Vigilance in Cardiac Telemetry Monitoring: Performance Outcomes and Effects on Operators’ Cognitive and Affective States

Author(s):  
Matthew T. Nare ◽  
Gabriella M. Hancock

Healthcare represents an industry where any errors have the potential to lead to significant consequences such as unintended patient injury or death. Teams of healthcare professionals work together to complete patient care activities across several hospital environments including operating rooms, trauma centers, and care floors. While most healthcare tasks are patient-facing, some tasks such as cardiac telemetry monitoring occur without much patient interaction. Even so, cardiac telemetry monitoring represents a task where errors result in patient harm or death. The purpose of this study was to investigate the vigilance decrement using a healthcare visual search task based on cardiac telemetry monitoring. Results of this study were viewed through the lens of resource theory of vigilance. Findings from this study include a decrease in correct detections and false alarms with increased workload which supports previous vigilance decrement research as well providing directions for future research.

2012 ◽  
Vol 46 (6) ◽  
pp. 478-487 ◽  
Author(s):  
Avinash Konkani ◽  
Barbara Oakley ◽  
Thomas J. Bauld

Abstract Increasing noise in hospital environments, especially in intensive care units (ICUs) and operating rooms (ORs), has created a formidable challenge for both patients and hospital staff. A major contributing factor for the increasing noise levels in these environments is the number of false alarms generated by medical devices. This study focuses on discovering best practices for reducing the number of false clinical alarms in order to increase patient safety and provide a quiet environment for both work and healing. The researchers reviewed Pub Med, Web of Knowledge and Google Scholar sources to obtain original journal research and review articles published through January 2012. This review includes 27 critically important journal articles that address different aspects of medical device alarms management, including the audibility, identification, urgency mapping, and response time of nursing staff and different solutions to such problems. With current technology, the easiest and most direct method for reducing false alarms is to individualize alarm settings for each patient's condition. Promoting an institutional culture change that emphasizes the importance of individualization of alarms is therefore an important goal. Future research should also focus on the development of smart alarms.


2020 ◽  
Vol 5 (5) ◽  
pp. 1221-1230
Author(s):  
Jane Roitsch ◽  
Kimberly A. Murphy ◽  
Anastasia M. Raymer

Purpose The purpose of this study was to investigate executive function measures as they relate to clinical and academic performance outcomes of graduate speech-language pathology students. Method An observational design incorporating correlations and stepwise multiple regressions was used to determine the strength of the relationships between clinical outcomes that occurred at various time points throughout the graduate program (clinical coursework grades throughout the program and case study paper scores at the end of the program), academic outcomes (graduate grade point average and Praxis II exam in speech-language pathology scores), and executive function (EF) scores (EF assessment scores, self-reported EF scores). Participants were 37 students (36 women, M age = 24.1) in a master's degree program in speech-language pathology at a southeastern U.S. university during the 2017–2018 academic year. Results Findings of this preliminary study indicated that a limited number of objective EF scores and self-reported EF scores were related to clinical and academic outcomes of graduate speech-language pathology students. Conclusion As results of this preliminary study suggest that EF tests may be related to clinical and academic outcomes, future research can move to study the potential role of EF measures in the graduate admissions process in clinical graduate programs such as speech-language pathology.


2020 ◽  
Author(s):  
Emily Budzynski-Seymour ◽  
James Steele ◽  
Michelle Jones

Physical activity (PA) is considered essential to overall health yet it is consistently reported that children are failing to meet the recommended levels. Due to the bidirectional relationship between affective states and PA, affective responses are a potential predictor to long term engagement. Since late March 2020 the UK government enforced ‘lockdown’ measures to help control the spread of Coronavirus (COVID-19); however, this has impacted children’s PA. Using online resources at home to support PA is now common. The primary aim of this research was to investigate the use of the Change4Life 10-minute Shake Ups to support PA by examining the effects of Disney branding upon children’s (n=32) post activity affective responses and perceived exertion. The secondary was to investigate the effect of the lockdown on PA habits. Children had similar positive affective responses and perceived effort to activities; however, branding was considered to be a key contributing factor based upon qualitative feedback from parents. Children’s PA levels dropped slightly since ‘lockdown’ was imposed; though online resources have been utilised to support PA. The use of immersive elements such as characters and narrative in PA sessions, as well as utilising online resources during ‘lockdown’ appear potentially promising for future research.


2021 ◽  
Vol 25 (1) ◽  
pp. 37-53
Author(s):  
Brooke Borgognoni ◽  
Jan LeBlanc Wicks

This survey of faculty advisers examined major variables and findings of past research on student-run agencies using organizational theory. Larger agencies appeared to offer training in more formalized business procedures among a more diverse client base, found in previous research to be helpful to student-run agency graduates now on the job. Hopefully, results will help future researchers identify which factors may best facilitate specific student performance outcomes at agencies of all types and sizes.


