Modelling and Matching: A Methodology for ePlanning System Development to Address the Requirements of Multiple User Groups

Author(s):  
Yun Chen ◽  
Maria Kutar ◽  
Andy Hamilton
2020 ◽  
pp. 757-768
Author(s):  
Richard D. Hammer ◽  
Donna Fowler ◽  
Lincoln R. Sheets ◽  
Athanasios Siadimas ◽  
Chaohui Guo ◽  
...  

PURPOSE Multidisciplinary tumor boards (TBs) are the gold standard for decision-making in cancer care. Variability in preparation, conduction, and impact is widely reported. The benefit of digital technologies to support TBs is unknown. This study evaluated the impact of the NAVIFY Tumor Board solution (NTB) on TB preparation time across multiple user groups in 4 cancer categories: breast, GI, head and neck (ie, ear, nose, and throat, or ENT), and hematopathology. METHODS This prospective study evaluated TB preparation time in multiple phases pre- and post-NTB implementation at an academic health care center. TB preparation times were recorded for multiple weeks using a digital time tracker. RESULTS Preparation times for 59 breast, 61 GI, 36 ENT, and 71 hematopathology cancer TBs comparing a pre-NTB phase to 3 phases of NTB implementation were evaluated between February 2018 and July 2019. NTB resulted in significant reductions in overall preparation time (30%) across 3 TBs pre-NTB compared with the final post-NTB implementation phase. In the breast TB, NTB reduced overall preparation time by 28%, with a 76% decrease in standard deviation (SD). In the GI TB, a 23% reduction in average preparation time was observed for all users, with a 48% decrease in SD. In the ENT TB, a 33% reduction in average preparation time was observed for all users, with a 73% decrease in SD. The hematopathology TB, which was the cocreation partner and initial adopter of the solution, showed variable results. CONCLUSION This study showed a significant impact of a digital solution on time preparation for TBs across multiple users and different TBs, reflecting the generalizability of the NTB. Adoption of such a solution could improve the efficiency of TBs and have a direct economic impact on hospitals.


2003 ◽  
Vol 37 (3) ◽  
pp. 42-46 ◽  
Author(s):  
Worth D. Nowlin ◽  
Thomas C. Malone

A Global Ocean Observing System (GOOS) is needed for: detecting and predicting climate variability and consequences, protecting and restoring healthy marine ecosystems, reducing human health risks, managing resources, facilitating safe and efficient marine operations, and predicting and mitigating against coastal hazards. To these ends, an operational system of integrated observations, data communications and management, and data analysis is being developed to serve the data and information requirements of a broad spectrum of user groups from industry, government, nongovernmental organizations, and academia. Successful development of a system that guarantees the continuous and sustained provision of useful information requires effective collaboration between the research and operational communities and between data providers and users to ensure that system development is user-driven and sustained in perpetuity. Development of GOOS requires a managed process that selectively incorporates, enhances, and supplements existing elements consistent with user needs. Successful transition of new elements from research to operational oceanography is a big step and is inherently difficult. It will require ongoing guidance from both data providers and users as well as cooperation and good will on the part of the research and operational groups involved. In some cases it may be necessary to transition new elements into the operational system prior to obtaining user acceptance because that acceptance may be obtained only after the usefulness of new products is demonstrated. A process that selectively migrates new knowledge and technology from research into an operational mode and promotes synergy between research and operational oceanography is described herein.


2019 ◽  
Vol 19 (4) ◽  
pp. 439
Author(s):  
Carolyn Steele Gray ◽  
Anum Irfan Khan ◽  
Ian McKillop ◽  
Sarah Sharpe ◽  
Cheryl Cott

2012 ◽  
Vol 5 (4) ◽  
pp. 88-97 ◽  
Author(s):  
Johnell O. Brooks ◽  
Linnea Smolentzov ◽  
Mary E. Mossey ◽  
Carson Carroll ◽  
Katherine Kendrick ◽  
...  

Objective: Multiple user groups (patients and employees at a rehabilitation facility, community-dwelling seniors, and university students) participated in a study that examined their preferences for the features and functions of three novel nightstand prototypes. Background: It is valuable to get input from different user groups in order to improve furniture usefulness and usability, especially furniture prevalent in clinical settings where users of all age groups are found. Methods: Feedback was obtained from different user groups in both clinical (rehabilitation facility) and nonclinical (university) settings. This was done using structured interviews to ask participants about multiple features of the novel nightstand designs. Results: There were several features that all groups preferred. There were also some distinctly opposing opinions between groups. In general, the patient group showed the most similarities to the other groups. Conclusion: This research explores differences and similarities in preferences for nightstand design across a variety of user groups. It yields ideas for improving the nightstand design to be useful for a wider group of people.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Racha Dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm

Abstract Background Medication management processes in an Oncology setting are complex and difficult to examine in isolation from interrelated processes and contextual factors. This qualitative study aims to evaluate the usability of an Electronic Medication Management System (EMMS) implemented in a specialised oncology unit using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. Methods The study was conducted in a 12-bed outpatient Oncology unit of a major teaching hospital 6 months following implementation of a commercial EMMS. In-depth semi-structured interviews were conducted with doctors, nurses and pharmacists using the system to assess usability. The UTAUT framework was used to analyse the results, which facilitated evaluation of interrelated aspects and provided a structured summary of user experience and usability factors. Results Direct cross-comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had divergent perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand) expectancy. In counterpoint, nurses were generally satisfied across all constructs. Prior experience using an alternative EMMS influenced performance and effort expectancy and was related to early dissatisfaction with the EMMS. Furthermore, whilst not originally designed for the healthcare setting, the flexibility of the UTAUT allowed for translation to the hospital environment. Conclusion Nurses demonstrated overall satisfaction with the EMMS, whilst doctors and pharmacists perceived usability problems, particularly related to restricted automaticity and system complexity, which hindered perceived EMMS success. The study demonstrates the feasibility and utility of the UTAUT framework to evaluate usability of an EMMS for multiple user groups in the Oncology setting.


