Requirements for bespoke ICU Dashboard in response to the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Brittany Davidson ◽  
Katiuska Mara Ferrer Portillo ◽  
Marcli Wac ◽  
Chris McWilliams ◽  
Chris Bourdeaux ◽  
...  
Keyword(s):  
Peer Review ◽  
Information Overload ◽  
High Volume ◽  
Data Visualisation ◽  
Specific Interest ◽  
Structured Interviews ◽  
High Demand ◽  
Job Roles ◽  
Design Requirements ◽  
And Shifts

BACKGROUND Intensive Care Units (ICUs) around the world are in high demand due to patients with COVID-19 requiring hospitalization. As researchers at the [removed for peer review], we were approached to develop a bespoke data visualisation dashboard to assist two local ICUs during the pandemic. OBJECTIVE To conduct interviews with ICU staff in [removed for peer review] to elicit requirements for a bespoke dashboard to monitor high volume of patients, particularly during the pandemic. METHODS We conducted six semi-structured interviews with clinical staff to obtain an overview of their requirements for the dashboard and to ensure its ultimate suitability for end-users. Interview questions aimed to understand the job roles undertaken in the ICU, the potential uses of the dashboard, the specific issues associated with managing COVID-19 patients, the key data of interest and any concerns about the introduction of a dashboard into the ICU. RESULTS From our interviews, we found the following five key design requirements. (1) A flexible dashboard, where the functionality can be updated quickly and effectively to respond to emerging information about the management of this new disease. (2) Customizability is critical, as each staff member should be able to adapt the dashboard to display parameters of specific interest to them, and also to prevent information overload. (3) Having real-time, reliable and clear trends visible in the patient data. (4) Warnings and notifications must occur at appropriate times to prompt a quick and efficient response from staff. (5) Finally, an ability to track staff workloads in order to manage staff handovers and shifts more efficiently. CONCLUSIONS The study findings confirms that digital solutions for ICU use would potentially reduce the cognitive load of ICU staff and reduce clinical errors at a time of notably high demand of intensive healthcare.

An investigation of the mass-market fashion design process

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prabod Dharshana Munasinghe ◽  
D.G.K. Dissanayake ◽  
Angela Druckman
Keyword(s):  
Design Process ◽  
Market Design ◽  
High Volume ◽  
Design Stage ◽  
Fashion Design ◽  
Structured Interviews ◽  
Mass Market ◽  
Content Type ◽  
Responsible Consumption ◽  
The Impact

Purpose The process of fashion design varies between market segments, yet these variations have not yet been properly explored. This study aims to examine the fashion design process as practised at the mass-market level, as this is the most vibrant and the largest market segment in terms of production volumes and sales. Design/methodology/approach It is observed that 15 semi-structured interviews were conducted with mass-market fashion designers. Key activities of the mass-market design process were identified and a comparative analysis was conducted with the general design process. Findings The mass-market design process is found to prioritise profits rather than aesthetic aspects, with the buyer exercising more power than the designer. This hinders creativity, which, in turn, may impede a move towards more environmentally benign designs. Originality/value The clothing industry is responsible for high environmental impacts and many of these impacts arise through decisions made in the design stage. In particular, the mass-market for clothing because of its high volume of sales and fast throughput, accounts for a great deal of the impact. However, little is understood about the design process that is practised in the mass-fashion market. This paper fills the gap by developing a framework that describes the mass-market design process. Understanding the design process will enable progress to be made towards achieving the United Nations Sustainable Development Goal 12: Responsible Consumption and Production.

scholarly journals Administrative Work and Job Role Beliefs in Primary Care Physicians: An Analysis of Semi-Structured Interviews

SAGE Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 215824401989909
Author(s):  
Eric Apaydin
Keyword(s):  
Primary Care ◽  
Los Angeles ◽  
Primary Care Physicians ◽  
Theory Approach ◽  
Structured Interviews ◽  
Job Roles ◽  
Face To Face ◽  
Administrative Work ◽  
Job Role ◽  
The Relationship

Primary care physicians face increasing amounts of administrative work (e.g., entering notes into electronic health records, managing insurance issues, delivering test results, etc.) outside of face-to-face patient visits. The objective of this study is to qualitatively describe the experience that primary care physicians have with administrative work, with an emphasis on their beliefs about their job role. I conducted semi-structured interviews with 28 family physicians and internists in Chicago, Los Angeles, and Miami and qualitatively analyzed themes from interview transcripts using the grounded theory approach. Two major themes concerning the relationship between primary care physicians and administrative work were discovered: (a) Administrative work was not central to primary care physicians’ job role beliefs, and (b) “below license” work should be delegated to nonphysicians. Job roles should be considered in future efforts to reduce physician administrative work in primary care.

scholarly journals Transparency of peer review: a semi-structured interview study with chief editors from social sciences and humanities

