How Digital and Physical Care Team Interaction Affect Processing Times: A Case Study of Hospitalists

2017 ◽  
Author(s):  
Itai Gurvich ◽  
Lu Wang ◽  
Kevin O'Leary ◽  
Nicholas D Soulakis ◽  
Jan A. Van Mieghem
Keyword(s):  
Care Team ◽  
Team Interaction ◽  
Processing Times ◽  
Affect Processing ◽  
Physical Care

scholarly journals How Digital and Physical Care Team Interaction Affect Processing Times: A Case Study of Hospitalists

2017 ◽  
Vol 5 (6) ◽  
Author(s):  
Gurvich I ◽  
Wang L ◽  
O’Leary KJ ◽  
Soulakis ND ◽  
Van Mieghem JA
Keyword(s):  
Care Team ◽  
Team Interaction ◽  
Processing Times ◽  
Affect Processing ◽  
Physical Care

Case Study

2017 ◽  
pp. 101-115
Keyword(s):  
Student Satisfaction ◽  
Flipped Classroom ◽  
Transactional Distance ◽  
Traditional Learning ◽  
Team Members ◽  
Team Interaction ◽  
Team Loyalty ◽  
Upper Limit ◽  
Student Grades

This chapter discusses how the information received from subsequent cycles should be interpreted. It explains that the results from subsequent cycles will show both continual and continuous improvements. It also explains the envelope of improvement that places an upper limit on the amount that the results can improve over time. It expands on this concept by similarly showing that the TD factors are significant predictors of relative student satisfaction (which in turn measure outcomes) and how they can change as the number of P-D-S-A cycles increases. Continuing with our case study, we will find that the transactional distance between student and student is the only factor that remains significant in every cycle. This underlies the importance of team interaction to satisfaction in the flipped classroom. Finally, the traditional learning outcome of student grades is shown for the same course the years before it was flipped, and the years after it was flipped. The flipped classes show improvement in average and median grades as well as grade spread, attesting to the camaraderie and team loyalty developed among team members that encouraged everyone to contribute to each other's success.

scholarly journals A Framework for Communication in Complex Healthcare Environments: The Case of the Electrophysiology Lab

2019 ◽  
Vol 8 (1) ◽  
pp. 201-203
Author(s):  
M. Robert Garfield ◽  
Judith Tiferes
Keyword(s):  
Operating Room ◽  
Interdisciplinary Team ◽  
User Needs ◽  
Team Communication ◽  
Medical Systems ◽  
Team Interaction ◽  
Healthcare Environments ◽  
Communication Challenges ◽  
Communication Practices

Team communication challenges compound the complexity of healthcare environments. While there is a significant body of research on team interaction in surgical and operating room settings, there is limited research in more specialized use environments such as the electrophysiology (EP) lab where an interdisciplinary team supports the diagnostics and interventional correction of the heart’s electrical timing. This work proposes a novel framework to uncover and classify team communication pathways in complex healthcare environments via a case study of the EP lab. Designers of integrated medical systems should study the communication practices and communication barriers of intended users to drive better user needs and design inputs.

Balancing Support for Staff and Patient Centeredness Through the Design of Immediate and Relational Space: A Case Study of Ambulatory Care Center Layouts

2020 ◽  
pp. 193758672096155
Author(s):  
Julie Zook ◽  
Timothy J. Spence ◽  
Teri Joy
Keyword(s):  
Ambulatory Care ◽  
Care Center ◽  
Team Work ◽  
Care Team ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Descriptive Case Study ◽  
Centered Care ◽  
Visual Properties

Purpose: This descriptive case study of ambulatory care center typologies builds a layout-based approach to patient-centered care and care team work using theory and methods from space syntax and a recently developed approach to floorplan analysis focused on visibility. Background: Calibrating support for care team work and patient centeredness is a persistent dilemma in ambulatory care settings. Method: A review of literature and floorplan layout analysis are used. Results: The center-stage layout more strongly integrates staff and patients, while the onstage–offstage layout provides greater privacy to the care team. The integration values for exam rooms in each layout were roughly equivalent. Analysis of variations on each floor plan demonstrates ways relatively small variations can modulate visibility conditions without altering integration patterns. Conclusion: Decoupling design of immediate visual properties and relational layout properties can act as a strategy to address competing demands.

scholarly journals Integer linear programming outperforms simulated annealing for solving conservation planning problems

2019 ◽  
Author(s):  
Richard Schuster ◽  
Jeffrey O. Hanson ◽  
Matt Strimas-Mackey ◽  
Joseph R. Bennett
Keyword(s):  
Linear Programming ◽  
Simulated Annealing ◽  
Integer Linear Programming ◽  
Conservation Planning ◽  
Practical Advantage ◽  
Processing Times ◽  
Conservation Plans ◽  
The Cost ◽  
Planning Problems