Author(s):  
Suzan Dijkink ◽  
Erik W. van Zwet ◽  
Pieta Krijnen ◽  
Luke P. H. Leenen ◽  
Frank W. Bloemers ◽  
...  

Abstract Background Twenty years ago, an inclusive trauma system was implemented in the Netherlands. The goal of this study was to evaluate the impact of structured trauma care on the concentration of severely injured patients over time. Methods All severely injured patients (Injury Severity Score [ISS] ≥ 16) documented in the Dutch Trauma Registry (DTR) in the calendar period 2008–2018 were included for analysis. We compared severely injured patients, with and without severe neurotrauma, directly brought to trauma centers (TC) and non-trauma centers (NTC). The proportion of patients being directly transported to a trauma center was determined, as was the total Abbreviated Injury Score (AIS), and ISS. Results The documented number of severely injured patients increased from 2350 in 2008 to 4694 in 2018. During this period, on average, 70% of these patients were directly admitted to a TC (range 63–74%). Patients without severe neurotrauma had a lower chance of being brought to a TC compared to those with severe neurotrauma. Patients directly presented to a TC were more severely injured, reflected by a higher total AIS and ISS, than those directly transported to a NTC. Conclusion Since the introduction of a well-organized trauma system in the Netherlands, trauma care has become progressively centralized, with more severely injured patients being directly presented to a TC. However, still 30% of these patients is initially brought to a NTC. Future research should focus on improving pre-hospital triage to facilitate swift transfer of the right patient to the right hospital.


Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 887
Author(s):  
Matthew Brooks ◽  
Brad M. Beauvais ◽  
Clemens Scott Kruse ◽  
Lawrence Fulton ◽  
Michael Mileski ◽  
...  

The relationship between healthcare organizational accreditation and their leaders’ professional certification in healthcare management is of specific interest to institutions of higher education and individuals in the healthcare management field. Since academic program accreditation is one piece of evidence of high-quality education, and since professional certification is an attestation to the knowledge, skills, and abilities of those who are certified, we expect alumni who graduated from accredited programs and obtained professional certification to have a positive impact on the organizations that they lead, compared with alumni who did not graduate from accredited programs and who did not obtain professional certification. The authors’ analysis examined the impact of hiring graduates from higher education programs that held external accreditation from the Commission on Accreditation of Healthcare Management Education (CAHME). Graduates’ affiliation with the American College of Healthcare Executives (ACHE) professional healthcare leadership organization was also assessed as an independent variable. Study outcomes focused on these graduates’ respective healthcare organization’s performance measures (cost, quality, and access) to assess the researchers’ inquiry into the perceived value of a CAHME-accredited graduate degree in healthcare administration and a professional ACHE affiliation. The results from this study found no effect of CAHME accreditation or ACHE affiliation on healthcare organization performance outcomes. The study findings support the need for future research surrounding healthcare administration professional graduate degree program characteristics and leader development affiliations, as perceived by various industry stakeholders.


2021 ◽  
Vol 13 (9) ◽  
pp. 5104
Author(s):  
Aram Eslamlou ◽  
Osman M. Karatepe ◽  
Mehmet Mithat Uner

An increasing body of research suggests job embeddedness (JE) as a motivational variable influencing employees’ attitudinal and behavioral outcomes such as quitting intentions and task performance. Personal resources have been reported to affect JE and these outcomes. However, little work has investigated the antecedents and consequences of JE among cabin attendants. There is also a dearth of empirical research regarding the mechanism linking resilience to cabin attendants’ affective and performance outcomes. Therefore, drawing on conservation of resources and JE theories, we propose a conceptual model that examines the interrelationships of resilience, JE, career satisfaction (CSAT), and creative performance (CPERF). Moreover, the model explores JE as a mediator of the impact of resilience on CSAT and CPERF. These linkages were tested via data collected from cabin attendants and their pursers. The findings from structural equation modeling reveal that resilience boosts cabin attendants’ JE, CSAT, and CPERF. As predicted, JE is a mediator between resilience and CSAT. Our paper culminates with implications for theory and practice as well as future research directions.


Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3575
Author(s):  
Sashini Senarath ◽  
Geoff Fernie ◽  
Atena Roshan Fekr

With new advances in technology, remote monitoring of heart failure (HF) patients has become increasingly prevalent and has the potential to greatly enhance the outcome of care. Many studies have focused on implementing systems for the management of HF by analyzing physiological signals for the early detection of HF decompensation. This paper reviews recent literature exploring significant physiological variables, compares their reliability in predicting HF-related events, and examines the findings according to the monitored variables used such as body weight, bio-impedance, blood pressure, heart rate, and respiration rate. The reviewed studies identified correlations between the monitored variables and the number of alarms, HF-related events, and/or readmission rates. It was observed that the most promising results came from studies that used a combination of multiple parameters, compared to using an individual variable. The main challenges discussed include inaccurate data collection leading to contradictory outcomes from different studies, compliance with daily monitoring, and consideration of additional factors such as physical activity and diet. The findings demonstrate the need for a shared remote monitoring platform which can lead to a significant reduction of false alarms and help in collecting reliable data from the patients for clinical use especially for the prevention of cardiac events.


Animals ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 2031
Author(s):  
Elizabeth A. Nunamaker ◽  
Shawn Davis ◽  
Carly I. O’Malley ◽  
Patricia V. Turner

Research animals are important for scientific advancement, and therefore, their long-term welfare needs to be monitored to not only minimize suffering, but to provide positive affective states and experiences. Currently, there is limited guidance in countries around the world on cumulative and experimental endpoints. This paper aims to explore current opinions and institutional strategies regarding cumulative use and endpoints through a scoping survey and review of current regulations and welfare assessment tools, and ultimately to provide recommendations for assessment of cumulative and lifetime use of research animals. The survey found that only 36% of respondents indicated that their institution had cumulative use endpoint policies in place, but these policies may be informal and/or vary by species. Most respondents supported more specific guidelines but expressed concerns about formal policies that may limit their ability to make case-by-case decisions. The wide diversity in how research animals are used makes it difficult for specific policies to be implemented. Endpoint decisions should be made in an objective manner using standardized welfare assessment tools. Future research should focus on robust, efficient welfare assessment tools that can be used to support planning and recommendations for cumulative endpoints and lifetime use of research and teaching animals.


Author(s):  
Eric T. Greenlee ◽  
Gregory J. Funke ◽  
Lindsay Rice

To date, conceptual explanations of workload and development of workload measures have been focused primarily on individual workload, the workload of a single operator as they perform a task. Yet, this focus on individual workload does not consider the many situations in which operators are required to collaborate, communicate, and operate as a team to achieve successful performance outcomes. In short, conceptualization and development of team workload measures have lagged behind those of individual workload. In an effort to meet the need for a conceptually-driven team workload measure, Sellers, Helton, Näswall, Funke, and Knott (2014) recently developed the team workload questionnaire (TWLQ). In developing the measure, Sellers and colleagues asked rugby players to rate their workload on TWLQ items. Subsequent exploratory factor analysis suggested that team workload was best described by three latent factors: Taskwork, the demands for task execution on the individual; Teamwork, the demands for team members to cooperate and coordinate with other teammates; and Team-Task Balancing, the demands associated with the need to manage both taskwork and teamwork – reflective of the dual task nature of working within a team. As with any novel measure of workload, it is important to continue evaluation of the measure’s sensitivity to task demands, diagnosticity regarding sources of task demands, and correlation with performance outcomes. Early research with the TWLQ has demonstrated that the measure is sensitive to changes in team task demands and the effects of training in a team UAV control task (Helton, Epling, de Joux, Funke, & Knott, 2015; Sellers, Helton, Näswall, Funke, & Knott, 2015). An additional, critical component of continued validation of the TWLQ is confirmation of the factor structure initially observed by Sellers and colleagues (2014) with data generated from a novel task. Concerns regarding generalizability are particularly germane because of variability in the nature of tasks that teams engage. Whereas some teams are tasked with executing coordinated physical activities, such as is the case in athletic contests (e.g., rugby), the task of other teams is to talk, plan, and decide (e.g., committees; McGrath, 1984). In the current study, we applied the TWLQ in a collaborative choice task (a personnel hiring decision). This team choice task required a high degree of communication, discussion, and joint decision making – team dynamics that contrast sharply with those required during an execution task. In short, the nature of the teamwork in the current study was significantly different from the teamwork evaluated by Sellers and colleagues (2014) when generating the TWLQ. Our goal in this study was to continue validation of the TWLQ by examining its factor structure with a novel dataset derived from a task requiring qualitatively different team dynamics. Confirmatory factor analysis indicated that the present data (N = 144) were a poor fit for the three-factor structure of the TWLQ. Subsequent exploratory factor analysis revealed a much more interrelated model of team workload with no clear division between the three conceptual factors described in the original validation of the TWLQ. This finding indicates that the factor structure of the TWLQ did not generalize to the present team choice task. Given that the duties of operational teams vary, it is critical that future research examine how the conceptual structure of team workload may be altered by task type.


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