This study analyzed patient safety reports in and near Pennsylvania from 2013 through 2016 to identify those that contained explicit language associating possible harm with an electronic health record usability issue.

In the current study, ten participants walked for two hours while carrying no load or a 40 kg load. During second hour, treadmill grade was manipulated between constant downhill changing flat, uphill, and grades. Throughout prolonged walk, performed cognitive tasks, an auditory go no/go task visual target detection task. The main findings were that number of false alarms increased over time in loaded condition relative to unloaded on There also shifts response criterion towards responding...

Previous research demonstrates that exposure to ultra-thin media models leads increased body image concerns amongst women (Groesz, Levine, & Murnen, 2002). There is emerging evidence attractive, average-size do not have this negative effect and can be effective in advertising (e.g. Halliwell Dittmar, 2004). The present study investigates these factors with a history of eating disorders. Participants either viewed advertisements featuring ultra-thin, or control images. Immediately after...

Summary Background: With the widespread use of electronic health records (EHRs) for many clinical tasks, interoperability with other information technology (health IT) is critical effective delivery care. While it generally recognized that poor negatively impacts patient care, little known about specific safety implications. Understanding implications will help prioritize efforts around architectures and standards. Objectives: Our objectives were to (1) identify incident reports reflect EHR...

Different health information technology (health IT) systems are intended to support medication ordering, reviewing, and administration. We sought identify the types of errors associated with IT use, whether they reached patient, where in process those occurred, specific usability issues contributing errors.Patient safety event reports from more than 595 healthcare facilities entered between January 2013 September 2018 were analyzed. computationally identified process, including computerized...

Abstract Objective Poor electronic health record (EHR) usability contributes to clinician burnout and poses patent safety risks. Site-specific customization configuration of EHRs require individual EHR system testing which is resource intensive. We developed pilot-tested a self-administered assessment tool, focused on computerized provider order entry (CPOE), can be used by any facility identify specific issues. In addition, the tool provides recommendations for improvement. Materials...

Despite requirements for electronic health record (EHR) vendor usability testing, challenges persist, contributing to patient safety concerns. We sought identify emergency physicians' perceived EHR and strengths shortcomings across major products.Fifty-five physicians from 4 different hospitals were interviewed. The interviews qualitatively analyzed, physician comments aligned with a taxonomy emerging themes by hospital.Of the 194 about usability, 3 most commonly discussed topics Workflow...

Background: Dose calculation errors are one of the most common types medication impacting children and they can result in significant harm. Technology-based solutions, such as computerized provider order entry, effectively reduce dose issues; however, these technologies not always optimized, resulting potential benefits being fully realized. Methods: We analyzed pediatric dose-related patient safety event reports submitted to Pennsylvania Patient Safety Reporting System using a task-analytic...

Background: Patient-Reported Outcomes (PROs) can be used to inform the clinical management of individuals, including patient self-management, care planning, and goal setting. Despite a rapid proliferation technology collect integrate PROs in care, uptake by patients healthcare providers remains sub optimal. A consideration systems factors understand these challenges is needed. Objectives: To apply socio-technical (STS) model as framework for understanding usability functional requirements...

Background: Alarms are signals intended to capture and direct human attention a potential issue that may require monitoring, assessment, or intervention play critical safety role in high-risk industries. Healthcare relies heavily on auditory visual alarms. While there some guidelines inform alarm design use, fatigue other issues challenges the healthcare setting. Automotive, aviation, nuclear industries have used science of factors develop use guidelines. These provide important insights for...

Intravenous (IV) vancomycin is one of the most commonly used antibiotics in U.S. hospitals. There are several complexities associated with IV use, including need to have an accurate patient weight for dosing, provide close monitoring ensure appropriate drug levels, monitor renal function, and continue delivery medication at prescribed intervals. numerous healthcare system factors, workflow processes, policies, health information technology, clinical knowledge that impact safe use vancomycin....

Background Despite their prevalence, poorly designed electronic health records (EHRs) are common, and research shows poor design consequences include clinician burnout, diagnostic error, even patient harm. One of the major difficulties EHR is visual display information, which aims to present information in an easily digestible form for user. High-risk industries like aviation, automotive, nuclear have guidelines displays based on human factors principles optimized design. Purpose In this...

Summary The widespread adoption of health information technology (HIT) has led to new patient safety hazards that are often difficult identify. Patient event reports, which self-reported descriptions hazards, provide one view potential HIT-related events. However, identifying reports can be challenging as they categorized under other more predominate clinical categories. This challenge is exacerbated by the increasing number and complexity pose challenges human annotators must manually...

Human observers are often relied upon for monitoring suspicious crowd behavior in both civilian and military contexts. However, little research has examined what individual- crowd-level variables independently interactively modulate threat perception among human observers. Five experiments gathered estimates while participants viewed static or dynamic simulations. Experiments 1 2 used stimuli manipulated size (number of entities), density (distance between historical information about...

With the pervasive use of health information technology (HIT) there has been increased concern over usability and safety this technology. Identifying HIT hazards, mitigating those hazards to prevent patient harm, using knowledge improve future systems are critical advancing care.The purpose work is demonstrate feasibility a modeling approach identify usability-related events (PSEs) from free-text reports utility such models for supporting analysts in their analysis event data.We evaluated...

Background: Medical equipment, supplies, and devices (ESD) serve a critical function in healthcare delivery how they can have patient safety consequences. ESD-related issues include malfunctions, physically missing ESDs, sterilization, usability. Describing from human factors perspective that focuses on user interactions with ESDs provide additional insights to address these issues. Methods: We manually reviewed ESD event reports submitted the Pennsylvania Patient Safety Reporting System...

We describe CobotDS, a spoken dialogue system providing access to well-known interact chat server called LambdaMOO. CobotDS provides real-time, two-way, natural language communication between phone user and the multiple users in text environment. number of challenging design issues we faced, our use summarization, social filtering personalized grammars tackling them. report empirical findings from small study.

Medical team training (MTT) conducted in a virtual environment fosters growth cognitive, technical, and clinical aptitudes while offering advantages of flexibility, cost, ease scheduling over traditional high- fidelity simulations. Growing technology facilitates innovations to improve the ability emulate roles, rules, resources, fidelity. Our objective was evaluate elements key features that inform technical specifications for A narrative review included 27 articles as relevant elaborate on...

We sought to determine rates of computerized provider order entry (CPOE) patient identity verification and when where in the ordering process occurred.Fifty-five physicians from 4 healthcare systems completed simulated scenarios using their respective CPOE system (Epic or Cerner). Eye movements were recorded analyzed.Across all participants id was verified significantly more often than not (62.4% vs 37.6%). Vendor A had higher not; vendor B no difference. Participants information before...

Objective We analyzed the described resolutions of patient safety event reports related to health information technology determine how healthcare systems responded these events, recognizing that certain types solutions such as training and education have a limited impact. Methods A large database over 1.7 million was filtered include those identified by reporter being technology. The resolution text manually reviewed coded into one or more four categories: No Resolution, Training/Education,...