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":"Understanding the Use of Pharmacological Knowledge Base Tool Use for Safe Medication Management","authors":"","doi":"10.1177/2327857922111010","DOIUrl":"https://doi.org/10.1177/2327857922111010","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":"24 1","pages":"53 - 55"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78719625","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":"Role of Trust in AI-Driven Healthcare Systems: Discussion from the Perspective of Patient Safety","authors":"Mehmet Bilal Unver, Onur Asan","doi":"10.1177/2327857922111026","DOIUrl":"https://doi.org/10.1177/2327857922111026","url":null,"abstract":"In the field of healthcare, enhancing patient safety depends on several factors (e.g., regulation, technology, care quality, physical environment, human factors) that are interconnected. Artificial Intelligence (AI), along with an increasing realm of use, functions as a component of the overall healthcare system from a multi-agent systems viewpoint. Far from a stand-alone agent, AI cannot be held liable for the flawed decisions in healthcare. Also, AI does not have the capacity to be trusted according to the most prevalent definitions of trust because it does not possess emotive states or cannot be held responsible for their actions. A positive experience of AI reliance come to be indicative of ‘trustworthiness’ rather than ‘trust’, implying further consequences related to the patient safety. From a multi-agent systems viewpoint, ‘trust’ requires all the environmental, psychological and technical conditions being responsive to patient safety. It is fertilized for the overall system in which ‘responsibility’, ‘accountability’, ‘privacy’, ‘transparency; and ‘fairness’ need to be secured for all the parties involved in AI-driven healthcare, given the ethical and legal concerns and their threat to the trust.","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":"61 1","pages":"129 - 134"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74383784","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":"Simulating Emergency Medical Situations in Usability Testing","authors":"Jonathan Avedikian, Stephanie DeMarco Bartlett","doi":"10.1177/2327857922111032","DOIUrl":"https://doi.org/10.1177/2327857922111032","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":"9 1","pages":"162 - 162"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90307467","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":"Team Coordination Dynamics Measurement in Enroute Care Training: Defining Requirements and Usability Study","authors":"Jennifer Winner, Jayde M. King, Jamie C. Gorman, David A. Grimm","doi":"10.1177/2327857922111004","DOIUrl":"https://doi.org/10.1177/2327857922111004","url":null,"abstract":"Prior research indicates a need for objective and reliable measures of team communication and coordination. This need rings true for United States Air Force (USAF) teams, whose instructors heavily employ subjective evaluations within fast-paced training. Instructors must observe a multitude of teams and their communications, leaving room for varied evaluations and missed opportunities for feedback. Recent studies have advanced and tested team coordination measures based on dynamical systems theory, yielding results that illustrate the relationship between team communication flow and performance. This work leverages those measures and applies them in the context of USAF medical training. In this study, we assess the usability of a Team Dynamics Measurement System prototype. Users (n = 4) completed 15 tasks and evaluated system usability, perceived mental effort, system satisfaction, and task difficulty. Results indicate marginally acceptable overall system usability. These results helped identify essential interface modifications for future iterations. Future work and use cases for instructor support 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":"31 1","pages":"21 - 25"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81189203","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":"Conducting User Experience Interviews during a Clinical Trial","authors":"B. Loring","doi":"10.1177/2327857922111003","DOIUrl":"https://doi.org/10.1177/2327857922111003","url":null,"abstract":"Over the course of two years, the author and colleagues conducted user experience (UX) research as part of two clinical trials. This paper describes the research methodology, the challenges encountered, the rewards, and the lessons learned from the experience. The subject of the clinical trials was a novel treatment for a degenerative disease that has no cure and few successful treatments. The trials involved pairs of patients and caregivers and lasted up to 12 months. The ability to compare the perceived effectiveness of the treatment and changes in quality of life with the clinical endpoints helped guide the design of the treatment regimen, and the experience was rewarding for the UX researchers themselves.","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":"465 1","pages":"18 - 20"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86605050","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":"Over Triage: Injury Classification Mistake or Hindsight Bias?","authors":"Richard Simonson, J. Keebler, Rosemarie Fernandez, E. Lazzara, Alex Chaparro","doi":"10.1177/2327857922111001","DOIUrl":"https://doi.org/10.1177/2327857922111001","url":null,"abstract":"Patient triage is a critical stage in providing patients with the appropriate level of care required. Multiple metrics are considered in determining appropriate triage at the time of assessment. Due to the complexity of healthcare intervention, patients are often under- or over-triaged. Initiatives to reduce incorrect triages have been developed and implemented. These initiatives, however, may be based on hindsight bias and subsequently result in inaccurate assessments of triage accuracy and lead to improper triage-based education initiatives. This submission proposes the application of the SEIPS framework as a method of mitigating challenges introduced in the triage accuracy assessments due to this potential hindsight bias.","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":"27 1","pages":"7 - 12"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84827471","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":"From Reactive to Proactive Safety: Joint Activity Monitoring for Infection Prevention.","authors":"Dane A Morey,&nbsp;Michael F Rayo,&nbsp;Mengyun Li","doi":"10.1177/2327857922111009","DOIUrl":"https://doi.org/10.1177/2327857922111009","url":null,"abstract":"<p><p>Despite the promise of a proactive approach to safety, a lack of resources and tangible measures have limited its implementation in organizations. We are exploring <i>Joint Activity Monitoring</i> (JAM) as one key component of a proactive safety program within the domain of infection prevention. However, despite a conceptual alignment to the requirements of a proactive monitoring capability, our experiences instrumenting daily work tools with the capabilities to support continuous, unobtrusive, real-time monitoring have revealed additional organizational and technological requirements. In this paper, we describe our strategies and challenges in developing this capability and discuss implications for supporting successful proactive safety implementations.