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Human Factors and User Experience in At-Home Dialysis Treatment Technology and Patient Procedures 在家透析治疗技术和患者程序中的人为因素和用户体验
Kathren Pavlov, F. Montalvo, J. Sasser, Luciana Jones, Alexis M. DiBello, D. McConnell, J. Smither
At-home dialysis treatments are becoming increasingly common as suitable options for renal disease treatment. However, the nature of self-administered, at-home dialysis presents specific medical risks and unsupervised patient experiences that require unique attention by health professionals. This study utilized Arhippainen’s ten user experience heuristics to evaluate and identify strengths and weaknesses of at-home dialysis treatments while suggesting methods to improve the at-home patient experience. Results of our heuristic assessment showed that some at-home dialysis providers consider patient needs and consider human factor design aspects. However, patient experience can still be improved by implementing UX principles aimed at providing a satisfying and positive interaction with products and services.
家庭透析治疗作为肾脏疾病治疗的合适选择越来越普遍。然而,自我管理的家庭透析的性质带来了特定的医疗风险和无监督的患者体验,需要卫生专业人员的独特关注。这项研究利用Arhippainen的十种用户体验启发法来评估和确定在家透析治疗的优势和劣势,同时提出改善在家患者体验的方法。我们的启发式评估结果表明,一些家庭透析提供者考虑了患者的需求,并考虑了人为因素设计方面。然而,通过实施旨在提供与产品和服务的令人满意和积极互动的用户体验原则,患者体验仍然可以得到改善。
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引用次数: 0
Preliminary Evaluation of Cardiac Telemetry Technician Work in a Large Health System: Mutual Dependence and Considerations for Patient Load 大型卫生系统中心脏遥测技术人员工作的初步评估:患者负荷的相互依赖性和考虑因素
Daniel T. Nystrom, Joel Thomas, Chris Jones
The introduction of continuous cardiac monitoring via telemetry provides a method to ensure patient care is safe and effective. At the same time, the implementation of this technology has raised concerns about telemetry technician (teletech) work. This project provides a two-fold look at teletech’ work in real-time settings to describe teletech interactions with unit staff and to explore the relationship between measures of teletech’ workload and patient load. Results suggest the implementation of telemetry systems necessitate a mutual dependence between teletechs and unit staff: unit staff rely on teletechs to inform them of concerning patient states; teletechs rely on unit staff to maintain the integrity and accuracy of the telemetry system and the patient data they observe. Results from measures of teletech’ workload and patient load align with previous work that explored teletech’ patient load in simulated settings. Agreement between the current project and previous studies also suggest a potential patient load capacity of 33 patients for continuous telemonitoring work. Future research and implications for academics, healthcare operations, and the design of telemetry systems are discussed.
通过遥测引入连续心脏监测提供了一种确保患者护理安全有效的方法。与此同时,这项技术的实施引起了人们对遥测技术人员(teletech)工作的担忧。该项目对teletech在实时环境中的工作进行了双重审视,以描述teletech与单位工作人员的互动,并探索teletech工作量测量与患者负荷之间的关系。结果表明,遥测系统的实施需要遥测技术人员和单位工作人员之间的相互依赖:单位工作人员依靠遥测技术告知他们有关患者的状态;遥测技术人员依靠单位工作人员来维护遥测系统和他们观察到的患者数据的完整性和准确性。teletech工作量和患者负荷的测量结果与之前在模拟环境中探索teletech患者负荷的工作一致。当前项目与先前研究之间的协议也表明,持续远程监测工作的潜在患者负荷能力为33名患者。讨论了未来的研究及其对学术界、医疗运营和遥测系统设计的影响。
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引用次数: 0
Applying Failure Mode Effects Analysis (FMEA) to Improve Choking Risk Prevention in a Mental Health Setting: Analysis Outcomes and Lessons Learned on Human Factors Collaboration 应用失效模式效应分析(FMEA)改善心理健康环境中的窒息风险预防:人因协作的分析结果和经验教训
Anthony Soung Yee, Laurel Cyr, Carleene Bañez, S. Gelmi, C. Gaulton, Trevor N. T. Hall
