scholarly journals Innovating From Within: A Process Model for User-Centered Digital Development in Academic Medical Centers

10.2196/11048 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e11048 ◽  
Author(s):  
Sara Kuppin Chokshi ◽  
Devin M Mann
Keyword(s):  
Process Model ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
Digital Development ◽  
User Centered

scholarly journals Innovating From Within: A Process Model for User-Centered Digital Development in Academic Medical Centers (Preprint)

2018 ◽  
Author(s):  
Sara Kuppin Chokshi ◽  
Devin M. Mann
Keyword(s):  
Health Care ◽  
Process Model ◽  
Design Thinking ◽  
Academic Research ◽  
Integrated Approach ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical ◽  
Digital Development ◽  
User Centered

BACKGROUND Design thinking and human-centered design approaches have become increasingly common in health care literature, particularly in relation to health information technology (HIT), as a pathway toward the development of usable, diffusible tools and processes. There is a need in academic medical centers tasked with digital innovation for a comprehensive process model to guide development that incorporates current industry trends, including design thinking and lean and agile approaches to digital development. OBJECTIVE This study aims to describe the foundations and phases of our model for user-centered HIT development. METHODS Based on our experience, we established an integrated approach and rigorous process for HIT development that leverages design thinking and lean and agile strategies in a pragmatic way while preserving methodological integrity in support of academic research goals. RESULTS A four-phased pragmatic process model was developed for user-centered digital development in HIT. CONCLUSIONS The model for user-centered HIT development that we developed is the culmination of diverse innovation projects and represents a multiphased, high-fidelity process for making more creative, flexible, efficient, and effective tools. This model is a critical step in building a rigorous approach to HIT design that incorporates a multidisciplinary, pragmatic perspective combined with academic research practices and state-of-the-art approaches to digital product development to meet the unique needs of health care.

Unplanned Reoperation and Implant Revision After Total Wrist Arthroplasty

Hand ◽  
2020 ◽  
pp. 155894471989881 ◽  
Author(s):  
Taylor M. Pong ◽  
Wouter F. van Leeuwen ◽  
Kamil Oflazoglu ◽  
Philip E. Blazar ◽  
Neal Chen
Keyword(s):  
Risk Factors ◽  
Implant Removal ◽  
Academic Medical Centers ◽  
Implant Design ◽  
Factors Associated ◽  
Medical Centers ◽  
Total Wrist Arthroplasty ◽  
Academic Medical ◽  
Related Risk ◽  
Wrist Arthroplasty

Background: Total wrist arthroplasty (TWA) is a treatment option for many debilitating wrist conditions. With recent improvements in implant design, indications for TWA have broadened. However, despite these improvements, there are still complications associated with TWA, such as unplanned reoperation and eventual implant removal. The goal of this study was to identify risk factors for an unplanned reoperation or implant revision after a TWA at 2 academic medical centers between 2002 and 2015. Methods: In this retrospective study, 24 consecutive TWAs were identified using CPT codes. Medical records were manually reviewed to identify demographic, patient- or disease-related, and surgery-related risk factors for reoperation and implant removal after a primary TWA. Results: Forty-six percent of wrists (11 of 24 TWAs performed) had a reoperation after a median of 3.4 years, while 29% (7 of 24) underwent implant revision after a median of 5 years. Two patients had wrist surgery prior to their TWA, both eventually had their implant removed ( P = .08). There were no risk factors associated with reoperation or implant removal. Conclusion: Unplanned reoperation and implant removal after a primary TWA are common. Approximately 1 in 3 wrists are likely to undergo revision surgery. We found no factors associated with reoperation or implant removal; however, prior wrist surgery showed a trend toward risk of implant removal after TWA.

scholarly journals Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers

2017 ◽  
Vol 9 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Jennifer S. Myers ◽  
Anjala V. Tess ◽  
Katherine McKinney ◽  
Glenn Rosenbluth ◽  
Vineet M. Arora ◽  
...  
Keyword(s):  
Patient Safety ◽  
Academic Medical Centers ◽  
Leadership Roles ◽  
Medical Centers ◽  
Academic Medical ◽  
Quality And Patient Safety
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