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Veli-Matti Karhulahti ◽  
Hans-Joachim Backe
Keyword(s):  
Social Sciences ◽  
Peer Review ◽  
Gold Standard ◽  
Life Sciences ◽  
Structured Interview ◽  
Structured Interviews ◽  
Institutional Policies ◽  
Manuscript Review ◽  
Publication Process ◽  
Social Sciences And Humanities

Abstract Background Open peer review practices are increasing in medicine and life sciences, but in social sciences and humanities (SSH) they are still rare. We aimed to map out how editors of respected SSH journals perceive open peer review, how they balance policy, ethics, and pragmatism in the review processes they oversee, and how they view their own power in the process. Methods We conducted 12 pre-registered semi-structured interviews with editors of respected SSH journals. Interviews consisted of 21 questions and lasted an average of 67 min. Interviews were transcribed, descriptively coded, and organized into code families. Results SSH editors saw anonymized peer review benefits to outweigh those of open peer review. They considered anonymized peer review the “gold standard” that authors and editors are expected to follow to respect institutional policies; moreover, anonymized review was also perceived as ethically superior due to the protection it provides, and more pragmatic due to eased seeking of reviewers. Finally, editors acknowledged their power in the publication process and reported strategies for keeping their work as unbiased as possible. Conclusions Editors of SSH journals preferred the benefits of anonymized peer review over open peer and acknowledged the power they hold in the publication process during which authors are almost completely disclosed to editorial bodies. We recommend journals to communicate the transparency elements of their manuscript review processes by listing all bodies who contributed to the decision on every review stage.

scholarly journals Editors’ perspectives on the peer-review process in biomedical journals: protocol for a qualitative study

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020568 ◽  
Author(s):  
Ketevan Glonti ◽  
Darko Hren
Keyword(s):  
Qualitative Study ◽  
Peer Review ◽  
Review Process ◽  
Peer Review Process ◽  
Scientific Output ◽  
Structured Interviews ◽  
Manuscript Review ◽  
Biomedical Journals ◽  
Wide Range ◽  
Communication Practices

IntroductionDespite dealing with scientific output and potentially having an impact on the quality of research published, the manuscript peer-review process itself has at times been criticised for being ‘unscientific’. Research indicates that there are social and subjective dimensions of the peer-review process that contribute to this perception, including how key stakeholders—namely authors, editors and peer reviewers—communicate. In particular, it has been suggested that the expected roles and tasks of stakeholders need to be more clearly defined and communicated if the manuscript review process is to be improved. Disentangling current communication practices, and outlining the specific roles and tasks of the main actors, might be a first step towards establishing the design of interventions that counterbalance social influences on the peer-review process.The purpose of this article is to present a methodological design for a qualitative study exploring the communication practices within the manuscript review process of biomedical journals from the journal editors’ point of view.Methods and analysisSemi-structured interviews will be carried out with editors of biomedical journals between October 2017 and February 2018. A heterogeneous sample of participants representing a wide range of biomedical journals will be sought through purposive maximum variation sampling, drawing from a professional network of contacts, publishers, conference participants and snowballing.Interviews will be thematically analysed following the method outlined by Braun and Clarke. The qualitative data analysis software NVivo V.11 will be used to aid data management and analysis.Ethics and disseminationThis research project was evaluated and approved by the University of Split, Medical School Ethics Committee (2181-198-03-04-17-0029) in May 2017. Findings will be disseminated through a publication in a peer-reviewed journal and presentations during conferences.

scholarly journals Analisis Efisiensi Pemasaran Produk Spa yang Laris Terjual pada PT Bali Tangi

2018 ◽  
pp. 61
Author(s):  
NI KADEK WINDA YULIASARI ◽  
I GUSTI AGUNG AYU AMBARAWATI ◽  
I KETUT RANTAU
Keyword(s):  
Direct Marketing ◽  
Marketing Channel ◽  
High Volume ◽  
Efficiency Analysis ◽  
Marketing Channels ◽  
Snowball Sampling ◽  
High Demand ◽  
Price Efficiency ◽  
Marketing Efficiency ◽  
Marketing Agency

