首页 > 最新文献

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

英文 中文
Creating A Reliable Digital Maternal Health Platform Using Maslow's Hierarchy and Nielsen Heuristics 利用马斯洛层次和尼尔森启发式创建可靠的数字孕产妇健康平台
N. Patel, Arianne Gleiser, Yalda Khashe
This research seeks to build on previous efforts to serve the needs of expectant mothers in terms of providing effective digital healthcare. The first task in accomplishing this was to determine a list of basic features needed to completely satisfy all key performance indicators and needs of a maternal healthcare website. Once this was completed and each category of the established hierarchy had been addressed, the second task could be approached. This was to ensure the platform’s usability by designing sub features with the Nielsen Heuristics in mind. The result of these tasks is a complete framework for an all-in-one platform powerful enough to assist women through pregnancy. This research is intended for doctors, specifically those interested in the evolving virtual landscape, and other healthcare professionals. We believe these people have a significant stake in the development of virtual platforms and welcome their interest and criticism. The significance of this research lies in its future potential: the actualization of the platform. A sound framework for the feature set has been established, so what follows is the implementation, which will prove useful to doctors and expectant mothers alike.
这项研究试图在之前努力的基础上,为孕妇提供有效的数字医疗服务。实现这一目标的第一项任务是确定一份基本功能列表,以完全满足孕产妇保健网站的所有关键性能指标和需求。一旦完成了这项工作,并处理了既定层次结构的每一类问题,就可以着手执行第二项任务。这是为了确保平台的可用性,通过设计考虑到尼尔森启发式的子功能。这些任务的结果是为一个强大到足以帮助女性度过妊娠期的一体化平台提供了一个完整的框架。这项研究的对象是医生,特别是那些对不断发展的虚拟环境感兴趣的人,以及其他医疗保健专业人员。我们相信这些人在虚拟平台的发展中有着重要的利害关系,并欢迎他们的兴趣和批评。这项研究的意义在于其未来的潜力:平台的实现。已经为该功能集建立了一个健全的框架,因此接下来就是实施,这将对医生和孕妇都很有用。
{"title":"Creating A Reliable Digital Maternal Health Platform Using Maslow's Hierarchy and Nielsen Heuristics","authors":"N. Patel, Arianne Gleiser, Yalda Khashe","doi":"10.1177/2327857923121027","DOIUrl":"https://doi.org/10.1177/2327857923121027","url":null,"abstract":"This research seeks to build on previous efforts to serve the needs of expectant mothers in terms of providing effective digital healthcare. The first task in accomplishing this was to determine a list of basic features needed to completely satisfy all key performance indicators and needs of a maternal healthcare website. Once this was completed and each category of the established hierarchy had been addressed, the second task could be approached. This was to ensure the platform’s usability by designing sub features with the Nielsen Heuristics in mind. The result of these tasks is a complete framework for an all-in-one platform powerful enough to assist women through pregnancy. This research is intended for doctors, specifically those interested in the evolving virtual landscape, and other healthcare professionals. We believe these people have a significant stake in the development of virtual platforms and welcome their interest and criticism. The significance of this research lies in its future potential: the actualization of the platform. A sound framework for the feature set has been established, so what follows is the implementation, which will prove useful to doctors and expectant mothers alike.","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":"111 - 116"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45139297","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
Using Machine Learning to Develop a Predictive Model of Infant Hypoglycemia Based on Maternal and Infant Variables in an Electronic Health Record 利用机器学习开发基于电子健康记录中母婴变量的婴儿低血糖预测模型
Joseph M. Gerard, A. Stuebe, Alison Sweeney, Theodore T. Allen, M. Brunette, C. Gill, K. Umstead, E. Patterson
All newborns experience low blood glucose levels when they first initiate carbohydrate metabolism. Some levels remain low, with potential seizures and severe brain injury. Predicting newborns at higher risk is clinically useful because newborns can have their blood sugar raised with breastfeeding, donor milk, formula, or oral dextrose gels. Additionally, informing parents of this higher risk can enhance shared decision-making in the first 48 hours after birth. To address this, we propose three predictive models using binary logistic regression for newborns receiving treatment with oral dextrose gels for hypoglycemia. The first is a parsimonious model, where a high-risk newborn's first blood glucose value is highly predictive of requiring an oral dextrose gel treatment. The second model can be used earlier in the clinical workflow. It is based on the most predictive variables that are also electronically available for all newborns and do not change much in the electronic health record. The third model explores the most predictive variables based on a conceptual model of factors associated with health disparities. These three models are informed from insights gleaned by an exploratory analysis of alternative outcome measures, variables, and threshold cutoffs using a standard heuristic of greedily finding the highest average difference for records on both sides of partitions. We discuss how the dynamics of when data are available during a hospital stay in the postnatal care unit for all patients impact the selection of useful variables for electronically-based decision support. We plan to modify handouts for postnatal care nurses that detail treatment guidance and support shared decision-making. We plan to embed stratified guidance, recommended scripts for high and low-risk cohorts, orientation materials for float and junior nurses, and patient-facing educational materials.
