Falls and the Physical Environment: A Review and a New Multifactorial Falls-Risk Conceptual Framework

2008 ◽  
Vol 75 (2) ◽  
pp. 82-95 ◽  
Author(s):  
Fabio Feldman ◽  
Habib Chaudhury
Author(s):  
Vaibhav Madhok ◽  
Navin Rustagi

Humans have a rich awareness of locations and situations that directs how we interpret and interact with our surroundings. The principle aim of this paper is to create ‘Information Spaces' where people will use their awareness to search, browse and learn. In the same way that they navigate in a physical environment, they will navigate through knowledge. An information space is a type of design in which representations of information objects are situated in a principled space. In this chapter we present an architecture based on the principles of electrostatistics, which presents a model for design of information spaces. Our model gives an easy conceptual framework to reason about how information can be represented as well as secure ways of extracting and storing information leading to a design which are easily scalable in virtual team environments.


Author(s):  
Sue Hignett ◽  
Jane Youde ◽  
James Reid

Most interventions for managing (reducing) the risks associated with in-patient falls have used a clinical approach to address underlying frailty and illness (physical and mental) with drugs, technology and therapy. This paper reports the results of a two stage audit on in-patient falls risk management at two teaching hospitals in the UK in July 2013 using the DIAL-F systems model as a Human Factors/Ergonomics (HFE) conceptual framework to explore patient engagement with falls risk management. Some safety critical system misalignments were found, and it is suggested that a future HFE intervention might include addressing the problems of (1) reach distances to walking aids and (2) obstacles in the bedside area for patients needing mobility assistance.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e014825 ◽  
Author(s):  
Jean-Frederic Levesque ◽  
Kim Sutherland

ObjectiveAcross healthcare systems, there is consensus on the need for independent and impartial assessment of performance. There is less agreement about how measurement and reporting performance improves healthcare. This paper draws on academic theories to develop a conceptual framework—one that classifies in an integrated manner the ways in which change can be leveraged by healthcare performance information.MethodsA synthesis of published frameworks.ResultsThe framework identifies eight levers for change enabled by performance information, spanning internal and external drivers, and emergent and planned processes: (1) cognitive levers provide awareness and understanding; (2) mimetic levers inform about the performance of others to encourage emulation; (3) supportive levers provide facilitation, implementation tools or models of care to actively support change; (4) formative levers develop capabilities and skills through teaching, mentoring and feedback; (5) normative levers set performance against guidelines, standards, certification and accreditation processes; (6) coercive levers use policies, regulations incentives and disincentives to force change; (7) structural levers modify the physical environment or professional cultures and routines; (8) competitive levers attract patients or funders.ConclusionThis framework highlights how performance measurement and reporting can contribute to eight different levers for change. It provides guidance into how to align performance measurement and reporting into quality improvement programme.


Author(s):  
Vaibhav Madhok ◽  
Navin Rustagi

Humans have a rich awareness of locations and situations that directs how we interpret and interact with our surroundings. The principle aim of this paper is to create ‘Information Spaces' where people will use their awareness to search, browse and learn. In the same way that they navigate in a physical environment, they will navigate through knowledge. An information space is a type of design in which representations of information objects are situated in a principled space. In this chapter we present an architecture based on the principles of electrostatistics, which presents a model for design of information spaces. Our model gives an easy conceptual framework to reason about how information can be represented as well as secure ways of extracting and storing information leading to a design which are easily scalable in virtual team environments.


1999 ◽  
Vol 41 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Charlene Butler ◽  
Henry Chambers ◽  
Murray Goldstein ◽  
Susan Harris ◽  
Judy Leach ◽  
...  

Crisis ◽  
2011 ◽  
Vol 32 (4) ◽  
pp. 204-216 ◽  
Author(s):  
M. L. Rurup ◽  
H. R. W. Pasman ◽  
J. Goedhart ◽  
D. J. H. Deeg ◽  
A. J. F. M. Kerkhof ◽  
...  

Background: Quantitative studies in several European countries showed that 10–20% of older people have or have had a wish to die. Aims: To improve our understanding of why some older people develop a wish to die. Methods: In-depth interviews with people with a wish to die (n = 31) were carried out. Through open coding and inductive analysis, we developed a conceptual framework to describe the development of death wishes. Respondents were selected from two cohort studies. Results: The wish to die had either been triggered suddenly after traumatic life events or had developed gradually after a life full of adversity, as a consequence of aging or illness, or after recurring depression. The respondents were in a situation they considered unacceptable, yet they felt they had no control to change their situation and thus progressively “gave up” trying. Recurring themes included being widowed, feeling lonely, being a victim, being dependent, and wanting to be useful. Developing thoughts about death as a positive thing or a release from problems seemed to them like a way to reclaim control. Conclusions: People who wish to die originally develop thoughts about death as a positive solution to life events or to an adverse situation, and eventually reach a balance of the wish to live and to die.


2016 ◽  
Vol 6 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Isaac Munene

Abstract. The Human Factors Analysis and Classification System (HFACS) methodology was applied to accident reports from three African countries: Kenya, Nigeria, and South Africa. In all, 55 of 72 finalized reports for accidents occurring between 2000 and 2014 were analyzed. In most of the accidents, one or more human factors contributed to the accident. Skill-based errors (56.4%), the physical environment (36.4%), and violations (20%) were the most common causal factors in the accidents. Decision errors comprised 18.2%, while perceptual errors and crew resource management accounted for 10.9%. The results were consistent with previous industry observations: Over 70% of aviation accidents have human factor causes. Adverse weather was seen to be a common secondary casual factor. Changes in flight training and risk management methods may alleviate the high number of accidents in Africa.


Sign in / Sign up

Export Citation Format

Share Document