AbstractThe resources available for conserving biodiversity are limited, and so protected areas need to be established in places that will achieve objectives for minimal cost. Two of the main algorithms for solving systematic conservation planning problems are Simulated Annealing (SA) and Integer linear programming (ILP). Using a case study in British Columbia, Canada, we compare the cost-effectiveness and processing times of SA versus ILP using both commercial and open-source algorithms. Plans for expanding protected area systems based on ILP algorithms were 12 to 30% cheaper than plans using SA. The best ILP solver we examined was on average 1071 times faster than the SA algorithm tested. The performance advantages of ILP solvers were also observed when we aimed for spatially compact solutions by including a boundary penalty. One practical advantage of using ILP over SA is that the analysis does not require calibration, saving even more time. Given the performance of ILP solvers, they can be used to generate conservation plans in real-time during stakeholder meetings and can facilitate rapid sensitivity analysis, and contribute to a more transparent, inclusive, and defensible decision-making process.

scholarly journals Effects of Experience and Workplace Culture in Human-Robot Team Interaction in Robotic Surgery: A Case Study

2012 ◽  
Vol 5 (1) ◽  
pp. 75-88 ◽  
Author(s):  
S. Cunningham ◽  
A. Chellali ◽  
I. Jaffre ◽  
J. Classe ◽  
C. G. L. Cao
Keyword(s):  
Robotic Surgery ◽  
Workplace Culture ◽  
Team Interaction

Incompetent Decisionmakers and Withdrawal of Life-Sustaining Treatment: A Case Study

2005 ◽  
Vol 33 (4) ◽  
pp. 851-856 ◽  
Author(s):  
Lance Lightfoot
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Team ◽  
Care Team ◽  
Children's Hospital ◽  
Institutional Ethics ◽  
Ethics Policies ◽  
Children’S Hospital ◽  
Life Sustaining Treatment

One of the most challenging and rewarding roles for in-house hospital attorneys is serving as a member of their hospital’s Bioethics Committee (the “Committee”). As a member of the Committee, an attorney assists in developing institutional ethics policies and guidelines, and also participates in ethics consultations involving disputes about patient care. Institutions such as the Author’s employer, Texas Children’s Hospital, promote open and honest communications between members of a patient’s health care team and the patient’s parents and family; however, when communications break down, the Committee’s goal is to provide an objective forum where disputes can be discussed and hopefully resolved in a professional, ethical manner.

scholarly journals Understanding diagnostic processes in emergency departments: a mixed methods case study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e044194
Author(s):  
Michelle Daniel ◽  
SunYoung Park ◽  
Colleen M Seifert ◽  
P Paul Chandanabhumma ◽  
Michael D Fetters ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Care Delivery ◽  
Care Team ◽  
Dual Process ◽  
Diagnostic Process ◽  
Diagnostic Model ◽  
Electronic Health Record Data ◽  
Mixed Methods Case Study

IntroductionDiagnostic processes in the emergency department (ED) involve multiple interactions among individuals who interface with information systems to access and record information. A better understanding of diagnostic processes is needed to mitigate errors. This paper describes a study protocol to map diagnostic processes in the ED as a foundation for developing future error mitigation strategies.Methods and analysisThis study of an adult and a paediatric academic ED uses a prospective mixed methods case study design informed by an ED-specific diagnostic decision-making model (the modified ED-National Academies of Sciences, Engineering and Medicine (NASEM) model) and two cognitive theories (dual process theory and distributed cognition). Data sources include audio recordings of patient and care team interactions, electronic health record data, observer field notes and stakeholder interviews. Multiple qualitative analysis methods will be used to explore diagnostic processes in situ, including systems information flow, human–human and human–system interactions and contextual factors influencing cognition. The study has three parts. Part 1 involves prospective field observations of patients with undifferentiated symptoms at high risk for diagnostic error, where each patient is followed throughout the entire care delivery process. Part 2 involves observing individual care team providers over a 4-hour window to capture their diagnostic workflow, team coordination and communication across multiple patients. Part 3 uses interviews with key stakeholders to understand different perspectives on the diagnostic process, as well as perceived strengths and vulnerabilities, in order to enrich the ED-NASEM diagnostic model.Ethics and disseminationThe University of Michigan Institutional Review Board approved this study, HUM00156261. This foundational work will help identify strengths and vulnerabilities in diagnostic processes. Further, it will inform the future development and testing of patient, provider and systems-level interventions for mitigating error and improving patient safety in these and other EDs. The work will be disseminated through journal publications and presentations at national and international meetings.

Sign in / Sign up

Export Citation Format

Share Document