</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":"11 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9888306/pdf/nihms-1864037.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633209","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":"FUN AND GAMES: DESIGNING A GAMIFIED CENTRAL VENOUS CATHETERIZATION TRAINING SIMULATOR.","authors":"Haroula M Tzamaras, Jason Martinez, Dailen C Brown, Jessica M Gonzalez-Vargas, Jason Z Moore, Scarlett R Miller","doi":"10.1177/1071181321651108","DOIUrl":"10.1177/1071181321651108","url":null,"abstract":"<p><p>Gamification, or adding elements of games to training systems, has the potential to increase learner engagement and information retention. However, the use of gamification has yet to be explored in Central Venous Catheterization (CVC) trainers which teach a commonly performed medical procedure with high incidence rates. In order to combat these errors, a Dynamic Haptic Robotic Trainer (DHRT) was developed, which focuses on vessel identification and access. A DHRT+ system is currently under development that focuses on whole procedure training (e.g. sterilization and catheter insertion), including a gamified Graphical User Interface. The goal of this paper was to (1) develop a game-like, patient-centered interface to foster personalized learning and (2) understand the perceived utility of gamification for CVC skill development with expert doctors. This paper outlines some of the potential benefits and deficits of the use of gamification in medical trainers that can be used to drive simulation design.</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":"65 1","pages":"267-271"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830596/pdf/nihms-1711650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39778039","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":"Creation of a High Fidelity, Cost Effective, Real World Surgical Simulation for Surgical Education","authors":"L. Stewart, E. De La Rosa","doi":"10.1177/2327857921101081","DOIUrl":"https://doi.org/10.1177/2327857921101081","url":null,"abstract":"Background How do surgical residents learn to operate? What is a surgical plane? How does one learn to see and dissect the plane? How do surgical residents learn tissue handling and suturing (sewing)? One method to learn and practice performing surgery is through the use of simulation training. Surgical training models include laparoscopic box trainers (a plastic box with holes for instruments) with synthetic materials inside to simulate tissues, or computer-based virtual reality simulation for laparoscopic, endoscopic, and robotic techniques. These methods, however, do not use real tissues. They lack the haptic and kinesthetic feedback of real tissue. These simulations fail to recreate the fidelity of soft tissues, do not foster the ability to accurately see surgical planes, do not accurately mimic the act of dissecting surgical planes, do not allow for complex surgical procedures, and do not provide accurate experience to learn tissue handling and suturing. Despite their poor performance, these plastic and virtual trainers are extremely costly to purchase, maintain, and keep up to date - with prices starting at $700 for basic plastic training boxes to thousands of dollars for virtual simulation. Also, there are additional costs of maintenance and software curriculum. Despite the cost of software, virtual simulators do not include a simulation for every surgery. Our aim was to create a life-like surgical simulation as close to real world as possible that allows trainees to learn how to see and dissect surgical planes, learn how soft tissues move, and learn the dynamics of soft tissue manipulation. We created a laparoscopic simulator using porcine tissues for gallbladder removal, acid reflux surgery, and surgery to treat swallowing difficulties (cholecystectomy, Nissen fundoplication, and Heller myotomy, respectively). Second year general surgery residents were able to practice these procedures on real tissues, enabling them to learn the steps of each procedure, increase manual dexterity, improve use of laparoscopic equipment, all while maintaining life-like haptic, soft-tissue feedback and enabling them to develop the ability to see real surgical planes. Methods The abdomen was recreated by purchasing intact porcine liver, gallbladder, (Cholecystectomy simulation) and intact esophagus, stomach, and diaphragm (Nissen and Heller simulation) from a packing supplier. Each organ system was placed into a laparoscopic trainer box with the ability to re-create laparoscopic ports. Surgical residents were then able to perform the procedures using real laparoscopic instruments, laparoscopic camera/video imaging, and real-time electrocautery. The simulation included all critical steps of each procedure such as obtaining the critical view of safety and removing the gallbladder from the liver bed (cholecystectomy), wrapping the stomach around the esophagus and laparoscopic suturing (Nissen fundoplication), and dissecting the muscular portion of the esophageal","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":"55 1","pages":"147 - 147"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73968436","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":"Can We Use Design Approaches to Increase Comfort and Reduce Suffering at End-of-Life: A Focused Literature Review","authors":"Meg Schwellnus, Chantal M. J. Trudel, Zsófia Orosz","doi":"10.1177/2327857921101234","DOIUrl":"https://doi.org/10.1177/2327857921101234","url":null,"abstract":"End-of-life (EoL) care is often a difficult period for all involved: the person who is dying, their family and friends, and care providers. A review and analysis of literature on design for end-of-life care led to identifying common themes that may influence end-of-life experience, design categories which aim to support EoL care, and continuing challenges that may undermine EoL experience. An additional review researched impacts of the COVID-19 pandemic on EoL experiences. The results of both reviews are presented here, as well as some suggestions for future directions in EoL 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":"2 1","pages":"324 - 330"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74351239","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}