Computer-Based Tools for Recording Time and Motion Data for Assessing Clinical Workflow

Author(s):  
Danny Tzu-Yu Wu
Robotica ◽  
2017 ◽  
Vol 37 (5) ◽  
pp. 928-946 ◽  
Author(s):  
JoonOh Seo ◽  
Abdullatif Alwasel ◽  
SangHyun Lee ◽  
Eihab M. Abdel-Rahman ◽  
Carl Haas

SummaryDue to physically demanding tasks in construction, workers are exposed to significant safety and health risks. Measuring and evaluating body kinematics while performing tasks helps to identify the fundamental causes of excessive physical demands, enabling practitioners to implement appropriate interventions to reduce them. Recently, non-invasive or minimally invasive motion capture approaches such as vision-based motion capture systems and angular measurement sensors have emerged, which can be used for in-field kinematics measurements, minimally interfering with on-going work. Given that these approaches have pros and cons for kinematic measurement due to adopted sensors and algorithms, an in-depth understanding of the performance of each approach will support better decisions for their adoption in construction. With this background, the authors evaluate the performance of vision-based (RGB-D sensor-, stereovision camera-, and multiple camera-based) and an angular measurement sensor-based (i.e., an optical encoder) approach to measure body angles through experimental testing. Specifically, measured body angles from these approaches were compared with the ones obtained from a marker-based motion capture system that has less than 0.1 mm of errors. The results showed that vision-based approaches have about 5–10 degrees of error in body angles, while an angular measurement sensor-based approach measured body angles with about 3 degrees of error during diverse tasks. The results indicate that, in general, these approaches can be applicable for diverse ergonomic methods to identify potential safety and health risks, such as rough postural assessment, time and motion study or trajectory analysis where some errors in motion data would not significantly sacrifice their reliability. Combined with relatively accurate angular measurement sensors, vision-based motion capture approaches also have great potential to enable us to perform in-depth physical demand analysis such as biomechanical analysis that requires full-body motion data, even though further improvement of accuracy is necessary. Additionally, understanding of body kinematics of workers would enable ergonomic mechanical design for automated machines and assistive robots that helps to reduce physical demands while supporting workers' capabilities.


1979 ◽  
Vol 101 (3) ◽  
pp. 205-212 ◽  
Author(s):  
M. D. Lesh ◽  
J. M. Mansour ◽  
S. R. Simon

A computer-based subsystem has been implemented for the smoothing and differentiation of human motion data. Nonrecursive finite impulse response digital filtering has been employed for this purpose. Filter cutoff frequency was determined using a statistical error analysis. The method of data differentiation used here is compared to other methods presented in the literature.


2021 ◽  
Vol 8 (2) ◽  
pp. 206-224
Author(s):  
Kosuke Nishio ◽  
Fumiko Harada ◽  
Hiromitsu Shimakawa

In this study, we propose a method for extracting the characteristics of body motions that contribute to reducing the takt time in a cooperative task between a dishwashing robot and a human operator. The proposed method collects the takt time and motion data from novice operators until they become experienced using an inexpensive acceleration sensor. The operation data is classified into experienced and novice periods using the variance value of the takt time. In addition, the Hidden Markov Model is generated to classify the motion data into multiple motion phases. The motion features of the operator are extracted for each phase from the generated model. The proposed method finds the motion features whose difference between the experienced and novice periods are similar to the takt time transition.  It uses them as important variables. We verified the effectiveness of the proposed method by conducting experiments that simulate actual work at a restaurant. The Hidden Markov Model classified the operation phases into three categories with the AUC of 0.9. In all samples, we were able to extract the motion characteristics of the experienced operators. This study showed the potential to improve the speed of novice's progress by the extracted motion characteristics to improve education guidelines and to show operators how they should physically move.


2010 ◽  
Vol 01 (03) ◽  
pp. 232-243 ◽  
Author(s):  
W.W. Stead ◽  
J.C. Denny ◽  
D. Giuse ◽  
N.M. Lorenzi ◽  
S.H. Brown ◽  
...  

SummaryClinical notes summarize interactions that occur between patients and healthcare providers. With adoption of electronic health record (EHR) and computer-based documentation (CBD) systems, there is a growing emphasis on structuring clinical notes to support reusing data for subsequent tasks. However, clinical documentation remains one of the most challenging areas for EHR system development and adoption. The current manuscript describes the Vanderbilt experience with implementing clinical documentation with an EHR system. Based on their experience rolling out an EHR system that supports multiple methods for clinical documentation, the authors recommend that documentation method selection be made on the basis of clinical workflow, note content standards and usability considerations, rather than on a theoretical need for structured data.