所有新生儿在开始碳水化合物代谢时都会出现低血糖。一些水平仍然很低,可能会出现癫痫发作和严重的脑损伤。预测高危新生儿在临床上是有用的,因为新生儿可以通过母乳喂养、母乳、配方奶粉或口服葡萄糖凝胶来提高血糖。此外,告知父母这种更高的风险可以在出生后的前48小时内加强共同决策。为了解决这一问题,我们提出了三个使用二元逻辑回归的新生儿低血糖口服葡萄糖凝胶治疗的预测模型。第一种是简约模型,其中高危新生儿的首次血糖值高度预测需要口服葡萄糖凝胶治疗。第二个模型可以在临床工作流程的早期使用。它基于所有新生儿都可以通过电子方式获得的最具预测性的变量,并且在电子健康记录中变化不大。第三个模型基于与健康差异相关的因素的概念模型,探索了最具预测性的变量。这三个模型是根据对替代结果度量、变量和阈值截止值的探索性分析所收集的见解得出的,该分析使用了贪婪地寻找分区两侧记录的最高平均差异的标准启发式方法。我们讨论了所有患者在产后护理室住院期间数据可用的动态如何影响基于电子的决策支持的有用变量的选择。我们计划修改产后护理护士的讲义,详细说明治疗指导并支持共同决策。我们计划嵌入分层指导、高风险和低风险人群的推荐脚本、流动护士和初级护士的定向材料以及面向患者的教育材料。
{"title":"Using Machine Learning to Develop a Predictive Model of Infant Hypoglycemia Based on Maternal and Infant Variables in an Electronic Health Record","authors":"Joseph M. Gerard, A. Stuebe, Alison Sweeney, Theodore T. Allen, M. Brunette, C. Gill, K. Umstead, E. Patterson","doi":"10.1177/2327857923121023","DOIUrl":"https://doi.org/10.1177/2327857923121023","url":null,"abstract":"All newborns experience low blood glucose levels when they first initiate carbohydrate metabolism. Some levels remain low, with potential seizures and severe brain injury. Predicting newborns at higher risk is clinically useful because newborns can have their blood sugar raised with breastfeeding, donor milk, formula, or oral dextrose gels. Additionally, informing parents of this higher risk can enhance shared decision-making in the first 48 hours after birth. To address this, we propose three predictive models using binary logistic regression for newborns receiving treatment with oral dextrose gels for hypoglycemia. The first is a parsimonious model, where a high-risk newborn's first blood glucose value is highly predictive of requiring an oral dextrose gel treatment. The second model can be used earlier in the clinical workflow. It is based on the most predictive variables that are also electronically available for all newborns and do not change much in the electronic health record. The third model explores the most predictive variables based on a conceptual model of factors associated with health disparities. These three models are informed from insights gleaned by an exploratory analysis of alternative outcome measures, variables, and threshold cutoffs using a standard heuristic of greedily finding the highest average difference for records on both sides of partitions. We discuss how the dynamics of when data are available during a hospital stay in the postnatal care unit for all patients impact the selection of useful variables for electronically-based decision support. We plan to modify handouts for postnatal care nurses that detail treatment guidance and support shared decision-making. We plan to embed stratified guidance, recommended scripts for high and low-risk cohorts, orientation materials for float and junior nurses, and patient-facing educational materials.","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":"94 - 100"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46569593","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 user Experience Principles to Food Distribution in Nursing Homes 将用户体验原则应用于养老院的食品分配
Renee Jones, F. Montalvo, J. Sasser, J. Smither, Daniel S. McConnell
Research on patient experiences within healthcare systems tend to report a variety negative encounters. This can be especially observed in food distribution systems within nursing homes. While nursing homes have various practices and structures that affect a resident’s physical and mental health, the process of food distribution considerably relates to issues of autonomy. Because loss of independence may lead to increased rates of elderly loneliness and depression, mealtimes and the process of food distribution are an integral part of improving a resident’s quality of life and encouraging socialization and self-sufficiency. Moreover, developing