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
Pub Date : 2023-03-01DOI: 10.1177/2327857923121049
D. Gillespie, Steve Provost
Healthcare must provide safe and effective treatment while being cost-effective and ethical in its delivery. Anaesthesia is particularly prone to production pressure, which can lead to compromises in patient safety through risky decision-making. Australian anaesthetists (N=192), trainees, and specialists were asked to complete an electronic survey asking whether they would proceed with surgery in 11 clinical elective scenarios involving a violation of a standard or practice guideline. They were also asked how confident they were in their decisions and provided an opportunity to explain. Across all scenarios, anaesthetists would have proceeded ranging from 8.3% to 89.6. The likelihood to proceed and confidence in the decision in some scenarios was influenced by the decision made, gender, age, and level of expertise. Although not originally designed to investigate rule-governed behaviour using Relational Framework Theory, we found evidence of the influence of plys, tracks and augments, in the explanations which participants provided. Relational Framework Theory may provide insights into individual beliefs, values, motivators, and the influence of culture-behavioural systems in anaesthetists attitudes towards safety practices and human factors.
{"title":"Does it apply to me: Using Relational Frame Theory to examine anaesthetists' approach to safety behaviour and human factors","authors":"D. Gillespie, Steve Provost","doi":"10.1177/2327857923121049","DOIUrl":"https://doi.org/10.1177/2327857923121049","url":null,"abstract":"Healthcare must provide safe and effective treatment while being cost-effective and ethical in its delivery. Anaesthesia is particularly prone to production pressure, which can lead to compromises in patient safety through risky decision-making. Australian anaesthetists (N=192), trainees, and specialists were asked to complete an electronic survey asking whether they would proceed with surgery in 11 clinical elective scenarios involving a violation of a standard or practice guideline. They were also asked how confident they were in their decisions and provided an opportunity to explain. Across all scenarios, anaesthetists would have proceeded ranging from 8.3% to 89.6. The likelihood to proceed and confidence in the decision in some scenarios was influenced by the decision made, gender, age, and level of expertise. Although not originally designed to investigate rule-governed behaviour using Relational Framework Theory, we found evidence of the influence of plys, tracks and augments, in the explanations which participants provided. Relational Framework Theory may provide insights into individual beliefs, values, motivators, and the influence of culture-behavioural systems in anaesthetists attitudes towards safety practices and human factors.","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":"218 - 222"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43075585","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121045
Andrea M. Pisa, Natasha Fosker, Timothy Quigg
With the growing prevalence of metabolic disorders (Rupenthal, 2019) and the over-60s population set to increase from today’s 10% of the global population to over 20% in 2050 (Gaudana, Jwala, Boddu, & Mitra, 2009), incidence of ocular disease is rising (Royal College of Ophthalmologists, 2018). This is having a significant impact on the demand for ophthalmology care with a 30-40% increase predicted between 2018- 2038 (Royal College of Ophthalmologists, 2018). Together with leading pharmaceutical partners, Crux Product Design have worked on a range of cutting-edge ocular device development programs aimed to provide better outcomes for patients globally. This paper covers the novel approach to Human Factors applied within these programs, demonstrating the value added when going beyond the regulatory minimum and how successful incorporation of these methods starts with team culture, early and regular usability activities and the careful translation of insights into tangible design improvements.
