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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

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Implementation and Use of Real-Time Location Systems in Hospital Environments – Rapid Scoping Review of Human Factors Considerations 医院环境中实时定位系统的实现和使用-人为因素考虑的快速范围审查
Piers Waldie, Maryam Attef, Chantal M. J. Trudel, A. Chan, Bruce Wallace
Real-Time Location Systems (RTLS) are rapidly being adopted in healthcare environments to monitor or track patients, workers, equipment, supplies and more, with numerous studies discussing the impact of this emerging technology. However, a more global view of such studies, those focused on human factors considerations in implementing RTLS is lacking. In response, we present preliminary findings from a rapid scoping review of factors related to implementing RTLS in healthcare environments, with a specific focus on impact to healthcare workers. We conducted keyword searches of databases such as CINAHL, EI Engineering Village, Scopus, IEEE, Web of Science, and several ProQuest journals between July and September 2022. The results were screened to identify results pertaining specifically to the experience of implementing RTLS in recent years. The extracted studies offer insight into the human factors that affect the implementation and use of this technology. Namely, the literature points to undesirable outcomes that occur when organizational efficiency is emphasized over providing demonstrable benefits to workers. Conversely, successful implementations are shown to feature increased worker involvement in the design process and increased communication and training following implementation. Further, the reviewed literature supports the involvement of human factors practitioners in future research activities investigating RTLS implementation and its impact on hospital infrastructure and operations.
实时定位系统(RTLS)正在医疗环境中迅速被采用,用于监测或跟踪患者、工人、设备、用品等,许多研究都在讨论这一新兴技术的影响。然而,缺乏对此类研究的更全球化的看法,即在实施RTLS时关注人为因素的研究。作为回应,我们提出了在医疗环境中实施RTLS相关因素的快速范围审查的初步结果,特别关注对医护人员的影响。2022年7月至9月,我们对CINAHL、EI Engineering Village、Scopus、IEEE、Web of Science和几本ProQuest期刊等数据库进行了关键词搜索。对结果进行了筛选,以确定与近年来实施RTLS的经验具体相关的结果。提取的研究深入了解了影响这项技术实施和使用的人为因素。也就是说,文献指出,当强调组织效率而不是为员工提供可证明的利益时,会出现不理想的结果。相反,成功的实施表明,工人在设计过程中的参与度增加,实施后的沟通和培训也增加。此外,回顾的文献支持人为因素从业者参与未来的研究活动,调查RTLS的实施及其对医院基础设施和运营的影响。
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引用次数: 0
Integrating Usability Assessments into Medical Device Evaluations 将可用性评估纳入医疗器械评估
P. Tremoulet
ECRI, a non-profit dedicated to advancing effective, evidence-based healthcare globally, has been evaluating medical devices for over a half century. Project officers develop evaluation criteria and then perform laboratory tests to assess device performance, safety, and reliability. To help incorporate usability assessments into ECRI’s evaluations, a human factors consultant provided guidance on selecting assessment technique(s) based upon the type of device being evaluated, the nature of the environment in which it is used (e.g. operating room, intensive care patient area, nursing station), the target user population, and the resources available to support the evaluation. The consultant also developed a decision-tree to help ECRI project officers select among seven freely-available standardized usability questionnaires.
ECRI是一家致力于在全球推进有效、循证医疗保健的非营利组织,半个多世纪以来一直在评估医疗设备。项目官员制定评估标准,然后进行实验室测试,以评估设备性能、安全性和可靠性。为了帮助将可用性评估纳入ECRI的评估中,一位人为因素顾问根据被评估的设备类型、使用环境的性质(如手术室、重症监护患者区、护理站)、目标用户群体、,以及可用于支持评价的资源。该顾问还开发了一个决策树,帮助ECRI项目官员从七份免费提供的标准化可用性问卷中进行选择。
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引用次数: 0
Identifying Barriers and Motivators in Diabetic Eye Examination to Design Medical Screening Systems 确定糖尿病眼科检查的障碍和激励因素以设计医疗筛查系统
Andrea Macedo Salas, A. McLaughlin, Landon Grace, M. Mayorga, J. M. G. Sepulveda, S. Fransen, Tianyu Wang
Diabetic Retinopathy (DR) is the main contributor to adult blindness in America. When detected on time, treatment can avoid severe sight loss 95% of the time (Fong et al., 2004). However, only 50% of people with diabetes get screened yearly, making early intervention difficult (Lee, et al., 2003). There is a need to understand how the systems for DR screenings can be designed to comply with the patient's needs, for which it is necessary to understand the user and the factors that affect their behavior. We created a questionnaire from barriers and motivators found in interviews with persons with diabetes regarding their yearly screenings (Salas, et.al., 2022) based on Ajzen’s (2006a) Constructing a Theory of Planned Behavior Questionnaire. The questionnaire measured the influence of attitudes, social norms, and perceived control on screening for DR. This study will add to the current body of literature by helping to identify where to focus efforts when creating systems for DR screening.