patient experiences within food distribution systems, whether centralized or decentralized, will likely improve resident’s autonomy and self-efficacy, reduce frustration, and enhance their overall mental and physical health. The present study utilizes Arhippainen’s User Experience heuristics to identify manners of augmenting patient experiences relating to food distribution in nursing homes by addressing patients’ needs, values, and desires. By utilizing these heuristics, patient experiences and assessments of healthcare systems would become more personalized and fulfilling to the individuals.
对医疗系统内患者体验的研究往往会报告各种负面遭遇。这一点在养老院的食品分配系统中尤其明显。虽然养老院有各种影响居民身心健康的做法和结构,但食物分配过程在很大程度上与自主性问题有关。由于失去独立性可能会导致老年人孤独和抑郁的几率增加,因此用餐时间和食物分配过程是提高居民生活质量、鼓励社会化和自给自足的一个组成部分。此外,在食物分配系统中发展患者体验,无论是集中还是分散,都可能提高居民的自主权和自我效能,减少挫折感,并增强他们的整体身心健康。本研究利用Arhippainen的用户体验启发法,通过解决患者的需求、价值观和欲望,确定增强与疗养院食物分配相关的患者体验的方式。通过利用这些启发法,患者的体验和对医疗系统的评估将变得更加个性化,对个人来说更加充实。
{"title":"Applying user Experience Principles to Food Distribution in Nursing Homes","authors":"Renee Jones, F. Montalvo, J. Sasser, J. Smither, Daniel S. McConnell","doi":"10.1177/2327857923121035","DOIUrl":"https://doi.org/10.1177/2327857923121035","url":null,"abstract":"Research on patient experiences within healthcare systems tend to report a variety negative encounters. This can be especially observed in food distribution systems within nursing homes. While nursing homes have various practices and structures that affect a resident’s physical and mental health, the process of food distribution considerably relates to issues of autonomy. Because loss of independence may lead to increased rates of elderly loneliness and depression, mealtimes and the process of food distribution are an integral part of improving a resident’s quality of life and encouraging socialization and self-sufficiency. Moreover, developing patient experiences within food distribution systems, whether centralized or decentralized, will likely improve resident’s autonomy and self-efficacy, reduce frustration, and enhance their overall mental and physical health. The present study utilizes Arhippainen’s User Experience heuristics to identify manners of augmenting patient experiences relating to food distribution in nursing homes by addressing patients’ needs, values, and desires. By utilizing these heuristics, patient experiences and assessments of healthcare systems would become more personalized and fulfilling to the individuals.","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":"151 - 155"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45719975","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
Human factors’ role in distance healthcare simulation 人为因素在远程医疗模拟中的作用
Shannon K. T. Bailey, A. Hughes, J. Ray, G. Miller, Samreen Vora, M. Scerbo
As educators seek to optimize the utility of distance simulation for healthcare education, several challenges are present in the design, delivery, and evaluation of simulation-based training (SBT) that align with best practices in human factors. The planned outcome of this panel is a strengthening of the collaboration between human factors/ergonomics (HF/E) and healthcare simulation communities with practical tools that can be used to optimize distance healthcare training. Content proposed as part of the current effort should inform the development of strategic partnerships between simulationists, medical education, and HF/E professionals. We anticipate that the panel will be of interest to scientists and practitioners alike who perform work within the medical simulation space. Although the panel is formed with a focus on the needs identified for distance simulation training, panelists will be asked how human factors techniques can be beneficial to simulation in healthcare more broadly.