{"title":"Effectively Incorporating Human Factors into Ocular Device Development","authors":"Andrea M. Pisa, Natasha Fosker, Timothy Quigg","doi":"10.1177/2327857923121045","DOIUrl":"https://doi.org/10.1177/2327857923121045","url":null,"abstract":"With the growing prevalence of metabolic disorders (Rupenthal, 2019) and the over-60s population set to increase from today’s 10% of the global population to over 20% in 2050 (Gaudana, Jwala, Boddu, & Mitra, 2009), incidence of ocular disease is rising (Royal College of Ophthalmologists, 2018). This is having a significant impact on the demand for ophthalmology care with a 30-40% increase predicted between 2018- 2038 (Royal College of Ophthalmologists, 2018). Together with leading pharmaceutical partners, Crux Product Design have worked on a range of cutting-edge ocular device development programs aimed to provide better outcomes for patients globally. This paper covers the novel approach to Human Factors applied within these programs, demonstrating the value added when going beyond the regulatory minimum and how successful incorporation of these methods starts with team culture, early and regular usability activities and the careful translation of insights into tangible design improvements.","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":"200 - 206"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46881194","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121002
S. Olatunji, V. Nguyen, Henry Evans, Jane Evans, Anna L. Garverick, M. Cakmak, A. Edsinger, C. Kemp, Wendy A Rogers
Introduction Assistive robots have the potential to support independence, enhance safety, and lower healthcare costs for older adults with mobility limitations, as well as to alleviate the demands of their care partners. Challenges affecting the acceptability of these robots are issues related to usability, particularly the inherent workload that could be involved in controlling the robot. Using a participatory design approach, we assessed the feasibility of using a robot in a case study focused on supporting a person with mobility limitation and his care partner. We focused on the utility and benefits of using a robot to support care recipients and their care partners in performing their everyday activities. We identified the workload challenges involved in using the robot to carry out these activities while iteratively co-designing intervention strategies with the users to overcome these challenges.
{"title":"A participatory design project to evaluate benefits and workload costs for a domestic assistive robot","authors":"S. Olatunji, V. Nguyen, Henry Evans, Jane Evans, Anna L. Garverick, M. Cakmak, A. Edsinger, C. Kemp, Wendy A Rogers","doi":"10.1177/2327857923121002","DOIUrl":"https://doi.org/10.1177/2327857923121002","url":null,"abstract":"Introduction Assistive robots have the potential to support independence, enhance safety, and lower healthcare costs for older adults with mobility limitations, as well as to alleviate the demands of their care partners. Challenges affecting the acceptability of these robots are issues related to usability, particularly the inherent workload that could be involved in controlling the robot. Using a participatory design approach, we assessed the feasibility of using a robot in a case study focused on supporting a person with mobility limitation and his care partner. We focused on the utility and benefits of using a robot to support care recipients and their care partners in performing their everyday activities. We identified the workload challenges involved in using the robot to carry out these activities while iteratively co-designing intervention strategies with the users to overcome these challenges.","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":"11 - 11"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47173837","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121028
F. Jacob Seagull, Michael Lanham, Michelle Pomorski, Mollie Callahan, Geoffrey D. Barnes
Direct Oral Anticoagulants (DOACs) are beneficial blood-thinning medications that are frequently misprescribed. Clinical decision support systems can be effective in reducing these prescription errors through well-designed medication alerts. The effectiveness of alerts can be improved through a User Centered Design (UCD) process. We describe the multi-stage UCD process used to (1) produce initial draft alerts, (2) refine the designs, and (3) validate the designs and findings. The resulting prototype DOAC prescribing alert design is presented with annotations of design principles that were derived and applied. The principles of design for these DOAC medication alerts may be relevant more broadly to the design of other medication alerts.
{"title":"Improving Prescribing through User-Centered Design: Design Guide and Interface Examples for Anticoagulant Medication Alerts","authors":"F. Jacob Seagull, Michael Lanham, Michelle Pomorski, Mollie Callahan, Geoffrey D. Barnes","doi":"10.1177/2327857923121028","DOIUrl":"https://doi.org/10.1177/2327857923121028","url":null,"abstract":"Direct Oral Anticoagulants (DOACs) are beneficial blood-thinning medications that are frequently misprescribed. Clinical decision support systems can be effective in reducing these prescription errors through well-designed medication alerts. The effectiveness of alerts can be improved through a User Centered Design (UCD) process. We describe the multi-stage UCD process used to (1) produce initial draft alerts, (2) refine the designs, and (3) validate the designs and findings. The resulting prototype DOAC prescribing alert design is presented with annotations of design principles that were derived and applied. The principles of design for these DOAC medication alerts may be relevant more broadly to the design of other medication alerts.","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":"117 - 119"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42380051","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121033
Jenny A. Walker, Rachit Kumar, M. Hoo, M. Wheeler
As individuals age, their vision tends to decline. These changes are natural, but often neglected when designing tasks for both older and younger adults. For instance, many MRI machine set-ups include in-bore displays. Ongoing work in our lab suggests that some older adults have issues seeing stimuli on these displays if there is a visual noise component. This is a problem that did not occur with younger adult samples. Therefore, this work provides an example of how this concern was addressed using a psychophysical thresholding technique. We hope that our experience will inform others who are facing similar issues and/or seeking suggestions for improving their patient and participants’ scanning experiences.