糖尿病视网膜病变(DR)是美国成人失明的主要原因。如果及时发现,治疗可以在95%的时间内避免严重的视力损失(Fong等人,2004)。然而,每年只有50%的糖尿病患者接受筛查,这使得早期干预变得困难(Lee等人,2003)。需要了解如何设计DR筛查系统以满足患者的需求,为此有必要了解用户和影响其行为的因素。我们根据Ajzen(2006a)的《构建计划行为理论问卷》,从糖尿病患者的年度筛查访谈中发现的障碍和激励因素中创建了一份问卷(Salas,et al.,2022)。该问卷测量了态度、社会规范和感知控制对DR筛查的影响。这项研究将通过帮助确定在创建DR筛查系统时应将工作重点放在哪里来补充现有文献。
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引用次数: 0
Developing a Theory-Based Summative Testing Approach to Evaluate a Mobile Health App for Older Adults 开发基于理论的总结性测试方法来评估老年人移动健康应用程序
T. Hale, R. F. L. Azevedo, K. Sun, Wendy A Rogers
We describe a method of selecting and organizing tasks for summative testing of a new mobile health (mHealth) app by older adults. Summative evaluations of mobile health apps often focus on “ease of use” assessed by time to complete tasks and the number of use errors. This is not an optimal approach for older users who are more likely to have slower response times and be less experienced with these technologies. In testing with older users, it is important to incorporate the expected process of learning a new app without the use of training or extensive instructions. We drew on the theories of Mastery Learning, Cognitive Load, and Teach to Goal to inform our selection of tasks and the organization of task scenarios to better simulate the users’ patterns of exploration, learning, and initial use of a mobile app. This research has general relevance for human factors professionals involved in planning, conducting, and reporting the findings from summative evaluations for a broad range of mHealth apps and user groups.
我们描述了一种选择和组织任务的方法,用于老年人对新的移动健康(mHealth)应用程序进行总结性测试。对移动健康应用的总结性评估通常侧重于“易用性”,通过完成任务的时间和使用错误的次数来评估。对于较老的用户来说,这不是一种最佳方法,因为他们的响应时间较慢,而且对这些技术的经验较少。在针对老用户进行测试时,在不使用培训或大量指导的情况下,融入学习新应用的预期过程是很重要的。我们借鉴了精通学习、认知负荷和目标教学的理论,为我们的任务选择和任务场景的组织提供信息,以更好地模拟用户探索、学习和初始使用移动应用程序的模式。这项研究对参与规划、实施和报告广泛移动健康应用程序和用户群体总结性评估结果的人为因素专业人员具有普遍的相关性。
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引用次数: 0
From Discovery to Implementation and Interoperability of a New Smart Infusion Pump Designed for Usability and Patient Safety 一种新型智能输液泵的发现、实施和互操作性,专为可用性和患者安全而设计
Sheryl Krause, D. Dulak
Clinicians increasingly rely on technology designed for efficiency, ease of use, and patient safety; this is especially true for large volume infusion pumps. Drug Error Reduction Systems administered via smart infusion pumps offer beneficial safety options for intravenous medication administration, though they may increase complexity. Fort HealthCare successfully implemented smart pump technology designed by a new vendor (Ivenix, Inc.), including eventual integration with the electronic health record, in an expedited timeline through continual collaboration with key stakeholders and ongoing quality improvement.
临床医生越来越依赖于为效率、易用性和患者安全而设计的技术;对于大容量输液泵来说尤其如此。通过智能输液泵给药的药物错误减少系统为静脉给药提供了有益的安全选择,尽管它们可能会增加复杂性。Fort HealthCare通过与关键利益相关者的持续合作和持续的质量改进,成功实施了由新供应商(Ivenix,股份有限公司)设计的智能泵技术,包括最终与电子健康记录的集成。
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引用次数: 0
Context Matters: Knowledge of baseline heart rate improves pediatric shock recognition 背景问题:了解基线心率可提高儿童休克识别能力
Riley Young, E. Papautsky, H. Davies, Justinn M Tanem, M. Scanlon
This paper investigates the relationship between knowledge of baseline heart rate and shock recognition in pediatric patients. Through surveying attending physicians and advanced practice providers using a prospective survey tool, we demonstrate that providers are more likely to accurately identify shock when there is knowledge of the patient’s baseline heart rate. These preliminary findings have the potential to inform changes to documentation and the electronic health record (EHR) to make this information more accessible, while also informing future studies aimed at improving clinical outcomes for these high-risk patients.
