A5029822322- Healthcare Technology and Patient Monitoring
- Human-Automation Interaction and Safety
- Patient Safety and Medication Errors
- Electronic Health Records Systems
- Hospital Admissions and Outcomes
- Simulation-Based Education in Healthcare
- Occupational Health and Safety Research
- Clinical Reasoning and Diagnostic Skills
- Sepsis Diagnosis and Treatment
- Surgical Simulation and Training
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Operations and Scheduling Optimization
- ECG Monitoring and Analysis
- Emergency and Acute Care Studies
- Team Dynamics and Performance
- Innovations in Medical Education
- Interprofessional Education and Collaboration
- Quality and Safety in Healthcare
- Advanced Radiotherapy Techniques
- Patient Satisfaction in Healthcare
- Data Visualization and Analytics
- Artificial Intelligence in Healthcare and Education
- Machine Learning in Healthcare
- Ethics in Clinical Research
- Air Traffic Management and Optimization
Idaho State University
2009-2023
Duke University Hospital
2004-2023
Duke Medical Center
2004-2023
Mercy Health
2021
Durham Technical Community College
2021
Trinity Health Ann Arbor Hospital
2021
Trinity Health
2012-2020
Saint Alphonsus Health System
2012-2020
Saint Alphonsus Regional Medical Center
2011-2020
Meridian Community College
2020
One major limitation in the use of human patient simulators is a lack objective, validated measures performance. Objective are necessary if to be used evaluate skills and training medical practitioners teams or impact new processes equipment design on overall system Situation awareness (SA) refers person’s perception understanding their dynamic environment. This comprehension critical making correct decisions that ultimately lead actions care settings. An objective measure SA may more...
<h3>Objectives</h3> The authors conducted a randomised controlled trial of four pedagogical methods commonly used to deliver teamwork training and measured the effects each method on acquisition student knowledge, skills, attitudes. <h3>Methods</h3> recruited 203 senior nursing students 235 fourth-year medical (total N=438) from two major universities for 1-day interdisciplinary course. All participants received didactic lecture then were randomly assigned one educational methods: (control),...
Regulation is necessary to ensure the safety, efficacy and equitable impact of clinical artificial intelligence (AI). The number applications AI increasing, which, amplified by need for adaptations account heterogeneity local health systems inevitable data drift, creates a fundamental challenge regulators. Our opinion that, at scale, incumbent model centralized regulation will not efficacy, equity implemented systems. We propose hybrid regulation, where would only be required inference...
The goal of this research was to describe the ability human operators interact with adaptive automation (AA) applied various stages complex systems information processing, defined in a model human-automation interaction. Forty participants operated simulation an air traffic control task. Automated assistance adaptively acquisition, analysis, decision making, and action implementation aspects task based on operator workload states, which were measured using secondary differential effects...
<b>Background:</b> We hypothesized that time of day surgery would influence the incidence anesthetic adverse events (AEs). <b>Methods:</b> Clinical observations reported in a quality improvement database were categorized into different AEs reflected (1) error, (2) harm, and (3) other (error or harm could not be determined) analyzed for effects related to start hour care. <b>Results:</b> As expected, there differences rate depending on Compared with reference 7 am, more frequent cases...
Problems with communication and team coordination are frequently linked to adverse events in medicine. However, there is little experimental evidence support a relationship between observer ratings of teamwork skills objective measures clinical performance.Our main was test the hypothesis that skill will correlate performance.Nine teams medical students were videotaped performing two types tasks: (1) low fidelity classroom-based patient assessment (2) high simulated emergent care. Observers...
Handoff communication is a point of vulnerability when valuable patient information can be inaccurate or omitted. An institutional protocol was implemented in 2005 to improve the handoff from operating room intensive care unit after pediatric cardiac surgery. A cross-sectional study present process performed understand how users adapt intervention over time. Twenty-nine events were observed. Individuals required for at 97% events. Content items averaged 53% reporting rate. Some clinical not...
Electronic health information overload makes it difficult for providers to quickly find and interpret support care decisions. The purpose of this study was better understand how clinicians use in critical the design improved presentation electronic information. We conducted a contextual analysis visioning project. used an eye-tracker record 20 clinicians' activities settings. played video recordings back retrospective cued interviews queried: 1) context goals use, 2) impacts current display...
Vaccination remains one of the most effective ways to limit spread infectious diseases, and reduce mortality morbidity in rural areas. Waning public confidence vaccines, especially COVID-19 vaccine, a cause for concern. A number individuals US worldwide remain complacent, choosing not be vaccinated and/or delay vaccination, resulting suboptimal herd immunity. The primary goal this study is identify modifiable factors contributing vaccine hesitancy among vaccine-eligible with access vaccines...
Summary Identifying factors associated with persistent pain after breast cancer surgery may facilitate risk stratification and individualised management. Single‐population studies have limited generalisability as socio‐economic genetic contribute to development. Therefore, this prospective multicentre cohort study aimed develop a predictive model from sample of Asian American women. We enrolled women undergoing elective at KK Women's Children's Hospital Duke University Medical Center....
We investigated the effects of automation as applied to different stages information processing on team performance in a complex decision-making task. Forty teams 2 individuals performed simulated Theater Defense Task. Four conditions were with computer assistance realistic combinations acquisition, analysis, and decision selection functions across two levels task difficulty. Multiple measures effectiveness coordination used. Results indicated forms have teamwork. Compared baseline...
Abstract Objective Obtain clinicians’ perspectives on early warning scores (EWS) use within context of clinical cases. Material and Methods We developed cases mimicking sepsis situations. De-identified data, synthesized physician notes, EWS representing deterioration risk were displayed in a simulated EHR for analysis. Twelve clinicians participated semi-structured interviews to ascertain across four domains: (1) Familiarity with understanding artificial intelligence (AI), prediction models...
The objective of this project was to determine whether simulated exposure error situations changes attitudes in a way that may have positive impact on prevention behaviors.Using stratified quasi-randomized experiment design, we compared risk perception control group nursing students who received standard education (reviewed medication content and watched movies about experiences) an experimental reviewed participated experiences. Dependent measures included perceived memorability the...
The reserved set of audible alarm signals embodied within the global medical device safety standard, IEC 60601-1-8, is known to be problematic and in need updating. current are not only suboptimal, but there also little evidence beyond learnability (which poor) that demonstrates their performance realistic representative clinical environments. In this article, we describe process first designing then testing potential replacement for starting with design several sets candidate sounds initial...
Artificial intelligence (AI) is as a branch of computer science that uses advanced computational methods such machine learning (ML), to calculate and/or predict health outcomes and address patient provider needs. While these technologies show great promise for improving healthcare, especially in diabetes management, there are usability safety concerns both patients providers about the use AI/ML healthcare management.
One major limitation in the use of human patient simulators is a lack objective, validated measures performance. Objective are necessary if to be used evaluate skills and training medical practitioners teams or impact new processes equipment design on overall system Situation awareness (SA) refers person's perception understanding their dynamic environment. This comprehension critical making correct decisions that ultimately lead actions care settings. An objective measure SA may more...