Marketing Efficiency Analysis of Best Seller Spa Products at PT Bali Tangi This research is aimed to find out the marketing channels, to calculate marketingmargin, producer’s share, and to analyze marketing efficiency of best seller spaproducts at PT Bali Tangi. This company produces three types of spa productsnamely scrub, masker and massage oil that are in high demand. Samples wereselected purposively for retailers from PT Bali and snowball sampling for retailersfrom the wholesaler. Total samples were 30 from Denpasar City and BadungRegency including wholesaler, retailers, hotels and villas. The results showed thatthere are three types of marketing channels of best seller spa products of PT BaliTangi. Channel I: producer – end consumers (for three spa products), channel II:producer – retailers and institutional consumers – end consumers (for three spaproducts), and channel III: producer - wholesaler - institutional consumers – endconsumers (for only two spa products). The channel II comprises 52.95% of the totalsales, whereas 8.97% and 38.07% respectively for channel I and III. The highestmarketing margin was seen from the channel III at amount of Rp 80,000/unit, whileno marketing margin coming from the channel I as it is direct marketing. Thechannel II has marketing margin Rp 25,000. The highest producer’s share is onchannel I by 100% and the lowest is on channel III by 57.89%. The channel II hasproducer’share of 86.49%. In terms of marketing efficiency, this research does notcompare to channel I because channel I does not have a marketing agency. ChannelII of the marketing channel is the most efficient based on three analysis of marketingmargins, producer’s share, and price efficiency. Channel III is only efficient atoperational efficiency of 2,944.57%. Meanwhile, channel III is inefficient. Despite ofinefficiency, channel III is the main supporting channel for the company to maintaindue to high volume of trading compared to channel I.

scholarly journals Defeating information overload in health surveillance using a metacognitive aid innovation from military combat systems

2016 ◽  
Vol 14 (4) ◽  
pp. 371-388 ◽  
Author(s):  
Daniel C McFarlane ◽  
Alexa K Doig ◽  
James A Agutter ◽  
Jonathan L Mercurio ◽  
Ranjeev Mittu ◽  
...  
Keyword(s):  
Decision Making ◽  
Information Overload ◽  
High Volume ◽  
Health Surveillance ◽  
Simulated Patients ◽  
Naval Research ◽  
Hospital Nurses ◽  
Volume Data ◽  
Front Line ◽  
Training Requirement

Modern sensors for health surveillance generate high volumes and rates of data that currently overwhelm operational decision-makers. These data are collected with the intention of enabling front-line clinicians to make effective clinical judgments. Ironically, prior human–systems integration (HSI) studies show that the flood of data degrades rather than aids decision-making performance. Health surveillance operations can focus on aggregate changes to population health or on the status of individual people. In the case of clinical monitoring, medical device alarms currently create an information overload situation for front-line clinical workers, such as hospital nurses. Consequently, alarms are often missed or ignored, and an impending patient adverse event may not be recognized in time to prevent crisis. One innovation used to improve decision making in areas of data-rich environments is the Human Alerting and Interruption Logistics (HAIL) technology, which was originally sponsored by the US Office of Naval Research. HAIL delivers metacognitive HSI services that empower end-users to quickly triage interruptions and dynamically manage their multitasking. HAIL informed our development of an experimental prototype that provides a set of context-enabled alarm notification services (without automated alarm filtering) to support users’ metacognition for information triage. This application is called HAIL Clinical Alarm Triage (HAIL-CAT) and was designed and implemented on a smartwatch to support the mobile multitasking of hospital nurses. An empirical study was conducted in a 20-bed virtual hospital with high-fidelity patient simulators. Four teams of four registered nurses (16 in total) participated in a 180-minute simulated patient care scenario. Each nurse was assigned responsibility to care for five simulated patients and high rates of simulated health surveillance data were available from patient monitors, infusion pumps, and a call light system. Thirty alarms per nurse were generated in each 90-minute segment of the data collection sessions, only three of which were clinically important alarms. The within-subjects experimental design included a treatment condition where the nurses used HAIL-CAT on a smartwatch to triage and manage alarms and a control condition without the smartwatch. The results show that, when using the smartwatch, nurses responded three times faster to clinically important and actionable alarms. An analysis of nurse performance also shows no negative effects on their other duties. Subjective results show favorable opinions about utility, usability, training requirement, and adoptability. These positive findings suggest the potential for the HAIL HSI system to be transferrable to the domain of health surveillance to achieve the currently unrealized potential utility of high-volume data.

scholarly journals Chinese EFL Learners’ Decision-making While Evaluating Peers’ Texts

2010 ◽  
Vol 10 (2) ◽  
pp. 99 ◽  
Author(s):  
Jingjing Ma
Keyword(s):  
Decision Making ◽  
Peer Review ◽  
Study Data ◽  
Writing Proficiency ◽  
Structured Interviews ◽  
Related Factors ◽  
Efl Learners ◽  
Stimulated Recall ◽  
Chinese Writing

Approaching peer review from a process and contextualized perspective, this exploratory case study investigates two Chinese EFL learners’ decision-making patterns while evaluating peers’ texts in an online peer review and factors influencing these patterns. Detailed qualitative case study data were collected through think-aloud protocols, stimulated recall, semi-structured interviews, classroom observation and document analysis. Analyses indicate that the two learners with higher level of English writing proficiency to a certain extent illustrated contrasting patterns of decision-making, and yet both prioritized specific aspects of peers’ texts. Student-related factors such as perceptions of good English expository writing shaped by previous learning and assessment experiences of English (or Chinese) writing, type of writing task and weaknesses of student text interacted with one another to influence the participants’ decision-making patterns. Pedagogical implications for the findings are discussed.