This paper describes the collaborative work performed as part of a patient safety and quality improvement choking risk prevention initiative in a specialty mental health hospital in Ontario, Canada. In 2021, Ontario Shores Centre for Mental Health Sciences (Ontario Shores), in collaboration with the Healthcare Insurance Reciprocal of Canada (HIROC), conducted a Failure Modes and Effects Analysis (FMEA) to identify potential failure modes for their choking risk prevention process. “Failure modes” refer to states in a process that have the potential for unintended consequences. The interdisciplinary project team developed and validated a current-state process map, through which identified all opportunities for process improvement. A thematic analysis of the barriers revealed 14 distinct failure modes, each of which were rated along three scales (Severity, Occurrence, and Detectability) to form a ranked list based on Risk Priority Number. As part of a prospective analysis, several system-based and people-based mitigations were generated for each of the failure modes. As a result of the FMEA, Ontario Shores developed, and is in the process of, implementing a choking risk prevention and risk mitigation strategies action plan. In addition, the authors offer some reflections on the collaborative work between the two organizations, in recognition of the opportunity for healthcare organizations to benefit from human factors expertise and principles of applied safety science, usability engineering, and user-centered design.
本文描述了加拿大安大略省一家专业精神卫生医院作为患者安全和质量改进窒息风险预防计划的一部分所开展的合作工作。2021年,安大略省海岸心理健康科学中心(安大略省海岸)与加拿大医疗保险互惠协会(HIROC)合作,进行了故障模式和影响分析(FMEA),以确定其窒息风险预防过程的潜在故障模式。“故障模式”是指过程中可能产生意外后果的状态。跨学科项目团队开发并验证了当前状态流程图,通过该图确定了流程改进的所有机会。对障碍的主题分析揭示了14种不同的故障模式,每种模式都按照三个等级(严重程度、发生率和可检测性)进行评级,以形成基于风险优先级的排名列表。作为前瞻性分析的一部分,为每种故障模式生成了几种基于系统和基于人员的缓解措施。作为FMEA的结果,安大略海岸制定并正在实施窒息风险预防和风险缓解战略行动计划。此外,作者对这两个组织之间的合作工作进行了一些反思,承认医疗保健组织有机会受益于人因专业知识和应用安全科学、可用性工程和以用户为中心的设计原则。
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引用次数: 0
Amplifiers and Dampeners of Patient Safety Risk in the Operating Room: Interim Analysis of Surgical Video Recorded with the Operating Room Black Box 手术室患者安全风险的放大与抑制:手术室黑匣子手术录像的中期分析
Arthur Tung, M. Fan, S. Pinkney, B. Armstrong, Kenneth R Catchpole, P. Trbovich
Preventable intraoperative adverse events (iAEs) may emerge from interactions between multiple work system factors (WSFs) (e.g., technology design, organizational policy, physical environment); these interactions may amplify or dampen patient safety risk. We conducted an exploratory observational study using audiovisual data captured by the Operating Room Black Box to characterize the relationships between associated WSFs. Human factors specialists reviewed video recordings of surgical procedures before transcribing events of interest and classifying them into the relevant WSF categories as defined by the Systems Engineering Initiative for Patient Safety model. Each WSF code was categorized as either a safety threat (ST) or resilience support (RS), and their interactions with associated WSFs were characterized. We transcribed 706 events over 73.5 hours of surgery, and 32 iAEs were identified. We coded 382 STs and 312 RSs, and 249 co-occurring WSF pairings. Co-occurring team (e.g., clear communication, feedback, and leadership) RSs were found to be the most prevalent mechanism to dampen all categories of ST. Co-occurring task (e.g., challenging anatomy) and environment (e.g., disruptive working environments, suboptimal ergonomic monitor setups) STs were the most common risk amplifiers contributing to the occurrence of iAEs. By assessing WSFs in the context of other WSFs, future research may develop interventions that more precisely target risk reduction in the operating room.