{"title":"Aging and Visual Presentations in MRI Environments","authors":"Jenny A. Walker, Rachit Kumar, M. Hoo, M. Wheeler","doi":"10.1177/2327857923121033","DOIUrl":"https://doi.org/10.1177/2327857923121033","url":null,"abstract":"As individuals age, their vision tends to decline. These changes are natural, but often neglected when designing tasks for both older and younger adults. For instance, many MRI machine set-ups include in-bore displays. Ongoing work in our lab suggests that some older adults have issues seeing stimuli on these displays if there is a visual noise component. This is a problem that did not occur with younger adult samples. Therefore, this work provides an example of how this concern was addressed using a psychophysical thresholding technique. We hope that our experience will inform others who are facing similar issues and/or seeking suggestions for improving their patient and participants’ scanning experiences.","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":"142 - 146"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44811898","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121043
Anastasia Diamond, Maya Gonczi, Lizzie Einarson, B. Baldwin
Root cause analysis (RCA) is not always a straightforward process, and many human factors researchers struggle with executing RCA effectively and efficiently. For example, when conducting large, multi-site studies, the data points from participants quickly add up and begin to blur together. Then, during data analysis, notes that once made sense or are left unfinished now require additional time and effort to decode. This can require further video review or internal discussion to corroborate what happened and why, creating delays in analysis and reporting. This may lead to more questions which are now too late to answer. To combat this unfortunate reality, we discuss 5 best practices that can help researchers conduct more efficient RCAs.
{"title":"Back to Your “Roots”: 5 Best Practices for Performing Root Cause Analysis","authors":"Anastasia Diamond, Maya Gonczi, Lizzie Einarson, B. Baldwin","doi":"10.1177/2327857923121043","DOIUrl":"https://doi.org/10.1177/2327857923121043","url":null,"abstract":"Root cause analysis (RCA) is not always a straightforward process, and many human factors researchers struggle with executing RCA effectively and efficiently. For example, when conducting large, multi-site studies, the data points from participants quickly add up and begin to blur together. Then, during data analysis, notes that once made sense or are left unfinished now require additional time and effort to decode. This can require further video review or internal discussion to corroborate what happened and why, creating delays in analysis and reporting. This may lead to more questions which are now too late to answer. To combat this unfortunate reality, we discuss 5 best practices that can help researchers conduct more efficient RCAs.","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":"191 - 193"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45661084","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121007
Austin Vaughn, Changwon Son, Seungyeon Baek, Sandra Caballero, S. Decker
Rapid and widespread implementation of electronic health record (EHR) systems has been attributed to rising medical incidents in healthcare systems. Although previous research has evaluated and improved the usability of the EHR systems, there is limited understanding of EHR users’ cognitive challenges along the lifecycle of EHR data. Especially, nursing students, a novice user group, are considered amenable to reveal the user issues because of underdeveloped workarounds and automaticity. Therefore, this research aims to identify nursing students’ cognitive challenges and efforts regarding the use of the EHR system. As a first step of a multi-study research, the current study investigated cognitive work associated with five common critical nursing tasks that involve EHR usage. A Hierarchical Task Analysis (HTA) was conducted to build a hierarchical structure that represents critical functions and individual steps of each task, which will be used to explore potential areas that pose cognitive challenges to novice EHR users (i.e., nursing students). Preliminary findings are illustrated through HTA construction, which provides preliminary clues for possible cognitive errors. Additional studies are planned to triangulate HTA findings. Results from combined studies will provide a comprehensive examination of problem areas that require greater cognitive effort from novice users.