随着教育工作者寻求优化远程模拟在医疗保健教育中的效用,在设计、提供和评估与人为因素最佳实践相一致的基于模拟的培训(SBT)方面存在一些挑战。该小组的计划成果是通过可用于优化远程医疗培训的实用工具,加强人类因素/人体工程学(HF/E)和医疗模拟社区之间的合作。作为当前工作的一部分提出的内容应为模拟学家、医学教育和HF/E专业人员之间的战略伙伴关系的发展提供信息。我们预计,在医学模拟领域开展工作的科学家和从业者都会对该小组感兴趣。尽管该小组的成立重点是确定远程模拟培训的需求,但小组成员将被问及人为因素技术如何有利于更广泛的医疗保健模拟。
{"title":"Human factors’ role in distance healthcare simulation","authors":"Shannon K. T. Bailey, A. Hughes, J. Ray, G. Miller, Samreen Vora, M. Scerbo","doi":"10.1177/2327857923121013","DOIUrl":"https://doi.org/10.1177/2327857923121013","url":null,"abstract":"As educators seek to optimize the utility of distance simulation for healthcare education, several challenges are present in the design, delivery, and evaluation of simulation-based training (SBT) that align with best practices in human factors. The planned outcome of this panel is a strengthening of the collaboration between human factors/ergonomics (HF/E) and healthcare simulation communities with practical tools that can be used to optimize distance healthcare training. Content proposed as part of the current effort should inform the development of strategic partnerships between simulationists, medical education, and HF/E professionals. We anticipate that the panel will be of interest to scientists and practitioners alike who perform work within the medical simulation space. Although the panel is formed with a focus on the needs identified for distance simulation training, panelists will be asked how human factors techniques can be beneficial to simulation in healthcare more broadly.","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":"50 - 52"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45688948","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
Machine Learning Data Pipeline for the Democratization of AI 人工智能民主化的机器学习数据管道
D. Dicostanzo, A. Ayan, S. Jhawar, T. Allen, E. Patterson
The use of artificial intelligence continues to increase. In healthcare, there has been a recent increase in AI applications to real-time individual patient clinical care, as opposed to population-based research or quality improvement efforts. However, the expertise to evaluate and implement these solutions is limited and often congregates in academic medical centers, creating barriers to adoption for smaller community and rural centers. Lowering the barrier to entry for innovative tools can help address disparities in patient outcomes due to access and other urban/rural contributors. We describe a strategy for evaluating commercially available machine learning models to disseminate lessons learned from developing, validating, and implementing machine learning-based models in clinical care in radiation therapy. In addition, we share an end-to-end data pipeline as open-source code with the tools necessary to identify, extract, organize, and process the data for use in machine-learning applications. We illustrate the application of this data pipeline to the use of brachytherapy to treat female cervical cancer patients. The example will show how we used the proposed pipeline to extract 708 potential participants and applied the developed methods and visualizations to clean the data providing 144 study participants for inclusion in our study. Finally, we discuss the anticipated challenges in implementing machine learning models in commercially available FDA-approved devices and suggest solutions using discrete tools built in different programming languages.