可预防的术中不良事件(iAE)可能来自多个工作系统因素(WSF)之间的相互作用(例如,技术设计、组织政策、物理环境);这些相互作用可能会放大或降低患者的安全风险。我们使用手术室黑匣子捕获的视听数据进行了一项探索性观察研究,以表征相关WSF之间的关系。人为因素专家在转录感兴趣的事件并将其分类为系统工程倡议患者安全模型定义的相关WSF类别之前,审查了外科手术的视频记录。每个WSF代码被归类为安全威胁(ST)或弹性支持(RS),并对其与相关WSF的相互作用进行了表征。我们在手术的73.5小时内转录了706个事件,并确定了32个iAE。我们编码了382个ST和312个RS,以及249个共存的WSF配对。共同发生的团队(例如,清晰的沟通、反馈和领导)RS被发现是抑制所有类型ST的最普遍机制。共同发生的任务(例如,具有挑战性的解剖结构)和环境(例如,破坏性的工作环境、次优的人体工程学监测设置)ST是导致iAE发生的最常见的风险放大器。通过在其他WSF的背景下评估WSF,未来的研究可能会制定更准确地针对手术室风险降低的干预措施。
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引用次数: 0
Autoinjector Design Parameters: A Human Factors Perspective 自动注射器设计参数:人为因素的角度
Safa Elkefi, Esther W. Foo, Jiaying Shen
Subcutaneous drug delivery systems have evolved to include patient-operated devices such as pen injectors, autoinjectors, and on-body injectors. This evolution is driven by a rising need for devices that enable users across chronic disease states to routinely self-administer medications at home instead of going to a clinic. Convenient and easy-to-use autoinjectors are a primary target of interest due to its simplicity to operate. There is an anticipated substantial growth in the autoinjectors market, which is driven by many factors, such as the growing demand for home care due to the increased chronic diseases rate. Autoinjectors that are easy to operate may reduce users’ anxiety related to needle-related phobia, accidents, and errors. Human factors development work is critical since enhanced usability can increase patient acceptability, safety, and compliance. Human factors methodologies can be applied to not only evaluate the safe and effectiveness of a user interface, but also to optimize the design of user interface by considering the user population characteristics including physical, cognitive, and sensory abilities. In this investigation, we focus our efforts on user interface attributes relating to critical tasks in operating the autoinjector device, by consolidating information from successful autoinjector design published in literature and different anthropometric and ergonomic parameters, that could inform the user interface requirements that drive design specifications for autoinjectors.
皮下给药系统已经发展到包括患者操作的设备,如笔式注射器、自动注射器和体内注射器。这一发展是由对设备的日益增长的需求推动的,这些设备使慢性病州的用户能够在家里定期自我用药,而不是去诊所。由于操作简单,方便易用的自动注射器是人们感兴趣的主要目标。自动注射器市场预计将大幅增长,这是由许多因素驱动的,例如由于慢性病发病率的提高,对家庭护理的需求不断增长。易于操作的自动注射器可以减少用户因针头相关恐惧、事故和错误而产生的焦虑。人为因素开发工作至关重要,因为增强可用性可以提高患者的可接受性、安全性和依从性。人因方法不仅可以用于评估用户界面的安全性和有效性,还可以通过考虑用户群体的特征(包括身体、认知和感官能力)来优化用户界面的设计。在这项研究中,我们将重点放在与操作自动注射器设备的关键任务相关的用户界面属性上,通过整合文献中发表的成功自动注射器设计的信息以及不同的人体测量和人体工程学参数,这些信息可以为驱动自动注射器设计规范的用户界面要求提供信息。
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引用次数: 0
Design of a Decision Support Based Mobile Application for Mental Health Crisis 基于决策支持的心理健康危机移动应用程序设计
Amanda J. Johnson, A. Bisantz, A. Reynolds, S. Meier
Mental health concerns are one of the most significant issues facing our world today. Many solutions are being researched and developed to address the issues associated with mental health. Often these solutions are designed without incorporating the user into the research or development process, resulting in applications that are not useful, usable, or engaging. The following research focused on incorporating this population into the process of developing a mobile application for use during mental health crises.
