Conceptualizing a Quantitative Measurement Suite to Evaluate Healthcare Teams

2022 ◽  
pp. 104687812110663
Author(s):  
John T. Paige ◽  
Camille L. Rogers ◽  
Kathryn E. Kerdolff ◽  
Deborah D. Garbee ◽  
Laura S. Bonanno ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quantitative Measurement ◽  
Complex Nature ◽  
Portable Devices ◽  
Assessment Instruments ◽  
Healthcare Teams ◽  
Team Assessment ◽  
Quantitative Measurements ◽  
Measurement Suite ◽  
Construct Measurement

Background Current team assessment instruments in healthcare tend to involve rater-based evaluations that are susceptible to well-known biases. Recent advances in technology include portable devices to measure team-based activities. Consequently, the possibility exists to move away from rater-based assessments of team function by identifying quantitative measures to replace them. Aim This article aims to provide potential approaches to developing quantitative measurement suites involving large amounts of data to address the challenges of assessment presented by the complex nature of teamwork. Conclusion By addressing construct, measurement, and context components, we provide a practical approach to developing a suite to capture quantitative measurements that, through incorporation of social network analysis and aggregated other values, aligns with the Team Strategies & Tools to Enhance Performance and Patient SafetyTM (TeamSTEPPSTM) dimensions for fostering teamwork.

scholarly journals Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis

2020 ◽  
Vol 29 (8) ◽  
pp. 672-683 ◽  
Author(s):  
Siobhan Kathleen McHugh ◽  
Rebecca Lawton ◽  
Jane Kathryn O'Hara ◽  
Laura Sheard
Keyword(s):  
Patient Safety ◽  
Contextual Information ◽  
Conclusive Evidence ◽  
Complex Nature ◽  
Healthcare Team ◽  
Healthcare Teams ◽  
Registration Number ◽  
Interprofessional Healthcare ◽  
Meta Analyses ◽  
The Impact

BackgroundTeamwork and communication are recognised as key contributors to safe and high-quality patient care. Interventions targeting process and relational aspects of care may therefore provide patient safety solutions that reflect the complex nature of healthcare. Team reflexivity is one such approach with the potential to support improvements in communication and teamwork, where reflexivity is defined as the ability to pay critical attention to individual and team practices with reference to social and contextual information.ObjectiveTo systematically review articles that describe the use of team reflexivity in interprofessional hospital-based healthcare teams.MethodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, six electronic databases were searched to identify literature investigating the use of team reflexivity in interprofessional hospital-based healthcare teams.The review includes articles investigating the use of team reflexivity to improve teamwork and communication in any naturally occurring hospital-based healthcare teams. Articles’ eligibility was validated by two second reviewers (5%).ResultsFifteen empirical articles were included in the review. Simulation training and video-reflexive ethnography (VRE) were the most commonly used forms of team reflexivity. Included articles focused on the use of reflexive interventions to improve teamwork and communication within interprofessional healthcare teams. Communication during interprofessional teamworking was the most prominent focus of improvement methods. The nature of this review only allows assessment of team reflexivity as an activity embedded within specific methods. Poorly defined methodological information relating to reflexivity in the reviewed studies made it difficult to draw conclusive evidence about the impact of reflexivity alone.ConclusionThe reviewed literature suggests that VRE is well placed to provide more locally appropriate solutions to contributory patient safety factors, ranging from individual and social learning to improvements in practices and systems.Trial registration numberCRD42017055602.

scholarly journals Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety

10.12788/3305 ◽  
2019 ◽  
Vol 15 (6) ◽  
pp. 378-380
Author(s):  
Philip A Hagedorn ◽  
Amit Singh ◽  
Brooke Luo ◽  
Christopher Bonafide ◽  
Jeffrey M Simmons
Keyword(s):  
Patient Safety ◽  
Mobile Phones ◽  
Text Messaging ◽  
Improve Patient Safety ◽  
Personal Communication ◽  
Healthcare Teams ◽  
The Past ◽  
Effective Care ◽  
Communication Needs ◽  
Improve Patient

Over the past two decades, physicians and nurses practicing in hospital settings have faced an onslaught of challenges in communication, an area frequently cited as critical to providing safe and effective care to patients.1-3 Communication needs have increased significantly as hospitalized patients have become more acute, complex, and technology-dependent, requiring larger healthcare teams comprising subspecialists across multiple disciplines spread across increasingly larger inpatient facilities.4 During this same period, the evolution of mobile phones has led to dramatic shifts in personal communication patterns, with asynchronous text messaging replacing verbal communication.5-7

scholarly journals Quantitative Measurement of Breast Density Using Personalized 3D-Printed Breast Model for Magnetic Resonance Imaging

