Development of Team Coordination and Performance Measures in a Trauma Setting

Author(s):  
Stuart Marshall ◽  
Anne Miller ◽  
Yan Xiao

The paucity of reliable measures of team coordination and performance significantly obstructs the assessment of the effects of any technology on teams to improve decision making in health care. A pilot study was conducted to determine if measures of coordination and performance could be developed for teams involved in trauma resuscitation. A video assisted review of cases enabled evaluation of the use of the tools. Descriptors of coordination were derived from Klein's five-stage model of team coordination. A scoring system of team performance was developed from the University of Maryland Team Observable Performance Metric (UMTOP). After some modification both coordination and performance could be described. However, four defined stages of resuscitation were observed which greatly improved coding. More rigorous assessments of these tools will be required before firm conclusions can be drawn about the effects of a decision support tool recently introduced into the environment.

Author(s):  
Jamie C. Gorman ◽  
Nancy J. Cooke ◽  
Jennifer L. Winner ◽  
Jasmine L. Duran ◽  
Harry K. Pedersen ◽  
...  

Three-person teams controlling a simulated unmanned aerial vehicle underwent different training regimes in order to assess the effect of process-based and knowledge-based training on team coordination and performance. Coordination and performance were assessed during training and eight to eleven weeks after training. Process training consisted of either enforcing a rigid coordination process or forcing teams to coordinate in different ways through the introduction of perturbations. Knowledge training consisted of cross-training teams on each others roles. Results indicate that process training had a significant effect on team coordination. In addition, the qualitative nature of coordination flexibility changed from training to retention for process versus knowledge trained teams, with process teams behaving flexibly at retention. Perturbation process training led to significantly higher team performance under high workload. Rigid process training lead to significantly lower performance in one of the retention missions.


2020 ◽  
Vol 21 (6) ◽  
pp. 375-386 ◽  
Author(s):  
Christina L Aquilante ◽  
David P Kao ◽  
Katy E Trinkley ◽  
Chen-Tan Lin ◽  
Kristy R Crooks ◽  
...  

In recent years, the genomics community has witnessed the growth of large research biobanks, which collect DNA samples for research purposes. Depending on how and where the samples are genotyped, biobanks also offer the potential opportunity to return actionable genomic results to the clinical setting. We developed a preemptive clinical pharmacogenomic implementation initiative via a health system-wide research biobank at the University of Colorado. Here, we describe how preemptive return of clinical pharmacogenomic results via a research biobank is feasible, particularly when coupled with strong institutional support to maximize the impact and efficiency of biobank resources, a multidisciplinary implementation team, automated clinical decision support tools, and proactive strategies to engage stakeholders early in the clinical decision support tool development process.


2020 ◽  
Vol 3 (11) ◽  
pp. e2023547
Author(s):  
Benjamin A. Goldstein ◽  
Marcelo Cerullo ◽  
Vijay Krishnamoorthy ◽  
Jeanna Blitz ◽  
Leila Mureebe ◽  
...  

2019 ◽  
Vol 59 (12) ◽  
pp. 2280 ◽  
Author(s):  
E. B. Thomas ◽  
K. A. Dolecheck ◽  
T. B. Mark ◽  
C. R. Eastwood ◽  
B. T. Dela Rue ◽  
...  

Context Advances in automated oestrus detection have made this an attractive technology to help reduce manual oestrus detection labour on dairy farms. Aims A decision-support tool was created to help farmers estimate the investment outcome of adopting automated oestrus detection technologies in a seasonal dairy production system. Methods A decision-support tool was created using Excel 2011 (Microsoft Inc., Redmond, WA, USA). The tool allows farmers to input both current herd reproductive management costs and performance and automated oestrus detection technology system costs and performance to receive herd-specific estimates of investment benefit. The investment analysis outputs include the net present value (NPV), internal rate of return (IRR), and payback period associated with automated oestrus detection adoption. Two different automated oestrus detection technologies were compared with visual oestrus detection aided by tail paint with a 72.0% oestrus detection rate (sensitivity) to demonstrate the value of the investment analysis tool. The alternative scenarios, technology one and technology two, were compared over an eight-year investment period. Key results Technology one, with a 62.4% oestrus detection rate, resulted in a negative NPV and IRR (–NZ$182567 and –100% respectively), indicating a poor investment. Technology two, with an oestrus detection rate of 91.0%, provided a positive NPV and IRR (NZ$177890 and 38.7% respectively), indicating a beneficial investment. The payback period for technology one was estimated as >10 years, whereas technology two’s payback period was <1 year. Conclusions The investment tool results are dependent on farm-specific and automated oestrus detection inputs. Implications Farmers can use farm-specific inputs in the tool to aid them when considering adoption of new automated oestrus detection technologies.