人工智能的使用不断增加。在医疗保健领域,最近人工智能应用于实时个体患者临床护理的情况有所增加,而不是基于人群的研究或质量改进工作。然而,评估和实施这些解决方案的专业知识有限,而且往往集中在学术医疗中心,这对小型社区和农村中心的采用造成了障碍。降低创新工具的准入门槛有助于解决由于可及性和其他城市/农村因素导致的患者预后差异。我们描述了一种评估商用机器学习模型的策略,以传播在放射治疗临床护理中开发、验证和实施基于机器学习的模型的经验教训。此外,我们还将端到端数据管道作为开源代码与识别、提取、组织和处理用于机器学习应用程序的数据所需的工具共享。我们举例说明该数据管道的应用,以使用近距离放疗治疗女性宫颈癌患者。该示例将展示我们如何使用提议的管道提取708名潜在参与者,并应用开发的方法和可视化来清理数据,提供144名研究参与者以纳入我们的研究。最后,我们讨论了在市售的fda批准的设备中实现机器学习模型的预期挑战,并提出了使用不同编程语言构建的离散工具的解决方案。
{"title":"Machine Learning Data Pipeline for the Democratization of AI","authors":"D. Dicostanzo, A. Ayan, S. Jhawar, T. Allen, E. Patterson","doi":"10.1177/2327857923121029","DOIUrl":"https://doi.org/10.1177/2327857923121029","url":null,"abstract":"The use of artificial intelligence continues to increase. In healthcare, there has been a recent increase in AI applications to real-time individual patient clinical care, as opposed to population-based research or quality improvement efforts. However, the expertise to evaluate and implement these solutions is limited and often congregates in academic medical centers, creating barriers to adoption for smaller community and rural centers. Lowering the barrier to entry for innovative tools can help address disparities in patient outcomes due to access and other urban/rural contributors. We describe a strategy for evaluating commercially available machine learning models to disseminate lessons learned from developing, validating, and implementing machine learning-based models in clinical care in radiation therapy. In addition, we share an end-to-end data pipeline as open-source code with the tools necessary to identify, extract, organize, and process the data for use in machine-learning applications. We illustrate the application of this data pipeline to the use of brachytherapy to treat female cervical cancer patients. The example will show how we used the proposed pipeline to extract 708 potential participants and applied the developed methods and visualizations to clean the data providing 144 study participants for inclusion in our study. Finally, we discuss the anticipated challenges in implementing machine learning models in commercially available FDA-approved devices and suggest solutions using discrete tools built in different programming languages.","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":"120 - 124"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41799186","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
Incorporating resilience engineering into simulation for health care education and training 将弹性工程纳入卫生保健教育和培训的模拟
E. Patterson, Jennifer Winner, M. Patterson, Michael F. Rayo, Ellen Deutsch
In this panel, we present perspectives on how to incorporate fundamental concepts in resilience engineering into health care human-in-the-loop simulations. Our panelists have successfully implemented concepts, but also continue to experience challenges with convincing colleagues of the importance and value of doing so for simulations that have other training, technology evaluation, or quality improvement objectives.
在这个小组中,我们提出了如何将弹性工程的基本概念纳入医疗保健人在环模拟的观点。我们的小组成员已经成功地实现了概念,但也继续经历挑战,说服同事这样做对于具有其他培训,技术评估或质量改进目标的模拟的重要性和价值。
{"title":"Incorporating resilience engineering into simulation for health care education and training","authors":"E. Patterson, Jennifer Winner, M. Patterson, Michael F. Rayo, Ellen Deutsch","doi":"10.1177/2327857923121014","DOIUrl":"https://doi.org/10.1177/2327857923121014","url":null,"abstract":"In this panel, we present perspectives on how to incorporate fundamental concepts in resilience engineering into health care human-in-the-loop simulations. Our panelists have successfully implemented concepts, but also continue to experience challenges with convincing colleagues of the importance and value of doing so for simulations that have other training, technology evaluation, or quality improvement objectives.","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":"53 - 56"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43020270","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 Human Factors to Reduce Healthcare-Associated Infections Caused by Face Touching 应用人为因素减少面部触摸引起的医疗相关感染
Kailyn Henderson, Trevor Hall, Nataly Farshait, M. Chignell
Canada is currently facing a critical healthcare worker (HCW) shortage, in part resulting from absenteeism due to healthcare-associated infection (HAI). HCWs are at greater risk of infection and are among the most common sources of HAI transmission. Face touching is a behaviour that HCWs engage in on average 20-23 times per hour, and is one way for HCWs to infect themselves. While personal protective equipment (e.g., face masks) has been found to decrease face touching, the behaviour still occurs. We conducted a literature review on face touching, previously proposed solutions for addressing face touching, and the applications of human factors in mitigating face touching behaviours. We also conducted a pilot study of semi-structured interviews with three HCWs using the Lead User method to understand their needs and explore how best to decrease face touching, which resulted in several suggested interventions for reducing face touching.