Diagnostics ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 793
Author(s):  
Rooa Sindi ◽  
Yin How Wong ◽  
Chai Hong Yeong ◽  
Zhonghua Sun
Keyword(s):  
Breast Density ◽  
Repeated Measures ◽  
Quantitative Measurement ◽  
Breast Volume ◽  
Tissue Volume ◽  
Fibroglandular Tissue ◽  
Quantitative Measurements ◽  
3D Printed ◽  
The Difference ◽  
Weighted Sequences

Despite the development and implementation of several MRI techniques for breast density assessments, there is no consensus on the optimal protocol in this regard. This study aimed to determine the most appropriate MRI protocols for the quantitative assessment of breast density using a personalized 3D-printed breast model. The breast model was developed using silicone and peanut oils to simulate the MRI related-characteristics of fibroglandular and adipose breast tissues, and then scanned on a 3T MRI system using non-fat-suppressed and fat-suppressed sequences. Breast volume, fibroglandular tissue volume, and percentage of breast density from these imaging sequences were objectively assessed using Analyze 14.0 software. Finally, the repeated-measures analysis of variance (ANOVA) was performed to examine the differences between the quantitative measurements of breast volume, fibroglandular tissue volume, and percentage of breast density with respect to the corresponding sequences. The volume of fibroglandular tissue and the percentage of breast density were significantly higher in the fat-suppressed sequences than in the non-fat-suppressed sequences (p < 0.05); however, the difference in breast volume was not statistically significant (p = 0.529). Further, a fat-suppressed T2-weighted with turbo inversion recovery magnitude (TIRM) imaging sequence was superior to the non-fat- and fat-suppressed T1- and T2-weighted sequences for the quantitative measurement of breast density due to its ability to represent the exact breast tissue compositions. This study shows that the fat-suppressed sequences tended to be more useful than the non-fat-suppressed sequences for the quantitative measurements of the volume of fibroglandular tissue and the percentage of breast density.

scholarly journals Policy to Protection: The Role of Human Nature and System Nature in Preventing Patient Injury

2004 ◽  
Vol 35 (4) ◽  
pp. 829 ◽  
Author(s):  
Peter Roberts
Keyword(s):  
Patient Safety ◽  
Health System ◽  
Human Nature ◽  
Medical Error ◽  
Complex Nature ◽  
Health Practitioners

This article examines theories and research relating to medical error. It looks at the human tendencies to err, to blame, and to trust. In light of the professionalism of health practitioners and the uniquely complex nature of the health system, the author encourages a focus on professionalism rather than consumerism. ACC's abandonment of the concept of medical error is consistent with this approach to patient safety.

scholarly journals Multidimensional instruments with an integral approach to identify frailty in community-dwelling people: protocol for a systematic psychometric review

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033160
Author(s):  
Juan José Zamora-Sánchez ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Lina Jódar-Fernández ◽  
Iris Lumillo-Gutiérrez ◽  
...  
Keyword(s):  
Clinical Decision Making ◽  
Grey Literature ◽  
Community Setting ◽  
Community Dwelling ◽  
Measurement Properties ◽  
Integral Approach ◽  
Complex Nature ◽  
Assessment Instruments ◽  
Health Measurement ◽  
Patient Consent

IntroductionAn increasing number of investigations highlight the complex nature of frailty; therefore, the use of multidimensional assessment instruments could be useful in clinical decision-making. Frail people are found mainly in the community setting which is why this is the ideal environment for early screening and intervention. For this purpose, it is necessary to have valid, time-effective and easy-to-use frailty assessment instruments. The aim of this review is to critically appraise, compare and summarise the quality of the measurement properties of all multidimensional instruments with an integral approach to identify frailty in community-dwelling people.Methods and analysisMedline, Psychological Information Database (PsycINFO) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) will be searched from their inception dates. We will also conduct searches in databases of grey literature. No limits will be applied for language. A highly sensitive validated search filter will be used for finding studies on measurement properties. An additional search including the names of the instruments found in the initial search will also be undertaken. Studies aiming at the development of a measurement instrument, the evaluation of one or more measurement properties or the evaluation of its interpretability will be included. The instrument should have an integral approach (physical, psychological and social) and it should measure all three domains. The context of use should be a community setting. Two reviewers independently will screen the references and assess the risk of bias by consensus-based standards for the selection of health measurement instruments checklist. To assess the overall evidence for the measurement properties of the identified instruments, the results of the different studies, adjusted for their methodological quality, will be combined.Ethics and disseminationEthical approval and patient consent are not required as this is a psychometric review based on published studies. The results of this review will be disseminated at conferences and published in an international peer-reviewed journal.PROSPERO registration numberCRD42019120212.

