio-visual recording technology called the Operating Room Blackbox (ORBB), the goal of this study was to characterize the level of checklist completion and identify work system factors that impact the use of the SSCL in general laparoscopic surgery. Thirty-six cases captured by the ORBB in a hospital in Toronto, Ontario were reviewed using an SSCL audit tool to collect data on item-level adherence. The Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 model was applied to the observation notes from the ORBB recordings to identify work system factors influencing checklist use. On average, across all 36 cases, 8 of the 29 checklist items were completed (30.1%), with debriefing being completed most frequently of the 3 checklist sections. Of the 29 checklist items, commonly completed items were: patient concerns addressed, surgical counts complete, and procedure name, while items in the timeout section were completed the least. Notably, factors related to person (e.g., confirmation of patient information amongst surgical team) and tools and technology (e.g., use of checklist in combination with patient chart) were identified as facilitators to checklist use, while factors relating to tasks (e.g., redundancy of checklist items with existing workflow), tools and technology (e.g., some checklist items not applicable to some procedures), organization (e.g, timing of checklist items and absence of team member), and internal environment (e.g., music volume in the OR) were identified as potential barriers to checklist use. By understanding how system factors contribute to checklist use and item-level adherence, we can identify ways to improve the checklist to meet the needs of the OR team and enhance integration of the SSCL into existing workflows.","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":"1 1","pages":"82 - 87"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89415714","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":"Developing Representations to Support Clinical Decision Making: Insights from Work Analysis","authors":"J. Flach","doi":"10.1177/2327857922111022","DOIUrl":"https://doi.org/10.1177/2327857922111022","url":null,"abstract":"Principles of Work Domain Analysis (WDA) and Ecological Interface Design (EID) are illustrated using the example of a graphical interface designed to support clinical decision making with respect to cardiovascular health. Multiple iterations of the graphical interface will be presented that show the iterative analysis and design process and the logic of mapping meaningful dimensions into a representation that helps healthcare professionals to understand a complex biological 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":"15 1","pages":"109 - 112"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73487657","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":"Using Journey Mapping to Visualize Patient Experiences for Quality Improvement Initiatives","authors":"Kyle D. Maddox, A. Masalonis, Aneesa Motiwala, Kathleen Adams, Nakina Eugene, R. Speir","doi":"10.1177/2327857922111011","DOIUrl":"https://doi.org/10.1177/2327857922111011","url":null,"abstract":"Journey mapping is a powerful user experience tool depicting customers’ interactions with an enterprise. This paper shows how the U.S. Department of Veterans Affairs (VA) Office of Mental Health and Suicide Prevention (OMHSP), and the Veterans Health Administration (VHA) Office of Health Informatics (OHI) Human Factors Engineering Group, utilized journey mapping to discover patients’ psychotherapy experiences. The team conducted semi-structured interviews with Veterans, Caregivers, and Psychotherapy providers; and focus groups with OMHSP stakeholders, presenting successive iterations of four journey maps. The study used interview data to produce maps detailing representative depression patients’ mental health care experiences including: a patient suffering from coronavirus (COVID-19); a patient experiencing homelessness; a highly functional patient navigating implicit racial bias; and a patient resistant to therapy and his caregiver. The study identified areas of success and opportunities for improvement. Key findings included the importance of primary care in referrals; the desire to include family members in treatment; travel concerns in patients’ decisions about their care; the importance of viewing mental health care as part of a holistic view incorporating Veterans’ infrastructure (housing, employment, technology access, etc.); and varying levels of comfort toward technology and telehealth. The data also show opportunities to utilize health information technology to improve psychotherapy data collection and effect targeted quality improvement.","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":"68 1","pages":"56 - 60"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89511575","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":"Communicating Level of Certainty Associated with Human Factors Findings and Recommendations in Healthcare","authors":"Helen J. A. Fuller, Kathleen Adams","doi":"10.1177/2327857922111013","DOIUrl":"https://doi.org/10.1177/2327857922111013","url":null,"abstract":"While there is a need for human factors engineering (HFE) in health systems design, the pace of operations in most healthcare systems often requires deviation from optimal HFE practices. We must provide sufficiently useful and usable findings to the design team and stakeholders to support project decisions while also tempering their expectations and properly calibrating their level of certainty around the findings and recommendations. As members of an HFE team in a series of projects related to the implementation of a new electronic health record (EHR) in a large healthcare system, we describe some early efforts with project teams and initial missteps that limited the effectiveness of HFE work. We also describe communication strategies we are piloting that appear to achieve better results in terms of project team engagement, stakeholder buy-in, and validity and utility of findings.","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":"1 1","pages":"66 - 69"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75095549","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":"Performance Based Evaluation of Cricothyroidotomy Simulators for Training","authors":"J. Bliss, K. Etherton, Douglas Hodge, Jennifer Winner","doi":"10.1177/2327857922111005","DOIUrl":"https://doi.org/10.1177/2327857922111005","url":null,"abstract":"The U.S. military has become increasingly reliant on simulators to train combat medical personnel. Human patient simulators that exist for training medical procedures represent task elements with varying degrees of fidelity. The goal of this research was to evaluate the functional fidelity of two commonly used simulators to train surgical cricothyroidotomy to experienced participants. Following a task analysis informed by experts, we collected performance training and test data from 14 experienced trainees. Each participant performed surgical cricothyroidotomies on porcine tracheas before and after five training sessions using one of two simulators. Comparisons of procedure completion times and errors showed development of task mastery by members of both training groups. Analyses of transfer of training from the final training session