Author(s):  
Elin P. Sundevall ◽  
Märit Jansson

In urban areas where increased density has caused loss of urban open space (UOS), there is a need for high-quality parks that are inclusive and fit for multiple user groups. To make parks more inclusive, UOS management may need to consider multifunction and the perspectives of various age groups in future development and maintenance activities. Walking interviews were conducted in a park in central Landskrona, Sweden, with children, adolescents, and elderly users, and also with the head park manager of the city. The results revealed different perspectives among the three age groups of users concerning affordances and UOS management. The manager described user-oriented management to support multifunction and inclusion, including user participation. All user groups studied showed an appreciation of liveliness, contact with nature, social places for their own age group, clean and safe parks, and a variety of different atmospheres and activities in the park. Social multifunction can be developed in programmed or non-programmed ways, but some functions interfere with each other. UOS managers can develop parks to suit different age groups, promote user participation within management, and develop social multifunction to create inclusive parks for various age groups.


Author(s):  
Lin Guo ◽  
Hamed Zamanisabzi ◽  
Thomas M. Neeson ◽  
Janet K. Allen ◽  
Farrokh Mistree

In a multi-reservoir system, ensuring adequate water availability across reservoirs while managing conflicting goals under uncertainties are critical to making the social-ecological system sustainable. The priorities of multiple user-groups and availability of the water resource may vary with time, weather and other factors. Uncertainties such as variation in precipitation bring more complexity, which intensifies the discrepancies between water supply and water demand for each user-group. To reduce such discrepancies, we should satisfice conflicting goals, considering typical uncertainties. We observed that models are incomplete and inaccurate, which challenge the use of the single optimal solution to be robust to uncertainties. So, we explore satisficing solutions that are relatively insensitive to uncertainties, by incorporating different design preferences, identifying sensitive segments and improving the design accordingly. This work is an example of exploring the solution space to enhance sustainability in multidisciplinary systems, when goals conflict, preferences are evolving, and uncertainties add complexity.


2019 ◽  
Vol 141 (3) ◽  
Author(s):  
Lin Guo ◽  
Hamed Zamanisabzi ◽  
Thomas M. Neeson ◽  
Janet K. Allen ◽  
Farrokh Mistree

In a multireservoir system, ensuring adequate water availability while managing conflicting goals is critical to making the social–ecological system sustainable in the presence of considerable uncertainty. The priorities of multiple user groups and availability of the water resource vary with time, weather, and other factors. Uncertainties such as variations in precipitation can intensify the discrepancies between water supply and water demand. To reduce such discrepancies, we seek to satisfice conflicting goals, considering typical uncertainties. We observe that models are incomplete and inaccurate, which calls into question using a single point solution and suggests the need for solutions, which are robust to uncertainties. So, we explore satisficing solutions that are relatively insensitive to uncertainties, by incorporating different design preferences, identifying sensitive segments, and improving the design accordingly. In this article, we present an example of the exploration of the solution space to enhance sustainability in multidisciplinary systems, when goals conflict, preferences are evolving, and uncertainties add complexity, which can be applied in mechanical design. In this paper, we focus on the method rather than the results.


2020 ◽  
Author(s):  
Racha Dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm

Abstract Background: Medication management processes in an Oncology setting are complex and difficult to examine in isolation from interrelated processes and contextual factors. This qualitative study aims to evaluate the usability of an Electronic Medication Management System (EMMS) implemented in a specialised oncology unit using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework.Methods: The study was conducted in a 12-bed outpatient Oncology unit of a major teaching hospital six months following implementation of a commercial EMMS. In-depth semi-structured interviews were conducted with doctors, nurses and pharmacists using the system to assess usability. The UTAUT framework was used to analyse the results, which facilitated evaluation of interrelated aspects and provided a structured summary of user experience and usability factors.Results: Direct cross-comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had divergent perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand). In counterpoint, nurses were generally satisfied across all constructs. Prior experience using an alternative EMMS influenced performance and effort expectancy and was related to early dissatisfaction with the implemented system. Furthermore, whilst not originally designed for the healthcare setting, the flexibility of the UTAUT allowed for translation to the hospital environment.Conclusion: Nurses demonstrated overall satisfaction with the EMMS, whilst doctors and pharmacists perceived some usability problems, particularly related to restricted automaticity and system complexity, which hindered user uptake and EMMS success. The study demonstrates the feasibility and utility of the UTAUT framework to evaluate usability of an EMMS for multiple user groups in the Oncology setting.


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