scholarly journals REENGINEER HEALTHCARE: A HUMAN FACTORS AND ERGONOMICS FRAMEWORK TO IMPROVE THE SOCIO-TECHNICAL SYSTEM

2020 ◽  
Author(s):  
Raquel Santos
Keyword(s):  
Health Care ◽  
Human Factors ◽  
Health Care Organizations ◽  
Outcome Measure ◽  
Care Delivery ◽  
Hospital Environment ◽  
Care Group ◽  
Private Health Care ◽  
Organizational System ◽  
Human Factors And Ergonomics

Abstract Objective Human Factors and Ergonomics (HFE) discipline is critical to improve the health care system. The technical development of medicine in general is not accompanied by the organizational system that supports the delivery of high-quality, safe care. The potential for improvement in care delivery is overwhelming. This paper describes an HFE framework that consists of four main domains of action within the organization: 1) Process; 2) Product; 3) Training; and 4) Research. It aims to demonstrate to health care stakeholders, especially boards, management and professionals, as well as to the community of human factors, how HFE can be structured to respond to the challenges of improving the socio-technical health system. Design None Setting Intra-hospital environment of a private health care group. Participants None Intervention(s) None Main outcome measure(s) None Results HFE framework Conclusion Together with other disciplines, HFE can and must play a determinant role in the reengineering of a human-centered health care. HFE must be embedded in health care organizations and must demonstrate its value in a more comprehensive way, so that stakeholders become aware of the benefits and feel the need to ask for help. Examples of systemic, practical and comprehensive applications are needed. This framework is a contribution in this direction.

scholarly journals Bedside Nurse Acceptance of Intensive Care Unit Telemedicine Presence

2018 ◽  
Vol 38 (6) ◽  
pp. e1-e4 ◽  
Author(s):  
Christina Canfield ◽  
Sandra Galvin
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Perception Of Support ◽  
Evidence Based Care

Since 2010, health care organizations have rapidly adopted telemedicine as part of their health care delivery system to inpatients and outpatients. The application of telemedicine in the intensive care unit is often referred to as tele-ICU. In telemedicine, nurses, nurse practitioners, physicians, and other health care professionals provide patient monitoring and intervention from a remote location. Tele-ICU presence has demonstrated positive outcomes such as increased adherence to evidence-based care and improved perception of support at the bedside. Despite the successes, acceptance of tele-ICU varies. Known barriers to acceptance include perceptions of intrusiveness and invasion of privacy.

The Partners HealthCare Settlement and the Future of Health Care Organizations

2014 ◽  
Vol 11 (1) ◽  
Keyword(s):  
Health Care ◽  
Market Power ◽  
Health Care Providers ◽  
Federal Trade Commission ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Sector ◽  
Care Providers ◽  
Unique Challenge ◽  
Delivery Models

AbstractA recent settlement between Massachusetts and Partners HealthCare, along with successful antitrust actions by the Federal Trade Commission, may signal the beginning of the end of two decades of consolidation of health care providers. This consolidation has been associated with higher prices resulting from market power, justifying the antitrust actions. However, the appropriate remedy for the health sector is a unique challenge. The proposed settlement appears to lock into place the legacy of the hospital-based delivery model, rather than orchestrating a pathway to a new care delivery models. Clearly, we need a regulatory framework that will introduce innovative alternatives into the market, not enshrine the current costly paradigm.

COVID-19, risks, occupational safety of nursing personnel

2020 ◽  
pp. 11-27
Author(s):  
Sergey Dvoynikov
Keyword(s):  
Health Care ◽  
Respiratory Tract ◽  
Occupational Safety ◽  
Clinical Presentation ◽  
Care Delivery ◽  
Medical Personnel ◽  
Hospital Environment ◽  
Upper Respiratory Tract ◽  
Disease Symptoms ◽  
Upper Respiratory

Coronavirus is a disease affecting the human respiratory system. The entry of infection is the upper respiratory tract, stomach and intestines epithelium. The term viral (interstitial) pneumonia, widely used in the clinical presentation, describes its development. This article describes the development of the disease symptoms, the safety of medical personnel in the conditions of coronavirus spread, principles of health care delivery to patients in a hospital environment.

Human Factors–Based Mobile Application Design for Global Health

2018 ◽  
Vol 25 (6) ◽  
pp. 557-562 ◽  
Author(s):  
Tyson Schwab ◽  
John Langell
Keyword(s):  
Health Care ◽  
Global Health ◽  
Human Factors ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Mobile Apps ◽  
Low Cost ◽  
User Centered Design ◽  
App Development ◽  
Global Health Care

Background. The rapid adoption of smartphones and software applications (apps) has become prevalent worldwide, making these technologies nearly universally available. Low-cost mobile health (M-health) platforms are being rapidly adopted in both developed and emerging markets and have transformed the health care delivery landscape. Human factors optimization is critical to the safe and sustainable adoption of M-health solutions. The overall goal of engaging human factors requirements in the software app design process is to decrease patient safety risks while increasing usability and productivity for the end user. Methods. An extensive review of the literature was conducted using PubMed and Google search engines to identify best approaches to M-health software design based on human factors and user-centered design to optimize the usability, safety, and efficacy of M-health apps. Extracted data were used to create a health care app development algorithm. Results. A best practice algorithm for the design of mobile apps for global health care, based on the extracted data, was developed. The approach is based on an iterative 4-stage process that incorporates human factors and user-centered design processes. This process helps optimize the development of safe and effective mobile apps for use in global health care delivery and disease prevention. Conclusion. Mobile technologies designed for developing regions offer a potential solution to provide effective, low-cost health care. Applying human factors design principles to global health care app development helps ensure the delivery of safe and effective technologies tailored to the end-users requirements.

Retail Thinking Comes to Health Care

2017 ◽  
Author(s):  
Timothy J. Hoff
Keyword(s):  
Health Care ◽  
Market Segmentation ◽  
Price Competition ◽  
Data Analytics ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Poor Patient ◽  
Economic Satisfaction ◽  
External Forces ◽  
Patient Relationships

Retail thinking and tactics are beginning to find their way into health care delivery, further impacting the ability to have strong, dyadic doctor-patient relationships. External forces described in Chapter 2 and poor patient experiences provide fertile soil for their growth. The retail rhetoric consists of heavy emphasis on “value,” “transparency,” “branding,” and “consumer activation.” The implementation of retail tactics into health care shifts the emphasis from relational to transactional forms of exchange, the latter emphasizing short-duration exchanges between buyer and seller, standardized obligations, and economic satisfaction. Retail approaches give large health care organizations greater power given their scale and resources to engage in key retail tactics such as data analytics, market segmentation, marketing, and price competition. There are tangible reasons for bringing some aspects of retail thinking into health care. Their application, however, brings risks for patients and their care, and threatens to undermine doctor-patient relationships further.

Sign in / Sign up

Export Citation Format

Share Document