Electron microscopy of modulated and ordered alloys

1988 ◽  
Vol 46 ◽  
pp. 768-769
Author(s):  
J. Bentley
Keyword(s):  
Electron Microscopy ◽  
Elastic Anisotropy ◽  
Data Interpretation ◽  
Transformation Process ◽  
Complex Nature ◽  
Quantitative Measurements ◽  
Transmission Electron ◽  
Coarsening Behavior ◽  
Modulated Structures ◽  
Ordered Alloys

Modulated and ordered alloys are of interest not only from a basic standpoint but also because they often possess interesting properties or form the basis of commercial materials. Transmission electron microscopy (TEM) provides much unique and valuable information in the study of phase transformations in such alloys but, as this overview of the applicable methods will try to illustrate, the experimental work is often challenging and data interpretation is rarely straightforward.In alloys with a modulated structure, spinodal decomposition is the transformation process of most interest. In cubic crystals, elastic anisotropy usually leads to triaxially modulated structures with composition modulations along <100>, whereas in isotropic systems, randomly oriented, highly interconnected structures are formed. TEM has most commonly been used to image the spinodal microstructure and to measure wavelength and waveshape. The observations are often only qualitative because of the complex nature of the image, but quantitative measurements of coarsening behavior have been attempted.

scholarly journals Human factors: bridging artificial intelligence and patient safety

2020 ◽  
Vol 9 (1) ◽  
pp. 211-215
Author(s):  
Avishek Choudhury ◽  
Onur Asan
Keyword(s):  
Artificial Intelligence ◽  
Patient Safety ◽  
Human Factors ◽  
Human Performance ◽  
Complex Nature ◽  
Clinical Workflow ◽  
Human Factors And Ergonomics ◽  
Interacting Components

The recent launch of complex artificial intelligence (AI) in the domain of healthcare has embedded perplexities within patients, clinicians, and policymakers. The opaque and complex nature of artificial intelligence makes it challenging for clinicians to interpret its outcome. Incorrect interpretation and poor utilization of AI might hamper patient safety. The principles of human factors and ergonomics (HFE) can assist in simplifying AI design and consecutively optimize human performance ensuring better understanding of AI outcome, their interaction with the clinical workflow. In this paper, we discuss the interactions of providers with AI and how HFE can influence these interacting components to patient safety.

scholarly journals Instrumentos de avaliação de segurança do paciente nos serviços de saúde: uma revisão integrativa / Patient safety assessment instruments in health services: an integrative review

2020 ◽  
Vol 3 (6) ◽  
pp. 17210-17225
Author(s):  
Vanessa de Carvalho Silva ◽  
Jefferson Nunes dos Santos ◽  
Maynara Vinícia Santos ◽  
Jhenyff de Barros Remigio Limeira ◽  
Beatriz Vieira da Silva ◽  
...  
Keyword(s):  
Patient Safety ◽  
Health Services ◽  
Safety Assessment ◽  
Integrative Review ◽  
Assessment Instruments

scholarly journals ESR statement on portable ultrasound devices

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Keyword(s):  
Patient Safety ◽  
Pulse Wave ◽  
Clinical Applications ◽  
Portable Devices ◽  
Clinical Settings ◽  
Colour Doppler ◽  
Standard Equipment ◽  
Portable Ultrasound ◽  
Contrast Enhanced ◽  
Almost All

Abstract The use of portable ultrasound (US) devices has increased in recent years and the market has been flourishing. Portable US devices can be subdivided into three groups: laptop-associated devices, hand-carried US, and handheld US devices. Almost all companies we investigated offer at least one portable US device. Portable US can also be associated with the use of different US techniques such as colour Doppler US and pulse wave (PW)-Doppler. Laptop systems will also be available with contrast-enhanced US and high-end cardiac functionality. Portable US devices are effective in the hands of experienced examiners. Imaging quality is predictably inferior to so-called high-end devices. The present paper is focused on portable US devices and clinical applications describing their possible use in different organs and clinical settings, keeping in mind that patient safety must never be compromised. Hence, portable devices must undergo the same decontamination assessment and protocols as the standard equipment, especially smartphones and tablets.

Team Assessment Instruments

Teams ◽  
1996 ◽  
pp. 211-249
Author(s):  
Ronald J. Recardo ◽  
David Wade ◽  
Charles A. Mention ◽  
Jennifer A. Jolly
Keyword(s):  
Assessment Instruments ◽  
Team Assessment
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