Patient ergonomics: 10-year mapping review of patient-centered human factors

Holden, Richard J.; Cornet, Victor P.; Valdez, Rupa S.

doi:10.1016/j.apergo.2019.102972

Cited by 54 publications

(31 citation statements)

References 122 publications

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“…The Simplified SUS is an example of adapting standard human factors and human-computer interaction methods for work with new populations, retaining the strengths of the original method while accommodating the needs of the population. In the arena of patient ergonomics (Holden & Valdez, 2018Holden, Cornet, et al, 2020;Valdez et al, 2015), we have previously argued for this kind of theoretical and methodological adaptation of general methods, given the unique characteristics of patients and their work systems (Holden & Mickelson, 2013;Holden et al, 2015Holden et al, , 2018Novak et al, 2016). We have also argued that within patient ergonomics, vulnerable populations including those who are cognitively impaired or have low literacy, are rarely the targets of studies, or may not enroll in studies with broad inclusion criteria (Holden, Cornet et al, 2020;Holden, Toscos, et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

A Simplified System Usability Scale (SUS) for Cognitively Impaired and Older Adults

Holden

2020

Proceedings of the International Symposium on Human Factors and

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We present the 10-item Simplified System Usability Scale (SUS) for Cognitively Impaired and Older Adults, which we have used in several studies since 2016. The Simplified SUS is a revised version of the SUS, a brief, psychometrically valid, and widely used global measure of usability. To improve the ease of administration, the Simplified SUS rewords 9 of 10 SUS items and replaces the original SUS question about inconsistency with a question about confusion. The Simplified SUS retains the SUS's 10-item design, five-item agreement-based Likert scale, and alternating valence of positively worded odd items and negatively worded even items. Because of this, the Simplified SUS can be interpreted the same way as the traditional SUS. The Simplified SUS is an example of an off-the-shelf human factors method adapted for work with vulnerable populations and usable by practitioners or researchers without human factors training.

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Section: Discussionmentioning

confidence: 99%

A Simplified System Usability Scale (SUS) for Cognitively Impaired and Older Adults

Holden

2020

Proceedings of the International Symposium on Human Factors and

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“…Patient ergonomics is currently gaining traction in human factors. Translated to the "science of patient work," it is concerned with characterizing patient work with the objective of supporting the patient and other non-professionals in cognitive and behavioral performance in health-related activities (Holden et al, 2020;Holden & Valdez, 2019). Although some earlier discussions of patient work cited the treatment burden literature, the two literatures do not intersect despite their similar foci on patient activities and conceptualization of patient effort, as well as complementary objectives of support and reduction (Nathan-Roberts et al, 2015;Novak et al, 2015).…”

Section: Treatment Burden and Patient Ergonomicsmentioning

confidence: 99%

“…Focus on the patient at the center of the healthcare equation has increased over the recent decade (Holden et al, 2013(Holden et al, , 2020May et al, 2009;Sav et al, 2017). This focus is appropriate in light of observations from both the patient and clinician side of healthcare transactions.…”

Section: Introductionmentioning

confidence: 99%

Treatment Burden: Gaps and Future Directions for Communication, Measurement and Training

Winner

Papautsky

2020

Proceedings of the International Symposium on Human Factors and

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Focus on the patient at the center of the healthcare equation has increased over the recent decade. Not unlike patient ergonomics, treatment burden research is concerned with the work that patients do to manage chronic illness and ways of reducing its impact in service of better patient outcomes. In addition, it has focused on measurement approaches that can capture treatment burden across illness types yielding two validated instruments. In this paper, we provide a topical review of the treatment burden literature and its value to human factors; as well as discuss opportunities for subjective, objective, and surrogate measures, challenges in patient-clinician communication in detecting burden, and the role of the EHR in documentation and integration.

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“…Human factors is a multidisciplinary science at the intersection of psychology and engineering [13] and is commonly described as a discipline devoted to studying and improving the interactions among humans and other elements of a system (within a given environment) [14]. Human factors interventions are about improving system performance and preventing accidental harm, which for healthcare means supporting the cognitive and physical work of healthcare professionals and promoting high-quality, safe care for patients [15].…”

Section: Introductionmentioning

confidence: 99%

A Human Factors Intervention in Hospital - Evaluating Outcome of a TeamSTEPPS Program in a Surgical Ward

Aaberg

Hall‐Lord

Husebø

et al. 2020

Preprint

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Background Patient safety in hospitals is being jeopardized, as too many patients experience adverse events. Most of the adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of the study was to evaluate the outcome of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. The Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study.Methods This study had a pre-post design with measurements at baseline, after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and study site was selected based on the leaders’ willingness to participate in the project. Survey data from healthcare professionals, measured by the TeamSTEPPS Teamwork Perceptions Questionnaire, the Collaboration and Satisfaction about Care Decisions in Teams, and the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, were used to evaluate the intervention. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data.Results After six months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months improvements were found in both organizational and professional outcomes, that was in three patient safety culture dimensions and three teamwork dimensions. The generalized linear mixed model estimates demonstrated that physicians had effect on two patient safety culture measures. Furthermore, results showed that teamwork was associated with the organizational outcome Patient Safety Grade.Conclusion These results demonstrate that the team training program had an effect after 12 months of implementation. Future studies are recommended to examine the causal effect of a team training intervention in this context, preferably with studies with larger sample sizes and stronger study designs.Trial registration number:ISRCTN13997367 (retrospectively registered)

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Patient ergonomics: 10-year mapping review of patient-centered human factors

Cited by 54 publications

References 122 publications

A Simplified System Usability Scale (SUS) for Cognitively Impaired and Older Adults

A Simplified System Usability Scale (SUS) for Cognitively Impaired and Older Adults

Treatment Burden: Gaps and Future Directions for Communication, Measurement and Training

A Human Factors Intervention in Hospital - Evaluating Outcome of a TeamSTEPPS Program in a Surgical Ward

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