A qualitative analysis of clinical decompensation in the surgical patient: Perceptions of nurses and physicians

Horwood, Chelsea R.; Moffatt-Bruce, Susan D.; Fitzgerald, Morgan

doi:10.1016/j.surg.2018.06.006

Cited by 6 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The human factors sub-team initially envisioned preemptive interventions (e.g., identifying potential infections and ordering tests prior to patients showing symptoms) as one of the primary functions of the tool. In other settings, this early detection of potential hazards is highly advantageous (Horwood et. al., 2018).…”

Section: Vignette 1: Process Artifacts To Sustain Shared Common Ground On Project Prioritiesmentioning

confidence: 99%

Symbiotic Design Application in Healthcare: Preventing Hospital Acquired Infections

Morey

Rayo

2021

Proceedings of the International Symposium on Human Factors and

Self Cite

View full text Add to dashboard Cite

Any clinical decision support (CDS) design project integrating computational technologies with clinician workflows will require the merging of multiple perspectives and fields of expertise in multidisciplinary teams. Much like the tools these teams aim to create, the team itself will need to continuously build, monitor, and repair a mutually beneficial relationship between each of its members. From our experience during the early development stages of an AI-enabled CDS tool for hospital-acquired infection (HAI) prevention, we abstract three central tenets of a symbiotic design process we have found to be vital for aligning goals, priorities, mental models, and techniques among a multidisciplinary team: (1) recurrent bottom-up feedback, (2) continual model (re-)alignment, and (3) openness to co-direction. With regards to these tenets, we discuss the successes and challenges our team has faced during the symbiotic design process through a series of vignettes and how these experiences coalescing diverse human design teams can influence the design of human-machine teams.

show abstract

Section: Vignette 1: Process Artifacts To Sustain Shared Common Ground On Project Prioritiesmentioning

confidence: 99%

Symbiotic Design Application in Healthcare: Preventing Hospital Acquired Infections

Morey

Rayo

2021

Proceedings of the International Symposium on Human Factors and

Self Cite

View full text Add to dashboard Cite

show abstract

“…The concepts generated were combined with data that previously showed that temporal trends over time and patient baseline were important factors to determine decompensation [3]. Using RStudio, data were incorporated to create a web-based browser app powered by R Shiny that displayed alarms incorporated with temporal trends for patient heart rate, blood pressure and oxygen saturation.…”

Section: Next Generation Visual Display Design and Creationmentioning

confidence: 99%

“…This has resulted in adverse events and an overall low informativeness [2]. Temporal trends and historical context have been shown to better represent a patient's clinical status and improve understanding of patient decompensation [3]. One possibility for bridging the alarm gap between isolated, noncontextual alarm signals is incorporating these alarms with visual display trends in order to display historical context that may better represent patient decompensation and alarm technology.…”

Section: Introductionmentioning

confidence: 99%

Methods for Utilizing Multidisciplinary Team to Create Novel Visual Alarm Designs That Improve Recognition of Patient Decompensation and Alarm Response

Horwood

Fitzgerald

Moffatt-Bruce

et al. 2019

Proceedings of the International Symposium on Human Factors and

Self Cite

View full text Add to dashboard Cite

The overwhelming number of alarms on medical center floors are false and nonactionable. This leads to delay in alarm response and adverse events. Furthermore, current alarm technology does not have the ability to display patient trends, it only displays one isolated patient event. This paper focuses on describing the methods for creating novel visual displays that incorporates alarm technology and patient decompensation events. Through a multi-disciplinary team approach, that is centered on human factors and system engineers, a novel visual display was created that integrated current alarm technology with patient data. The new displays were better able to predict decompensation and alarm validity. It is crucial to integrate partners from all facets of the medical community and from human factors and system engineering to form an accurate understanding and modeling of patients

show abstract

Situated Visual Alarm Displays Support Machine Fitness Assessment for Nonexplainable Automation

Rayo

Horwood

Fitzgerald

et al. 2022

IEEE Trans. Human-Mach. Syst.

View full text Add to dashboard Cite

A qualitative analysis of clinical decompensation in the surgical patient: Perceptions of nurses and physicians

Cited by 6 publications

References 13 publications

Symbiotic Design Application in Healthcare: Preventing Hospital Acquired Infections

Symbiotic Design Application in Healthcare: Preventing Hospital Acquired Infections

Methods for Utilizing Multidisciplinary Team to Create Novel Visual Alarm Designs That Improve Recognition of Patient Decompensation and Alarm Response

Situated Visual Alarm Displays Support Machine Fitness Assessment for Nonexplainable Automation

Contact Info

Product

Resources

About