scholarly journals A Real-Time Autonomous Dashboard for the Emergency Department: 5-Year Case Study (Preprint)

2018 ◽  
Author(s):  
Junsang Yoo ◽  
Kwang Yul Jung ◽  
Taerim Kim ◽  
Taerim Lee ◽  
Sung Yeon Hwang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Situation Awareness ◽  
Information Quality ◽  
Patient Privacy ◽  
Staff Members ◽  
System Usability Scale ◽  
Ed Crowding ◽  
Time Autonomous

BACKGROUND The task of monitoring and managing the entire emergency department (ED) is becoming more important due to increasing pressure on the ED. Recently, dashboards have received the spotlight as health information technology to support these tasks. OBJECTIVE This study aimed to describe the development of a real-time autonomous dashboard for the ED and to evaluate perspectives of clinical staff on its usability. METHODS We developed a dashboard based on three principles—“anytime, anywhere, at a glance;” “minimal interruption to workflow;” and “protect patient privacy”—and 3 design features—“geographical layout,” “patient-level alert,” and “real-time summary data.” Items to evaluate the dashboard were selected based on the throughput factor of the conceptual model of ED crowding. Moreover, ED physicians and nurses were surveyed using the system usability scale (SUS) and situation awareness index as well as a questionnaire we created on the basis of the construct of the Situation Awareness Rating Technique. RESULTS The first version of the ED dashboard was successfully launched in 2013, and it has undergone 3 major revisions since then because of geographical changes in ED and modifications to improve usability. A total of 52 ED staff members participated in the survey. The average SUS score of the dashboard was 67.6 points, which indicates “OK-to-Good” usability. The participants also reported that the dashboard provided efficient “concentration support” (4.15 points), “complexity representation” (4.02 points), “variability representation” (3.96 points), “information quality” (3.94 points), and “familiarity” (3.94 points). However, the “division of attention” was rated at 2.25 points. CONCLUSIONS We developed a real-time autonomous ED dashboard and successfully used it for 5 years with good evaluation from users.

scholarly journals A Real-Time Autonomous Dashboard for the Emergency Department: 5-Year Case Study

10.2196/10666 ◽  
2018 ◽  
Vol 6 (11) ◽  
pp. e10666 ◽  
Author(s):  
Junsang Yoo ◽  
Kwang Yul Jung ◽  
Taerim Kim ◽  
Taerim Lee ◽  
Sung Yeon Hwang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Time Autonomous

scholarly journals Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
John R. Richards ◽  
Gal Ozery ◽  
Mark Notash ◽  
Peter E. Sokolove ◽  
Robert W. Derlet ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Survey Study ◽  
Emergency Department Overcrowding ◽  
Urban University ◽  
Male Patients ◽  
University Level ◽  
Level I ◽  
National Emergency ◽  
Ed Crowding

Objective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their responses to real-time National Emergency Department Overcrowding Score (NEDOCS).Methods. This was a survey of admitted patients in the ED of an urban university level I trauma center serving a community of 5 million about their personal preferences regarding boarding. Real-time NEDOCS was calculated at the time each survey was conducted.Results. 99 total surveys were completed during October 2010, 42 (42%) patients preferred to be boarded in an inpatient hallway, 33 (33%) preferred the ED hallway, and 24 (24%) had no preference. Mean (±SD) NEDOCS (range 0–200) was for patients preferring inpatient boarding, for ED boarding, and without preference. Male patients preferred inpatient hallway boarding significantly more than females. Preference for inpatient boarding was associated with a significantly higher NEDOCS.Conclusions. In this survey study, patients prefer inpatient hallway boarding when the hospital is at or above capacity. Males prefer inpatient hallway boarding more than females. The preference for inpatient hallway boarding increases as the ED becomes more crowded.

scholarly journals Contact tracing with a real-time location system: A case study of increasing relative effectiveness in an emergency department

2017 ◽  
Vol 45 (12) ◽  
pp. 1308-1311 ◽  
Author(s):  
Thomas R. Hellmich ◽  
Casey M. Clements ◽  
Nibras El-Sherif ◽  
Kalyan S. Pasupathy ◽  
David M. Nestler ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Relative Effectiveness ◽  
Contact Tracing ◽  
Location System ◽  
System A ◽  
Real Time Location System

Situation Awareness Under Task Complexity

2020 ◽  
Vol 11 (4) ◽  
pp. 1-26
Author(s):  
Johannes Schmied ◽  
Abbas Strømmen-Bakhtiar
Keyword(s):  
Situation Awareness ◽  
Information Technologies ◽  
Information Quality ◽  
Task Complexity ◽  
Continuous Process ◽  
Study Approach ◽  
Critical Resource ◽  
Research Stream ◽  
Modelling Task

Performing tasks under task complexity (TC), for example, during the management of a crisis, can be challenging. One relevant research stream has so far dealt with modelling task complexity while another research stream has established the importance of situation awareness (SA) during crisis management. This study takes into consideration these two research streams and builds a model on how SA is achieved under task complexity. The research shows that information of high information quality (IQ) reduces the level of task complexity, and influences—as well as is influenced by—situation awareness. The practice of collecting and disseminating relevant and timely information as a critical resource in improving SA should be carried out continuously. This continuous process can be improved by using information technologies as automating tools. Moreover, the study shows how shared mental models can improve SA under task complexity. A case study approach, based on qualitative data focusing on theory building, is applied. Unit of analysis is a Norwegian hospital.

scholarly journals Applying a Human-Centered Design to Develop a Patient Prioritization Tool for a Pediatric Emergency Department: Detailed Case Study of First Iterations