{"title":"Identifying EHR Novice Users’ Cognitive Challenges: Mapping Critical Nursing Tasks Using HTA","authors":"Austin Vaughn, Changwon Son, Seungyeon Baek, Sandra Caballero, S. Decker","doi":"10.1177/2327857923121007","DOIUrl":"https://doi.org/10.1177/2327857923121007","url":null,"abstract":"Rapid and widespread implementation of electronic health record (EHR) systems has been attributed to rising medical incidents in healthcare systems. Although previous research has evaluated and improved the usability of the EHR systems, there is limited understanding of EHR users’ cognitive challenges along the lifecycle of EHR data. Especially, nursing students, a novice user group, are considered amenable to reveal the user issues because of underdeveloped workarounds and automaticity. Therefore, this research aims to identify nursing students’ cognitive challenges and efforts regarding the use of the EHR system. As a first step of a multi-study research, the current study investigated cognitive work associated with five common critical nursing tasks that involve EHR usage. A Hierarchical Task Analysis (HTA) was conducted to build a hierarchical structure that represents critical functions and individual steps of each task, which will be used to explore potential areas that pose cognitive challenges to novice EHR users (i.e., nursing students). Preliminary findings are illustrated through HTA construction, which provides preliminary clues for possible cognitive errors. Additional studies are planned to triangulate HTA findings. Results from combined studies will provide a comprehensive examination of problem areas that require greater cognitive effort from novice users.","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":"24 - 30"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46829462","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121001
Bijun Wang, Onur Asan, M. Mansouri
The healthcare industry is undergoing a transformation of traditional medical relationships from human-physician interactions to digital healthcare focusing on physician-AI-patient interactions. Patients’ trustworthiness is the cornerstone of adopting new technologies expounding the reliability, integrity, and ability of AI-based systems and devices to provide an accurate and safe healthcare environment. The main objective of this study is to investigate the various factors that influence patients’ trustworthiness in AI-based systems and devices, taking into account differences in patients’ experiences and backgrounds. First, an exploratory conceptual framework inspired by the United Theory of Acceptance and Use of Technology (UTAUT) and Health Belief Model (HBM) is established to further explain the patients’ trust to support the adoption willingness of AI. Then a case study that includes 218 samples from chronic patients is conducted. The results of the study indicate that factors such as accountability, risk perception, facilitating conditions, and social influence play a significant role in determining a patient’s trust in AI-based healthcare devices, while ease of ease may not have a direct impact to trust. And among the demographic factors, only race showed a strong correlation with the level of patient trust in AI. The contributions of this study can provide a comprehensive understanding of patients’ trustworthiness and inform the development and deployment of the technology in a way that prioritizes patients’ interests.
{"title":"What May Impact Trustworthiness of AI in Digital Healthcare: Discussion from Patients’ Viewpoint","authors":"Bijun Wang, Onur Asan, M. Mansouri","doi":"10.1177/2327857923121001","DOIUrl":"https://doi.org/10.1177/2327857923121001","url":null,"abstract":"The healthcare industry is undergoing a transformation of traditional medical relationships from human-physician interactions to digital healthcare focusing on physician-AI-patient interactions. Patients’ trustworthiness is the cornerstone of adopting new technologies expounding the reliability, integrity, and ability of AI-based systems and devices to provide an accurate and safe healthcare environment. The main objective of this study is to investigate the various factors that influence patients’ trustworthiness in AI-based systems and devices, taking into account differences in patients’ experiences and backgrounds. First, an exploratory conceptual framework inspired by the United Theory of Acceptance and Use of Technology (UTAUT) and Health Belief Model (HBM) is established to further explain the patients’ trust to support the adoption willingness of AI. Then a case study that includes 218 samples from chronic patients is conducted. The results of the study indicate that factors such as accountability, risk perception, facilitating conditions, and social influence play a significant role in determining a patient’s trust in AI-based healthcare devices, while ease of ease may not have a direct impact to trust. And among the demographic factors, only race showed a strong correlation with the level of patient trust in AI. The contributions of this study can provide a comprehensive understanding of patients’ trustworthiness and inform the development and deployment of the technology in a way that prioritizes patients’ interests.","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":"5 - 10"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43671450","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121017
Carleene Bañez, Katrina Engel, Anthony Soung Yee, Silva Nercessian, Ashley Slomka, Jo‐anne Marr, Joanna Noble, Wendy Hooper, S. Gelmi, Nataly Farshait, C. Gaulton, Trevor N. T. Hall
Oak Valley Health, a community healthcare organization located in Ontario, Canada collaborated with the Healthcare Insurance Reciprocal of Canada (HIROC) on a quality improvement initiative. In March 2022, HIROC introduced a multi-modal approach to support the Childbirth and Children’s Service (CCS) program at Oak Valley Health to better understand teamwork and communication across the program to support patient safety. In partnership with Oak Valley Health, HIROC facilitated focus groups, interviews, and two workshops with the front-line multidisciplinary team members. CCS leaders implemented change ideas to increase teamwork and communication, and also improved culture, psychological safety, and empathy between interdisciplinary and interdepartmental teams across CCS. Examples of these changes included a new Access and Flow Report, CCS Specific Bed Meetings, Education Days, and Joint Charge Nurse Meetings. Since implementing these changes, employee engagement results have been positive. The CCS leaders plan to maintain implemented changes.