加拿大目前面临严重的医护人员短缺,部分原因是医疗相关感染(HAI)导致的缺勤。HCW感染的风险更大,是HAI传播的最常见来源之一。摸脸是HCW平均每小时进行20-23次的行为,也是HCW感染自己的一种方式。虽然人们发现个人防护装备(如口罩)可以减少面部接触,但这种行为仍然会发生。我们对面部触摸、先前提出的解决面部触摸的解决方案以及人为因素在减轻面部触摸行为中的应用进行了文献综述。我们还使用“主要用户”方法对三名HCW进行了半结构化访谈的试点研究,以了解他们的需求,并探讨如何最好地减少面部触摸,从而提出了一些减少面部触摸的干预措施。
{"title":"Applying Human Factors to Reduce Healthcare-Associated Infections Caused by Face Touching","authors":"Kailyn Henderson, Trevor Hall, Nataly Farshait, M. Chignell","doi":"10.1177/2327857923121032","DOIUrl":"https://doi.org/10.1177/2327857923121032","url":null,"abstract":"Canada is currently facing a critical healthcare worker (HCW) shortage, in part resulting from absenteeism due to healthcare-associated infection (HAI). HCWs are at greater risk of infection and are among the most common sources of HAI transmission. Face touching is a behaviour that HCWs engage in on average 20-23 times per hour, and is one way for HCWs to infect themselves. While personal protective equipment (e.g., face masks) has been found to decrease face touching, the behaviour still occurs. We conducted a literature review on face touching, previously proposed solutions for addressing face touching, and the applications of human factors in mitigating face touching behaviours. We also conducted a pilot study of semi-structured interviews with three HCWs using the Lead User method to understand their needs and explore how best to decrease face touching, which resulted in several suggested interventions for reducing face touching.","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":"136 - 141"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43649103","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
Preliminary Usability Evaluation of Personal Medical Devices towards Better Home Healthcare 个人医疗设备对改善家庭医疗的初步可用性评估
Prameet Ranjan Jha, Xiaoyu Chen, Xiaomei Wang
Portable medical devices have been playing an important role in improving health outcomes across the socio-economic spectrum. In the recent decades, substantial population have started using such devices to monitor important vital signs. Significant proportion of these users are older patients with chronic diseases, declined physical and/or cognitive capabilities. Furthermore, these portable devices are often used in unguided environments, that can present unpredictable use contexts. In this preliminary study, we conducted usability inspection on five portable medical devices. Cognitive walkthrough followed by Nielson’s ten Usability Heuristic evaluation method were utilized for the purpose of usability inspection. Sixteen usability concerns were uncovered in such evaluation study. We also recorded the elapsed time of measuring vital signs with all five devices on a daily basis in a month. The average total completion time after familiarization (after the first week) was 5.17 minutes. Results suggest that ‘non-expert’, independent users may face challenges when using portable medical devices in home care settings. Further, the study results also indicate that unsatisfactory usability of portable medical devices could pose hinderances in technology adoption among low eHealth literate users.