心理健康问题是当今世界面临的最重要问题之一。正在研究和制定许多解决办法,以解决与心理健康有关的问题。通常,这些解决方案的设计没有将用户纳入研究或开发过程,导致应用程序不有用、可用或引人入胜。接下来的研究重点是将这一人群纳入到开发一款用于心理健康危机的移动应用程序的过程中。
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引用次数: 0
In the Face of New Challenges; Effective Human Factors Engineering for Software as Medical Device Products 面对新的挑战;医疗器械产品软件的有效人因工程
Trine Groenborg
This paper tackles challenges facing human factors professionals when transitioning into working with Software as Medical Device products. Specifically, it outlines the challenges Novo Nordisk A/S has faced when it comes to applying human factors considerations when developing Software as Medical Device products and ensuring regulatory compliance. It showcases the efforts Novo Nordisk A/S has implemented to meet these challenges and conclude on the learnings Novo Nordisk A/S has had with the proposed solutions.
本文解决了人为因素专业人员在过渡到使用软件作为医疗器械产品时面临的挑战。具体来说,它概述了诺和诺德A/S在将软件开发为医疗器械产品并确保法规遵从性时应用人为因素考虑时所面临的挑战。它展示了诺和诺德A/S为应对这些挑战所做的努力,并总结了诺和诺德A/S从拟议的解决方案中获得的经验教训。
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引用次数: 0
Accelerating the Continuous Improvement of Connected Medical Devices Using Product Analytics 使用产品分析加速互联医疗设备的持续改进
Randy Horton, Bob Moll, K. Yew
Data acquisition on how users are using your product can often be slow to obtain and not lend itself to large-scale deployments or fast release updates. Product analytics is an integrated set of data about your users’ behaviors that allows you to analyze these behaviors, both at the level of the individual user and in aggregate, to gain insights about larger patterns and trends in real time. The use of product analytics in MedTech is still nascent but holds tremendous promise to help turbocharge an evolution towards the frequent release of medical devices. In the context of Software as a Medical Device (SaMD), digital therapeutics (DTx), and other types of connected medical devices, product analytics adds value in three different areas: device design and development, device operations and end-user support, and helping users better use their device and improve their health outcomes.
关于用户如何使用您的产品的数据获取通常很慢,而且不适合大规模部署或快速发布更新。产品分析是关于用户行为的一组集成数据,允许您在单个用户和总体用户的层面上分析这些行为,以实时获得更大的模式和趋势的见解。在医疗技术领域,产品分析的使用仍处于初期阶段,但它有望推动医疗设备频繁发布的发展。在软件即医疗设备(SaMD)、数字治疗(DTx)和其他类型的互联医疗设备的背景下,产品分析在三个不同的领域增加了价值:设备设计和开发、设备运营和最终用户支持,以及帮助用户更好地使用他们的设备并改善他们的健康结果。
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引用次数: 0
Bridging Conversation Islands to Connect Healthcare: Introducing Unique Co-occurring Word Networks to Find Distinct Themes 弥合对话孤岛以连接医疗保健:引入独特的共发生词网络以查找不同的主题
Tim Arnold
A common step in any modeling, study, or design project is gathering, reviewing, and making sense of relevant information. Common themes and variation are unearthed from text documents and shaped into usable forms to support the information needs of the project team. It can be a challenge to gather needed information from large numbers of texts and documents necessary to inform design decisions. Computational approaches can be useful in filtering and interpreting information. Unsupervised learning approaches like topic modeling can help to group similar texts and visualize potential themes. Just like grouping texts into similar themes, identifying distinctions can be helpful. This paper describes an approach for finding distinctions across texts and examples of using this information to inform decisions. Finding distinct themes can help to identify gaps and opportunities while guiding decisions and next steps. Identifying and bridging conversation islands across information sources and professions is another step towards managing complexity and connecting the dots of healthcare.
