scholarly journals Identifying barriers to the effective use of clinical reminders: Bootstrapping multiple methods

2005 ◽  
Vol 38 (3) ◽  
pp. 189-199 ◽  
Author(s):  
Emily S. Patterson ◽  
Bradley N. Doebbeling ◽  
Constance H. Fung ◽  
Laura Militello ◽  
Shilo Anders ◽  
...  
2011 ◽  
pp. 1828-1842
Author(s):  
Dianna L. Newman ◽  
Patricia Barbanell ◽  
John Falco

Online communities have expanded to include a complex array of technologies that allow us to integrate multiple modes of interaction among participants. One such method of interaction is videoconferencing. As part of a multi-year national program, the authors developed and investigated multiple methods by which videoconferencing could be used to expand PK-12 educational communities such that students at geographically distanced sites have opportunities to interact with external resources. The authors identified four major types of videoconferencing communities and common patterns within each that help to support effective use of the process. The chapter examines the nature and structure of these videoconferencing communities, provides examples of successful use, summarizes key user variables that impact the process, and makes recommendations for methods that should be used when studying videoconferencing communities.


2016 ◽  
Vol 13 ◽  
pp. 88-94 ◽  
Author(s):  
Jonathan Star ◽  
Erika L. Rowland ◽  
Mary E. Black ◽  
Carolyn A.F. Enquist ◽  
Gregg Garfin ◽  
...  

2004 ◽  
Vol 11 (1) ◽  
pp. 50-59 ◽  
Author(s):  
Emily S. Patterson ◽  
Anh D. Nguyen ◽  
James P. Halloran ◽  
Steven M. Asch

Author(s):  
Jason J. Saleem ◽  
Emily S. Patterson ◽  
Laura Militello ◽  
Marta L. Render ◽  
Greg Orshansky ◽  
...  

Computerized clinical reminders (CRs) can improve compliance with evidence-based practices in preventive care and chronic disease management. However, observational research is needed to explain the known variability in the use of CRs. We conducted ethnographic observations of nurses and providers using CRs in outpatient primary care clinics for two days in each of four geographically distributed Veterans Administration (VA) medical centers. We found that use of CRs was impeded by (1) lack of coordination between nurses and providers, (2) using the reminders while not with the patient, impairing data acquisition and/or implementation of recommended actions, (3) workload, (4) lack of CR flexibility, and (5) poor interface usability. We discuss implications of these findings for CR system design and provide recommendations for redesign to facilitate the effective use of CRs.


Author(s):  
Dianna L. Newman ◽  
Patricia Barbanell ◽  
John Falco

Online communities have expanded to include a complex array of technologies that allow us to integrate multiple modes of interaction among participants. One such method of interaction is videoconferencing. As part of a multi-year national program, the authors developed and investigated multiple methods by which videoconferencing could be used to expand PK-12 educational communities such that students at geographically distanced sites have opportunities to interact with external resources. The authors identified four major types of videoconferencing communities and common patterns within each that help to support effective use of the process. The chapter examines the nature and structure of these videoconferencing communities, provides examples of successful use, summarizes key user variables that impact the process, and makes recommendations for methods that should be used when studying videoconferencing communities.


Author(s):  
W.A. Carrington ◽  
F.S. Fay ◽  
K.E. Fogarty ◽  
L. Lifshitz

Advances in digital imaging microscopy and in the synthesis of fluorescent dyes allow the determination of 3D distribution of specific proteins, ions, GNA or DNA in single living cells. Effective use of this technology requires a combination of optical and computer hardware and software for image restoration, feature extraction and computer graphics.The digital imaging microscope consists of a conventional epifluorescence microscope with computer controlled focus, excitation and emission wavelength and duration of excitation. Images are recorded with a cooled (-80°C) CCD. 3D images are obtained as a series of optical sections at .25 - .5 μm intervals.A conventional microscope has substantial blurring along its optical axis. Out of focus contributions to a single optical section cause low contrast and flare; details are poorly resolved along the optical axis. We have developed new computer algorithms for reversing these distortions. These image restoration techniques and scanning confocal microscopes yield significantly better images; the results from the two are comparable.


2012 ◽  
Vol 220 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Sandra Sülzenbrück

For the effective use of modern tools, the inherent visuo-motor transformation needs to be mastered. The successful adjustment to and learning of these transformations crucially depends on practice conditions, particularly on the type of visual feedback during practice. Here, a review about empirical research exploring the influence of continuous and terminal visual feedback during practice on the mastery of visuo-motor transformations is provided. Two studies investigating the impact of the type of visual feedback on either direction-dependent visuo-motor gains or the complex visuo-motor transformation of a virtual two-sided lever are presented in more detail. The findings of these studies indicate that the continuous availability of visual feedback supports performance when closed-loop control is possible, but impairs performance when visual input is no longer available. Different approaches to explain these performance differences due to the type of visual feedback during practice are considered. For example, these differences could reflect a process of re-optimization of motor planning in a novel environment or represent effects of the specificity of practice. Furthermore, differences in the allocation of attention during movements with terminal and continuous visual feedback could account for the observed differences.


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