便携式医疗设备在改善整个社会经济领域的健康状况方面发挥了重要作用。近几十年来,大量人口开始使用这种设备来监测重要的生命体征。这些用户中有很大一部分是患有慢性病、身体和/或认知能力下降的老年患者。此外,这些便携式设备经常在无指导的环境中使用,这可能会带来不可预测的使用环境。在这项初步研究中,我们对五种便携式医疗设备进行了可用性检查。使用认知漫游和尼尔森的十种可用性启发式评估方法进行可用性检查。在这项评估研究中发现了16个可用性问题。我们还记录了一个月内每天使用所有五种设备测量生命体征的经过时间。熟悉后(第一周后)的平均总完成时间为5.17分钟。研究结果表明,在家庭护理环境中使用便携式医疗设备时,“非专家”独立用户可能会面临挑战。此外,研究结果还表明,便携式医疗设备的可用性不令人满意,可能会阻碍低电子健康水平用户采用技术。
{"title":"Preliminary Usability Evaluation of Personal Medical Devices towards Better Home Healthcare","authors":"Prameet Ranjan Jha, Xiaoyu Chen, Xiaomei Wang","doi":"10.1177/2327857923121030","DOIUrl":"https://doi.org/10.1177/2327857923121030","url":null,"abstract":"Portable medical devices have been playing an important role in improving health outcomes across the socio-economic spectrum. In the recent decades, substantial population have started using such devices to monitor important vital signs. Significant proportion of these users are older patients with chronic diseases, declined physical and/or cognitive capabilities. Furthermore, these portable devices are often used in unguided environments, that can present unpredictable use contexts. In this preliminary study, we conducted usability inspection on five portable medical devices. Cognitive walkthrough followed by Nielson’s ten Usability Heuristic evaluation method were utilized for the purpose of usability inspection. Sixteen usability concerns were uncovered in such evaluation study. We also recorded the elapsed time of measuring vital signs with all five devices on a daily basis in a month. The average total completion time after familiarization (after the first week) was 5.17 minutes. Results suggest that ‘non-expert’, independent users may face challenges when using portable medical devices in home care settings. Further, the study results also indicate that unsatisfactory usability of portable medical devices could pose hinderances in technology adoption among low eHealth literate 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":"125 - 129"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46518744","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
Weaving viewpoints into healthcare policy 将观点纳入医疗政策
Tim Arnold, Helen J. A. Fuller, D. Wilson
This paper describes a set of approaches for evaluating and designing healthcare policy content. These approaches draw from multiple viewpoints in human factors, systems thinking, safety science, and human-centered design (HCD). Six groupings of approaches drawing from different viewpoints are included that address philosophical underpinnings, policy networks and information systems, embedded references to available expertise, customizable modular elements, usability and HCD, and linguistic considerations. For each grouping, an example is provided along with lessons learned and limitations of each approach. Because these approaches emphasize different vantage points and flexibility in design, they can be useful for inquiring into a variety of policy design considerations. Viewing bodies of policy through these perspectives can help us to address questions about how they support healthcare work and how they may work as a system of policies together towards positive outcomes.
本文描述了一套评估和设计医疗保健政策内容的方法。这些方法从人为因素、系统思维、安全科学和以人为本的设计(HCD)等多个角度出发。其中包括六组从不同角度出发的方法,涉及哲学基础、政策网络和信息系统、对现有专业知识的嵌入式参考、可定制的模块化元素、可用性和HCD以及语言考虑。对于每一组,都提供了一个例子,以及每种方法的经验教训和局限性。由于这些方法强调了设计中的不同优势和灵活性,因此它们可以用于探究各种政策设计考虑因素。从这些角度看待政策体系可以帮助我们解决它们如何支持医疗保健工作以及它们如何作为一个政策体系共同努力取得积极成果的问题。
{"title":"Weaving viewpoints into healthcare policy","authors":"Tim Arnold, Helen J. A. Fuller, D. Wilson","doi":"10.1177/2327857923121022","DOIUrl":"https://doi.org/10.1177/2327857923121022","url":null,"abstract":"This paper describes a set of approaches for evaluating and designing healthcare policy content. These approaches draw from multiple viewpoints in human factors, systems thinking, safety science, and human-centered design (HCD). Six groupings of approaches drawing from different viewpoints are included that address philosophical underpinnings, policy networks and information systems, embedded references to available expertise, customizable modular elements, usability and HCD, and linguistic considerations. For each