10.2196/18427 ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. e18427
Author(s):  
Jessica Schiro ◽  
Sylvia Pelayo ◽  
Alain Martinot ◽  
François Dubos ◽  
Marie-Catherine Beuscart-Zéphir ◽  
...  
Keyword(s):  
Emergency Department ◽  
Design Process ◽  
Waiting Time ◽  
Situation Awareness ◽  
System Analysis ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Human Centered Design ◽  
Patient Prioritization

Background Overcrowding in the emergency departments has become an increasingly significant problem. Patient triage strategies are acknowledged to help clinicians manage patient flow and reduce patients’ waiting time. However, electronic patient triage systems are not developed so that they comply with clinicians’ workflow. Objective This case study presents the development of a patient prioritization tool (PPT) and of the related patient prioritization algorithm (PPA) for a pediatric emergency department (PED), relying on a human-centered design process. Methods We followed a human-centered design process, wherein we (1) performed a work system analysis through observations and interviews in an academic hospital’s PED; (2) deduced design specifications; (3) designed a mock PPT and the related PPA; and (4) performed user testing to assess the intuitiveness of the icons, the effectiveness in communicating patient priority, the fit between the prioritization model implemented and the participants’ prioritization rules, and the participants’ satisfaction. Results The workflow analysis identified that the PPT interface should meet the needs of physicians and nurses, represent the stages of patient care, and contain patient information such as waiting time, test status (eg, prescribed, in progress), age, and a suggestion for prioritization. The mock-up developed gives the status of patients progressing through the PED; a strip represents the patient and the patient’s characteristics, including a delay indicator that compares the patient’s waiting time to the average waiting time of patients with a comparable reason for emergency. User tests revealed issues with icon intuitiveness, information gaps, and possible refinements in the prioritization algorithm. Conclusions The results of the user tests have led to modifications to improve the usability and usefulness of the PPT and its PPA. We discuss the value of integrating human factors into the design process for a PPT for PED. The PPT/PPA has been developed and installed in Lille University Hospital's PED. Studies are carried out to evaluate the use and impact of this tool on clinicians’ situation awareness and prioritization-related cognitive load, prioritization of patients, waiting time, and patients’ experience.

scholarly journals Applying a Human-Centered Design to Develop a Patient Prioritization Tool for a Pediatric Emergency Department: Detailed Case Study of First Iterations (Preprint)

2020 ◽  
Author(s):  
Jessica Schiro ◽  
Sylvia Pelayo ◽  
Alain Martinot ◽  
François Dubos ◽  
Marie-Catherine Beuscart-Zéphir ◽  
...  
Keyword(s):  
Emergency Department ◽  
Design Process ◽  
Waiting Time ◽  
Situation Awareness ◽  
System Analysis ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Human Centered Design ◽  
Patient Prioritization

BACKGROUND Overcrowding in the emergency departments has become an increasingly significant problem. Patient triage strategies are acknowledged to help clinicians manage patient flow and reduce patients’ waiting time. However, electronic patient triage systems are not developed so that they comply with clinicians’ workflow. OBJECTIVE This case study presents the development of a patient prioritization tool (PPT) and of the related patient prioritization algorithm (PPA) for a pediatric emergency department (PED), relying on a human-centered design process. METHODS We followed a human-centered design process, wherein we (1) performed a work system analysis through observations and interviews in an academic hospital’s PED; (2) deduced design specifications; (3) designed a mock PPT and the related PPA; and (4) performed user testing to assess the intuitiveness of the icons, the effectiveness in communicating patient priority, the fit between the prioritization model implemented and the participants’ prioritization rules, and the participants’ satisfaction. RESULTS The workflow analysis identified that the PPT interface should meet the needs of physicians and nurses, represent the stages of patient care, and contain patient information such as waiting time, test status (eg, prescribed, in progress), age, and a suggestion for prioritization. The mock-up developed gives the status of patients progressing through the PED; a strip represents the patient and the patient’s characteristics, including a delay indicator that compares the patient’s waiting time to the average waiting time of patients with a comparable reason for emergency. User tests revealed issues with icon intuitiveness, information gaps, and possible refinements in the prioritization algorithm. CONCLUSIONS The results of the user tests have led to modifications to improve the usability and usefulness of the PPT and its PPA. We discuss the value of integrating human factors into the design process for a PPT for PED. The PPT/PPA has been developed and installed in Lille University Hospital's PED. Studies are carried out to evaluate the use and impact of this tool on clinicians’ situation awareness and prioritization-related cognitive load, prioritization of patients, waiting time, and patients’ experience.

Reflection on Learner-Led Study Abroad Events in a SAC from Three Perspectives: A Learner, an Administrative Staff Member, and an Advisor

Relay Journal ◽  
2020 ◽  
pp. 66-79
Author(s):  
Mizuki Shibata ◽  
Chihiro Hayashi ◽  
Yuri Imamura
Keyword(s):  
Study Abroad ◽  
Language Learning ◽  
Support System ◽  
Staff Member ◽  
Administrative Staff ◽  
Multiple Reflections ◽  
Learning Space ◽  
Japanese University ◽  
Staff Members

This paper reports on a case study of learner-led study-abroad events in the language learning space at a Japanese University. We present multiple reflections on the events from different perspectives: the event organizer (student), an administrative staff member, and a learning advisor working at the center. We also introduce the support system that a group of administrative staff members and learning advisors are in charge of helping learners to hold their events. Moreover, throughout our reflections, several factors that made the learner-led study-abroad events sustainable and successful are demonstrated.

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