{"title":"Implementing front-line ownership to improve safety in Labor & Delivery and Postpartum Units","authors":"Carleene Bañez, Katrina Engel, Anthony Soung Yee, Silva Nercessian, Ashley Slomka, Jo‐anne Marr, Joanna Noble, Wendy Hooper, S. Gelmi, Nataly Farshait, C. Gaulton, Trevor N. T. Hall","doi":"10.1177/2327857923121017","DOIUrl":"https://doi.org/10.1177/2327857923121017","url":null,"abstract":"Oak Valley Health, a community healthcare organization located in Ontario, Canada collaborated with the Healthcare Insurance Reciprocal of Canada (HIROC) on a quality improvement initiative. In March 2022, HIROC introduced a multi-modal approach to support the Childbirth and Children’s Service (CCS) program at Oak Valley Health to better understand teamwork and communication across the program to support patient safety. In partnership with Oak Valley Health, HIROC facilitated focus groups, interviews, and two workshops with the front-line multidisciplinary team members. CCS leaders implemented change ideas to increase teamwork and communication, and also improved culture, psychological safety, and empathy between interdisciplinary and interdepartmental teams across CCS. Examples of these changes included a new Access and Flow Report, CCS Specific Bed Meetings, Education Days, and Joint Charge Nurse Meetings. Since implementing these changes, employee engagement results have been positive. The CCS leaders plan to maintain implemented changes.","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":"64 - 66"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42910485","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}
Pub Date : 2023-03-01DOI: 10.1177/2327857923121048
Priyanka Tewani, Christine M. Jefferies, Morgan E. Reynolds, Gabriela Segarra, Michael F. Rayo, Kenneth R Catchpole
Abstraction hierarchies (AHs) are essential to a work domain analysis (WDA), the “most important and unique” phase of cognitive work analysis (CWA) (Vicente, 1999). Although AHs have been the industry standard for assessing and describing work systems for several decades, they are not without limitations (Vicente, 2002). We have developed an evolution of AHs called Abstraction Networks (ANs) to address several of the limitations Vicente identified. ANs are designed to (1) improve engagement with practitioners, thereby facilitating greater shared understanding of the system, (2) better integrate with existing systems analysis tools, and (3) provide a more direct bridge between systems analysis and display design. We document a case study that uses ANs to better understand a sterile processing department (SPD) at a Southeastern tertiary care hospital, detailing the extent to which AN’s achieve these three goals.
{"title":"Abstraction networks: adapting abstraction hierarchies to map important relationships for system design","authors":"Priyanka Tewani, Christine M. Jefferies, Morgan E. Reynolds, Gabriela Segarra, Michael F. Rayo, Kenneth R Catchpole","doi":"10.1177/2327857923121048","DOIUrl":"https://doi.org/10.1177/2327857923121048","url":null,"abstract":"Abstraction hierarchies (AHs) are essential to a work domain analysis (WDA), the “most important and unique” phase of cognitive work analysis (CWA) (Vicente, 1999). Although AHs have been the industry standard for assessing and describing work systems for several decades, they are not without limitations (Vicente, 2002). We have developed an evolution of AHs called Abstraction Networks (ANs) to address several of the limitations Vicente identified. ANs are designed to (1) improve engagement with practitioners, thereby facilitating greater shared understanding of the system, (2) better integrate with existing systems analysis tools, and (3) provide a more direct bridge between systems analysis and display design. We document a case study that uses ANs to better understand a sterile processing department (SPD) at a Southeastern tertiary care hospital, detailing the extent to which AN’s achieve these three goals.","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":"213 - 217"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43769793","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}
Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare
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