在任何建模、研究或设计项目中,一个常见的步骤是收集、审查和理解相关信息。共同的主题和变化是从文本文档中挖掘出来的,并形成可用的形式,以支持项目团队的信息需求。从大量文本和文档中收集设计决策所需的信息可能是一项挑战。计算方法在过滤和解释信息方面很有用。像主题建模这样的无监督学习方法可以帮助对相似的文本进行分组,并将潜在的主题可视化。就像将文本分组为相似的主题一样,识别差异也很有帮助。本文描述了一种寻找文本之间区别的方法,以及使用该信息为决策提供信息的示例。找到明确的主题有助于发现差距和机会,同时指导决策和下一步行动。识别和弥合信息源和专业之间的对话孤岛是管理复杂性和连接医疗保健各个点的另一个步骤。
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引用次数: 2
Factors Influencing the Willingness to Download COVID-19 Contact Tracing Apps: The Moderating Effect of Persuasive Design and Smartphone Usage Experience 影响COVID-19接触者追踪app下载意愿的因素:说服性设计和智能手机使用体验的调节作用
Kiemute Oyibo, Plinio Pelegrini Morita
The COVID-19 pandemic culminated in the global roll-out of contact tracing apps, also known as exposure notification apps (ENAs), to contain the spread of the virus. ENAs notify users about a possible infection and advises them to take certain health measures such as self-isolation and COVID-19 test. While some work has been done on the factors that influence ENA adoption, little attention has been paid to the moderating effect of persuasive design and smartphone usage experience. This paper sets out to bridge this gap using the Government of Canada’s official app “COVID Alert” and Canadian non-adopter population (n = 133) as a case study. Of the seven factors we investigated, perceived trust (β = 0.29, p < 0.01) and perceived enjoyment (β = 0.21, p < 0.05) turned out to be the only significant predictors of non-adopters’ willingness to download the app in the overall model. Both persuasive design and smartphone usage experience moderated some of the relationships in the model. For example, while perceived enjoyment is significant in the persuasive design submodel (β = 0.34, p < 0.01) and low-experience submodel (β = 0.36, p < 0.001), it is not in the control design and high-experience submodels. Moreover, perceived enjoyment (β = 0.36, p < 0.001) and privacy concern (β = -0.46, p < 0.05) turned out to be the strongest predictors in the low-experience and high-experience submodels, respectively. These results indicate that, to improve the download of ENAs, sponsors should implement and highlight app features that foster trust in marketing campaigns and app-store descriptions. Particularly, they should highlight their privacy-protection feature and hedonic attribute among the high-experience and low-experience groups, respectively.
COVID-19大流行的高潮是全球推出接触者追踪应用程序,也称为暴露通知应用程序(ENAs),以遏制病毒的传播。ENAs会通知用户可能发生感染,并建议用户采取自我隔离和COVID-19检测等健康措施。虽然已经有一些关于影响ENA采用的因素的研究,但很少有人关注劝导式设计和智能手机使用体验的调节作用。本文旨在利用加拿大政府的官方应用程序“COVID Alert”和加拿大非收养人口(n = 133)作为案例研究来弥合这一差距。在我们调查的七个因素中,感知信任(β = 0.29, p < 0.01)和感知享受(β = 0.21, p < 0.05)被证明是整个模型中非采纳者下载应用意愿的唯一显著预测因素。劝导式设计和智能手机使用体验都缓和了模型中的一些关系。例如,虽然感知享受在说服设计子模型(β = 0.34, p < 0.01)和低经验子模型(β = 0.36, p < 0.001)中显著,但在控制设计和高经验子模型中却不显著。此外,感知享受(β = 0.36, p < 0.001)和隐私关注(β = -0.46, p < 0.05)分别是低体验和高体验子模型中最强的预测因子。这些结果表明,为了提高ENAs的下载量,赞助商应该在营销活动和应用商店描述中实施和突出能够培养信任的应用功能。尤其要突出高经验群体的隐私保护特征和低经验群体的享乐属性。
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引用次数: 3
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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
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