2021 ◽  
Author(s):  
Christopher L Sidlar ◽  
Claus Rinner

Argumentation Maps support participants in geographically referenced debates as they occur, for example, as part of urban planning processes. In a quasi-naturalistic case study, 11 student participants discussed planning issues on the University of Toronto downtown campus. The analysis of this case study focuses on general usability aspects of an Argumentation Map prototype, such as cost of entry, efficiency, interactivity, and connectivity. By applying usability analysis methods from the field of human-computer interaction, we evaluate the learnability, memorability, and user satisfaction with this tool’s functionality. Our findings indicate that the participants were generally satisfied, but we include specific suggestions for improving the functionality of Argumentation Maps, e.g., with respect to map navigation, display of discussion contributions, and online status of participants. On a more general level, this case study contributes to the methods spectrum of research into participatory spatial decision support systems as an example of user testing in a realistic decision-making context.


2021 ◽  
Author(s):  
Christopher L Sidlar ◽  
Claus Rinner

Argumentation Maps support participants in geographically referenced debates as they occur, for example, as part of urban planning processes. In a quasi-naturalistic case study, 11 student participants discussed planning issues on the University of Toronto downtown campus. The analysis of this case study focuses on general usability aspects of an Argumentation Map prototype, such as cost of entry, efficiency, interactivity, and connectivity. By applying usability analysis methods from the field of human-computer interaction, we evaluate the learnability, memorability, and user satisfaction with this tool’s functionality. Our findings indicate that the participants were generally satisfied, but we include specific suggestions for improving the functionality of Argumentation Maps, e.g., with respect to map navigation, display of discussion contributions, and online status of participants. On a more general level, this case study contributes to the methods spectrum of research into participatory spatial decision support systems as an example of user testing in a realistic decision-making context.


2017 ◽  
Vol 8 (2) ◽  
pp. 557-563 ◽  
Author(s):  
V. Liakos ◽  
W. Porter ◽  
X. Liang ◽  
M. A. Tucker ◽  
A. McLendon ◽  
...  

This paper will present a dynamic Variable Rate Irrigation System developed by the University of Georgia. The system consists of the EZZone management zone delineation tool, the UGA Smart Sensor Array (UGA SSA) and an irrigation scheduling decision support tool. An experiment was conducted in 2015 and 2016 in two different peanut fields to evaluate the performance of using the UGA SSA to dynamically schedule Variable Rate Irrigation (VRI). For comparison reasons strips were designed within the fields. These strips were irrigated according to either UGA SSA or Irrigator Pro recommendations. The results showed that Irrigator Pro is a conservative irrigation method which results in high yields. On the other hand the UGA SSA recommendations worked very well with the VRI system and in both years it recommended an average of 25% less irrigation water than the Irrigator Pro.


2020 ◽  
Vol 2 (2) ◽  
pp. p12
Author(s):  
Abdelkader Derbali

To offer alternatives to improve the performance of Islamic financial institutions (IFIs), we try in this paper to examine the applicability of the reliability model, as a tool to help decision. We opted for the investment by Mousharakah contracts and Moudarabah contracts because of their resemblance to venture capital, where the reliability model was mentioned. To do this, we developed a documentary research which allowed us, on the one hand, to dissect the notions of decision and performance and to confirm a possible nexus among the two, and on the other hand, to justify the use of this model. Then, we set up the theoretical framework of the model for a potential application to our case study. Then, and after confirming this relationship, we were interested in the case of investment by the Mousharakah and Moudarabah contracts, given their similarity to other financing methods, namely venture capital, where the reliability model was mentioned as a decision support tool. All in all, we can find that this approach will probably create an investigative implement to aid investment choice and decision for IFIs in the future. The developed model constitutes an analytical decision-making aid tool for Islamic financial institutions in the future for Traders and investors.


2007 ◽  
Author(s):  
Jamie C. Gorman ◽  
Nancy J. Cooke ◽  
Jennifer L. Winner ◽  
Jasmine L. Duran ◽  
Harry K. Pedersen ◽  
...  

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