本文研究了儿童患者的基线心率知识与休克识别之间的关系。通过使用前瞻性调查工具对主治医生和高级实践提供者进行调查,我们证明,当了解患者的基线心率时,提供者更有可能准确识别电击。这些初步发现有可能为文件和电子健康记录(EHR)的更改提供信息,使这些信息更容易获得,同时也为旨在改善这些高危患者临床结果的未来研究提供信息。
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引用次数: 0
Analysis of General Event Types and Contributing Factors in Patient Safety System Data 患者安全系统数据中一般事件类型及影响因素分析
A. Tabaie, A. Fong
Patient safety event reporting systems (PSRS) aim to identify safety hazards by encouraging hospital staff to report adverse events, errors, and potential errors in the healthcare system. PSRS collect different information regarding a safety event such as contributing factors and general event types. Users select contributing factors and general event types of a safety incident from predefined lists; therefore, most frequent general event types and contributing factors are commonly recorded together. Contributing factors are often related to the leading cause of an unsafe condition; therefore, identifying contributing factors can help with detecting and mitigating safety issues. In this study, we identified the general event types and contributing factors which were frequently recorded together. We calculated point-wise mutual information (PMI) between each pair to find the association between a contributing factor and a general event type. Our analysis demonstrated strong association between general event type and contributing factors which were most frequently recorded together. Fall and lost/impaired balance (PMI=15.12), skin/tissue and friction/shear (PMI=14.32), and blood bank and patient/sample incorrectly identified (PMI=13.78) were the three pairs of general event type and contributing factors which presented strong association.
患者安全事件报告系统(PSRS)旨在通过鼓励医院工作人员报告医疗系统中的不良事件、错误和潜在错误来识别安全隐患。PSRS收集有关安全事件的不同信息,如促成因素和一般事件类型。用户从预定义列表中选择安全事件的促成因素和一般事件类型;因此,最常见的一般事件类型和促成因素通常被记录在一起。促成因素往往与不安全状况的主要原因有关;因此,识别促成因素有助于发现和缓解安全问题。在这项研究中,我们确定了经常一起记录的一般事件类型和促成因素。我们计算了每对之间的逐点互信息(PMI),以找到促成因素和一般事件类型之间的关联。我们的分析表明,一般事件类型和最频繁记录在一起的促成因素之间有很强的相关性。跌倒和平衡丧失/受损(PMI=15.12)、皮肤/组织和摩擦/剪切(PMI=14.32)以及血库和患者/样本识别错误(PMI=13.78)是三对表现出强烈关联的一般事件类型和促成因素。
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引用次数: 0
Augmented Reality for Immersive and Enhanced Medical Education 用于沉浸式和增强型医学教育的增强现实
Olivia K. Hernandez, E. Patterson
It is necessary to educate medical students to prepare them for the healthcare world they will enter upon completion of their training. This pertains to not only the content of the education, but also the experiences during the instruction, and the application of the learning. However, during their time in training, a student will likely not encounter all the ailments that they will while working. This means that their education should be supplemented to help them be better prepared. We propose augmented reality (AR) virtual patients as a method to assist in the delivery of this supplementation. This paper’s focus is on enhancing the usefulness of AR by providing learners with interactions with a variety of virtual patients. The target audience for this topic includes medical educators, medical school students, residents, educators interested in AR, and designers of educational AR systems. The mentioned topics can even apply to continuing education or refresher courses for physicians. A review of aspects that can allow AR to be more immersive and beneficial to those learning about various ailments is provided. Elements of AR for medical education training are discussed to enhance the relevance and applicability of the learning experience. These include presenting multiple simultaneous ailments and the ability to modify AR patient characteristics, which can be accomplished more quickly and with more possibilities than when using manikins.