to the porcine posttest suggested that experienced participants were sensitive to differences between the training simulators and conditions of the posttest. Implications are presented as they relate to the use of simulation technologies for training cricothyroidotomy and the application of a standard method for fidelity assessment.","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":"176 1","pages":"26 - 31"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74395146","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":"In the Face of New Challenges; Effective Human Factors Engineering for Software as Medical Device Products","authors":"Trine Groenborg","doi":"10.1177/2327857922111021","DOIUrl":"https://doi.org/10.1177/2327857922111021","url":null,"abstract":"This paper tackles challenges facing human factors professionals when transitioning into working with Software as Medical Device products. Specifically, it outlines the challenges Novo Nordisk A/S has faced when it comes to applying human factors considerations when developing Software as Medical Device products and ensuring regulatory compliance. It showcases the efforts Novo Nordisk A/S has implemented to meet these challenges and conclude on the learnings Novo Nordisk A/S has had with the proposed solutions.","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":"7 1","pages":"104 - 108"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80080227","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":"Understanding Work-Related Injury Risk Among Rural Rehabilitation Clinicians","authors":"Jiahui Ma, M. Fitzgerald, Sage Kittelman, B. McCrory","doi":"10.1177/2327857922111029","DOIUrl":"https://doi.org/10.1177/2327857922111029","url":null,"abstract":"Background : Rehabilitation clinicians have a high risk of occupational injury. Work-related musculoskeletal disorders (WMSDs) are one of the most frequent injuries for rehabilitation clinicians due to repeated heavy lifting and other forceful tasks. The primary objective of this study was to identify factors that caused or contributed to WMSDs for clinicians specifically working in rehabilitation settings (e.g., acute care, inpatient rehabilitation, long-term care, outpatient therapy). Methods : An, in person, proctored questionnaire was conducted of physical therapists (PTs), occupational therapists (OTs) and therapy assistants working at a rural community hospital. Information on general workload, work-related pain or discomfort, patient handling, and clinical experience were gathered using both a scripted interview questionnaire and a semi-scripted post-interview discussion. The questionnaire was analyzed using both descriptive and inferential statistical methods to determine the 1-year prevalence of WMSDs and factors associated with WMSDs and use of safe patient handling techniques. Results : Respondents (n=27) included 18 PTs, 6 OTs and 3 therapy assistants. On average, rehabilitation clinicians spent over eight hours per day delivering “hands-on” care to patients. During a typical workday, therapists spent more than 20% performing heavy lifting, physically fatiguing tasks, or were in a static or awkward posture. Bending or twisting, repetitive tasks, and kneeling or squatting were each performed 30% or more of a typical workday, especially bending or twisting (38%). More than half (63%) suffered musculoskeletal pain/discomfort during the past year. Inadequate lifting devices were reported to be available in the working environment. A negative association was observed between the availability of multiple lifting devices and WMSDS (p-values<0.05). Less than a third of clinicians (31.5%) reported complete confidence to use mechanical lifting devices during rehabilitation activities. Conclusion : Rehabilitation clinicians are at higher risk for WMSDs due to patient handling tasks. More ongoing training must be provided to ensure clinicians have confidence to use the technologies available for rehabilitation tasks. However, additional research is still needed to understand the causal factors of WMSDs related to patient handling, particularly for rural care settings that lack access to technology and adequate staffing.","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":"46 1","pages":"145 - 150"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80791711","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":"Patient Safety Challenges in the Pandemic: Applying Human Factors Principles to Embed Patient Safety and Experience at the Clinical Front Line","authors":"M. Chignell, Trevor Hall, Lili Liu, M. Kastner, F. Razak","doi":"10.1177/2327857922111000","DOIUrl":"https://doi.org/10.1177/2327857922111000","url":null,"abstract":"The COVID-19 pandemic has amplified systemic gaps in patient safety, including social frailty for vulnerable populations such as older adults (Briguglio et al., 2020). Public health measures, such as prolonged and frequent lockdowns, restricted access to visitors and support networks and in extreme cases led to confinement within a single room, The negative impact of these restrictions has focused new attention on social frailty, which has hitherto been a somewhat neglected patient safety issue. Since social frailty is a multifaceted construct, it needs to be considered in a variety of settings and from a range of disciplinary perspectives. This practitioner-led panel consisting of an internist, a human factors engineer, an occupational therapist, and an implementation scientist, examines the impact of the pandemic on social interaction, and social frailty amongst older people in three different settings (hospital, long term care home, community). Through a set of case studies, the panelists provided applied experiences and perspectives on the impact of the pandemic on patient safety and on social frailty in particular. The panel covered theory, and real-world application of human factors principles. The question of how to design safety into the healthcare system were also explored. In this paper we review the problem of social frailty, list some brief case studies and discuss possible intervention strategies.","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":"29 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80149436","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":"COVID-19 Vaccination Clinic Success: An Interdisciplinary Application of Simulation and Modeling","authors":"Tammy R Toscos, Victor P. Cornet, Michelle Charles, Erica Cumbee, Charlotte Gabet, Ethel Massing, (Roger) Scott Stienecker","doi":"10.1177/2327857922111018","DOIUrl":"https://doi.org/10.1177/2327857922111018","url":null,"abstract":"This paper shares a case study of a rapid cycle of process improvement, physical simulation, and simulation software development to stand up a mass COVID-19 vaccination site. The resulting standard work, clinic setup and simulation software tool were designed and implemented by an interdisciplinary team at a moderate size not-for-profit health system. This unique example of a simulation and modeling implementation led to a high throughput vaccination clinic with an outstanding patient experience.","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":"35 1","pages":"92 - 94"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73453436","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}