grouping, an example is provided along with lessons learned and limitations of each approach. Because these approaches emphasize different vantage points and flexibility in design, they can be useful for inquiring into a variety of policy design considerations. Viewing bodies of policy through these perspectives can help us to address questions about how they support healthcare work and how they may work as a system of policies together towards positive outcomes.","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":"89 - 93"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42137626","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
AI-powered Human Digital Twins in Virtual Therapeutic Sessions 虚拟治疗课程中人工智能驱动的人类数字双胞胎
M. Ebnali, Nima Ahmadi, Ehsan Nabiyouni, H. Karimi
When patients are unwilling to speak openly, therapists miss valuable information and may not be able to provide best possible care. This study investigated the idea of human Digital Twins (DT) of patients and therapists as a novel solution to encourage them to speak openly. We proposed a methodology to create highly realistic human DT using computer vision, 3D scanning, Metahumans tool, and Unreal game engine. Based on this methodology, we created two versions of virtual therapeutic session: a) video-based virtual sessions with real human and b) virtual sessions with DT of patients and therapists. Twelve therapists then were asked to evaluate technology acceptance of each virtual session. Participants reported significantly lower trust to virtual sessions with highly realistic digital human compared to video-based one. Findings from this study may provide insights regarding opportunities and challenges of virtual therapy using highly realistic digital human technologies. This work also contributes to the virtual therapeutic research field by proposing an AI-powered methodology to create human DT of patients and therapists. Further studies are needed to provide more validation of the efficiency of this approach in virtual sessions for mental health support.
当患者不愿意公开发言时,治疗师会错过有价值的信息,可能无法提供尽可能好的护理。这项研究调查了患者和治疗师的人类数字双胞胎(DT)作为一种新的解决方案来鼓励他们公开发言的想法。我们提出了一种使用计算机视觉、3D扫描、元人类工具和虚幻游戏引擎创建高度逼真的人类DT的方法。基于这种方法,我们创建了两个版本的虚拟治疗会话:a)与真人的基于视频的虚拟会话,以及b)与患者和治疗师的DT的虚拟会话。然后,12名治疗师被要求评估每个虚拟会话的技术接受度。参与者报告称,与基于视频的虚拟会话相比,他们对具有高度逼真数字人的虚拟会话的信任度显著降低。这项研究的发现可能会提供关于使用高度逼真的数字人技术进行虚拟治疗的机会和挑战的见解。这项工作还通过提出一种人工智能驱动的方法来创建患者和治疗师的人类DT,为虚拟治疗研究领域做出了贡献。需要进一步的研究来进一步验证这种方法在心理健康支持虚拟会议中的有效性。
{"title":"AI-powered Human Digital Twins in Virtual Therapeutic Sessions","authors":"M. Ebnali, Nima Ahmadi, Ehsan Nabiyouni, H. Karimi","doi":"10.1177/2327857923121000","DOIUrl":"https://doi.org/10.1177/2327857923121000","url":null,"abstract":"When patients are unwilling to speak openly, therapists miss valuable information and may not be able to provide best possible care. This study investigated the idea of human Digital Twins (DT) of patients and therapists as a novel solution to encourage them to speak openly. We proposed a methodology to create highly realistic human DT using computer vision, 3D scanning, Metahumans tool, and Unreal game engine. Based on this methodology, we created two versions of virtual therapeutic session: a) video-based virtual sessions with real human and b) virtual sessions with DT of patients and therapists. Twelve therapists then were asked to evaluate technology acceptance of each virtual session. Participants reported significantly lower trust to virtual sessions with highly realistic digital human compared to video-based one. Findings from this study may provide insights regarding opportunities and challenges of virtual therapy using highly realistic digital human technologies. This work also contributes to the virtual therapeutic research field by proposing an AI-powered methodology to create human DT of patients and therapists. Further studies are needed to provide more validation of the efficiency of this approach in virtual sessions for mental health support.","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":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48191161","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
期刊
Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1