有必要教育医学生,让他们为完成培训后进入的医疗保健世界做好准备。这不仅涉及教育的内容,还涉及教学过程中的经验和学习的应用。然而,在训练期间,学生可能不会遇到工作时会遇到的所有疾病。这意味着他们的教育应该得到补充,以帮助他们做好更好的准备。我们提出了增强现实(AR)虚拟患者作为一种方法来帮助提供这种补充剂。本文的重点是通过为学习者提供与各种虚拟患者的互动来增强AR的有用性。本主题的目标受众包括医学教育工作者、医学院学生、住院医师、对AR感兴趣的教育工作者以及教育AR系统的设计者。上述主题甚至可以应用于医生的继续教育或进修课程。提供了对可以使AR更具沉浸感并对学习各种疾病的人有益的方面的综述。讨论了医学教育培训的AR要素,以提高学习经验的相关性和适用性。这些功能包括同时出现多种疾病,以及修改AR患者特征的能力,这可以比使用人体模型更快、更有可能实现。
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引用次数: 0
The Importance of Diverse User Goals When Designing an Automated COVID Risk Counselor 在设计自动化COVID风险顾问时,不同用户目标的重要性
Eugene M. Cox, M. Hasegawa-Johnson, S. Bhat, Mukhilshankar Umashankar, H. Lane, Dan Morrow
The COVID-19 Pandemic has required everyone to understand and respond to the ever-evolving threats during daily life. The overall goal of our work is to develop a system based on an interactive conversational agent that functions as a ‘risk counselor’ by providing personalized information to people who have concerns about the risk of COVID infection when participating in daily situations. Such a system could also be useful for people who have concerns about other kinds of infection (e.g., HIV), and more broadly, risk in other domains (e.g., radon exposure in the home). As an initial step, we conducted MTurk surveys to elicit people’s concerns about COVID risk in daily situations. A key takeaway from this study is that when designing an agent, there needs to be a better framing of risk-related recommendations about daily situations, which may be particularly effective for educating people about the risk and encouraging actions that address risk. This framing should also address diverse user goals, including emotional responses, uncertainty, planning, and opinions about these situations.
2019冠状病毒病大流行要求每个人了解并应对日常生活中不断变化的威胁。我们工作的总体目标是开发一个基于交互式对话代理的系统,该系统可以作为“风险顾问”,为日常生活中担心COVID感染风险的人提供个性化信息。这种系统对于担心其他类型感染(例如艾滋病毒)以及更广泛地说,担心其他领域风险(例如家中氡暴露)的人也可能有用。作为第一步,我们进行了MTurk调查,以了解人们在日常情况下对COVID风险的担忧。从这项研究中得出的一个关键结论是,在设计代理人时,需要对日常情况的风险相关建议有一个更好的框架,这可能对教育人们了解风险和鼓励应对风险的行动特别有效。这个框架还应该处理不同的用户目标,包括情绪反应、不确定性、计划和对这些情况的意见。
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引用次数: 0
A Heuristic Analysis of Covid-19 At-Home Test Kits’ Usability 新冠肺炎At-Home检测试剂盒可用性的启发式分析
Alexis M. DiBello, P. Thai, Kathren Pavlov, F. Montalvo, D. McConnell, J. Smither
As COVID-19 cases continue to be prevalent, at-home testing for the illness will continue to be in demand. At-home testing is convenient as results are obtained quickly and often at a lower cost. This study utilized Nielsen’s Ten Usability Heuristics to evaluate at-home COVID-19 test kits, with consideration given to older users when applicable. Understanding whether users can correctly use and interpret these tests is critical to ensure the kits provide accurate results and to ensure user trust. Results of our analysis showed that there is a need for at-home COVID-19 test kits to improve the way results are presented and implement more error prevention techniques. In regards to older users, the kits would benefit from clearing up ambiguities which require reference materials, accommodating users with contrast sensitivity difficulties, and ensuring that the test kit products are easy to manually handle. While the kits have acceptable usability, improvements to the usability of COVID-19 at-home test kits will lead to lower user errors and improved result accuracy.
随着新冠肺炎病例继续流行,将继续需要在家进行检测。在家测试很方便,因为结果可以快速获得,而且通常成本较低。这项研究利用尼尔森的“十种可用性启发”来评估家庭新冠肺炎检测试剂盒,并在适用时考虑老年用户。了解用户是否能够正确使用和解释这些测试对于确保试剂盒提供准确的结果和确保用户信任至关重要。我们的分析结果表明,需要在家中使用新冠肺炎检测试剂盒,以改进结果的呈现方式,并实施更多的错误预防技术。对于年龄较大的用户,试剂盒将受益于消除需要参考材料的歧义,为有对比敏感度困难的用户提供便利,并确保试剂盒产品易于手动处理。虽然试剂盒具有可接受的可用性,但改善新冠肺炎家庭检测试剂盒的可用性将降低用户错误并提高结果准确性。
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引用次数: 0
期刊
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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