2020 ◽  
Vol 5 (1) ◽  
pp. e000426 ◽  
Author(s):  
David P O'Brart ◽  
Harry Roberts ◽  
Khayam Naderi ◽  
Jack Gormley

ObjectiveTo test a hypothesis that operating room (OR) productivity in the National Health Service (NHS) can be improved with the introduction of immediately sequential bilateral cataract surgery (ISBCS).Methods and analysisPreviously published time and motion data of 140 unilateral cataract surgeries conducted at five different NHS locations were reanalysed to construct a hypothetical model where only ISBCS (±one unilateral case) were conducted while maintaining time durations of all key tasks previously studied. Possible time efficiency savings were calculated for the ISBCS model and percentage increases in numbers of eyes operated per 4-hour theatre session calculated. Gains in efficiency were correlated with factors from the baseline data to predict which settings could improve efficiency most by undertaking ISBCS.ResultsBased on remodelling our time and motion study (TMS) data as hypothetical ISBCS cases, we could expect a mean 16% reduction (range 9.8%–17.8%) in the time taken for two cataract operations, translating into a mean 54% improvement (range 38%–67%) in number of cases currently performed per list and an 18% improvement (range 9%–28%) even if the number of unilateral cases per list had been fully maximised. An average number of four ISBCS cases per list (range 3–6) were required to achieve sufficient time savings to allow an extra unilateral surgery to be conducted.ConclusionThe introduction of routine ISBCS has the potential to improve the productivity of cataract surgery within the NHS, with efficiencies being possible in both high-volume and low-volume surgical models.


1999 ◽  
Vol 38 (03) ◽  
pp. 148-153 ◽  
Author(s):  
G.J Corb ◽  
Y. Liaw ◽  
C.A. Brandt ◽  
R.N. Shiffman

AbstractClinical practice guidelines provide a means of directing medical care towards clinically appropriate and cost-effective interventions. A direct relationship exists between the integration of a guideline into clinical workflow and the effectiveness of the guideline in influencing clinicians’ behavior. Computer-based guideline implementations, used at the point-of-care, accomplish this integration. Employing object-oriented technologies, we propose a framework of reusable components for the development of guideline implementation systems. We have identified eight information management services that are common to such systems. Our framework integrates these services and their respective reusable components into clinical workflow to promote the development of comprehensive guideline implementation systems, which should ultimately enhance guideline compliance and the overall quality of care.


2020 ◽  
Author(s):  
Stephanie AS Staras ◽  
Justin S Tauscher ◽  
Natalie Rich ◽  
Esaa Samarah ◽  
Lindsay A Thompson ◽  
...  

BACKGROUND To help guide implementation of eHealth interventions, we report a simple and easy-to-follow method to conduct a clinical workflow analysis before eHealth implementation including an example of our experience. OBJECTIVE This study aimed to analyze workflow before eHealth implementation to determine the best timing and personnel for implementation. METHODS Following an example from our own work, we describe the steps to create a planned implementation workflow of an eHealth application in primary care clinics. We describe and provide examples for four steps: a) identification of discrete workflow components, b) selection of appropriate measurement tools, c) direct observation of clinical workflow, and d) stakeholder engaged data analysis and synthesis. RESULTS Between August 2016 and March 2017, we observed 13 visits of 11- or 12-year-olds at four diverse Florida pediatric or family medicine clinics. We created a flowchart to display each clinic’s workflow. Across clinics, the general workflow process and patient flow was similar and allowed approximately 20-minutes for patients to complete intervention tasks prior to seeing their doctor. During semi-structured interviews, lead clinicians and medical staff at each clinic reviewed the flowchart and expressed that it accurately captured their work. Three of the four clinics suggested nearly identical implementation strategies for the eHealth application. By conducting workflow analysis prior to implementation of an eHealth intervention, we identified specific timing, staffing, and management processes for implementation, potential barriers, and increased stakeholder buy-in. CONCLUSIONS The easy-to-follow steps presented will help investigators plan implementation of new eHealth interventions in primary healthcare settings. Conducting a prospective workflow study allows for observation-based planning, identifying potential pitfalls, and increasing stakeholder buy-in.


Author(s):  
Michela Tanzini ◽  
Johanna I. Westbrook ◽  
Stefano Guidi ◽  
Neroli Sunderland ◽  
Mirela Prgomet

AbstractThis chapter aims to illustrate the methodologies of time and motion research, the observation of clinical care activities in the field and its limits, strengths and opportunities. We discuss how such studies can be used to address questions related to the quality of care and to examine the relationships between clinical workflow and safety. Further, the chapter provides specific examples of the application of time and motion studies, the practical challenges and results obtained.


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