Japanese student writers’ perspectives on anonymous peer review

ELT Journal ◽  
2019 ◽  
Vol 73 (3) ◽  
pp. 296-305 ◽  
Author(s):  
Sugene Kim
Keyword(s):  
Peer Review ◽  
Asian Students ◽  
Writing Classroom ◽  
Structured Interviews ◽  
Cultural Backgrounds ◽  
Student Writers ◽  
Efl Learners ◽  
Face To Face ◽  
Japanese Student ◽  
Peer Reviewers

Abstract This article explores Japanese EFL learners’ perceptions of face-to-face vs. anonymous peer review in a writing classroom. Albeit few in number, some studies claim that Asian students exhibit difficulty in providing negative feedback because they tend to be hesitant for cultural reasons to criticize others’ work. To verify and extend such observations, this study collected data from 64 Japanese college students regarding their experiences and perspectives after they performed peer review in both conditions. Analysis of the data collected through a survey and semi-structured interviews did not support the previously held views that learners from non-Western cultural backgrounds are predisposed to be reluctant peer reviewers. Further, the findings indicated that Japanese EFL learners’ preference for a specific peer-review mode interacts closely with various factors. Possible pedagogical implications are discussed in relation to ways to better implement peer-review sessions.

Factors Influencing Successful Intubation in the Prehospital Setting

1995 ◽  
Vol 10 (4) ◽  
pp. 259-264 ◽  
Author(s):  
James V. Doran ◽  
Bartholomew J. Tortella ◽  
Walter J. Drivet ◽  
Robert F. Lavery
Keyword(s):  
Airway Management ◽  
Endotracheal Intubation ◽  
Life Support ◽  
Advanced Life Support ◽  
High Volume ◽  
Success Rates ◽  
Structured Interviews ◽  
Technical Problems ◽  
Patients Âgés ◽  
Prehospital Airway Management

AbstractObjective:To explore the determinants influencing oral/nasal endotracheal intubation (OETI/NETI) and determine which cognitive, therapeutic, and technical interventions may assist prehospital airway management.Design, Setting, and Participants:Prospective review of run reports and structured interviews of paramedics involved in OETI/NETI attempts were conducted in a high-volume, inner-city, advanced life support (ALS) system during an eight-month period (July 1991 to February 1992). Data were abstracted from run reports, and paramedics were asked in structured interviews to describe difficulties in OETI/NETI attempts.Results:Of 236 patients studied, 88% (208) were intubated successfully. Success/failure rate was not related statistically to patients' ages (p = 0. 78), medical or trauma complaint (89% vs 85%, p = 0.35), oral versus nasal route (88% vs 85%, p = 0.38), care time (scene + transport times: success, 18 minutes; failure, 20 minutes, p = 0.30), paramedic seniority (p = 0.13), or number of attempts per paramedic (p >0.05). Increased level of consciousness (LOC) was associated with decreased success rate (p = 0.04). Paramedics reported difficulties in endotracheal intubation (ETI) attempts in 110 (46.6%) of patients. Factors reported to increase ETI difficulty were: 1) technical problems (35.6%); 2) mechanical problems (15.6%); and 3) combative patients (12.7%).Conclusions:Oral endotracheal intubation and NETI success rates identified in this study are similar to those described in the literature, although innovative strategies could be used to facilitate prehospital airway management. Many of the factors found to increase ETI difficulty could be ameliorated by the administration of paralytic agents, that is, for combative patients. Focused training in cadaver and animal labs coupled with recurrence training in the operating suites should be used on a regular basis to decrease difficulties in visualization. Interventions directed at alleviating mechanical difficulties that should be explored include new-to-the-field techniques, such as retrograde intubation, fiber-optic technology, and surgical tracheal access.

Nonoperative management (NOM) in rectal cancer: Physician perspectives on offering NOM as standard of care.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 79-79
Author(s):  
Andrea Marie Covelli ◽  
Fayez A. Quereshy ◽  
Erin Diane Kennedy ◽  
Sami A. Chadi ◽  
Frances Catriona Wright
Keyword(s):  
Rectal Cancer ◽  
Neoadjuvant Chemoradiotherapy ◽  
Oncologic Outcome ◽  
Standard Of Care ◽  
High Volume ◽  
Operative Management ◽  
Oncologic Outcomes ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
And Gender

79 Background: 20% of rectal cancer patients will have a complete clinical response (cCR) following neoadjuvant chemoradiotherapy. Non-operative management (NOM) with close surveillance can spare patients proctectomy and avoid the sequelae of surgery. Patients are interested in and advocate for NOM, whereas oncologists appear to be reluctant to offer this option. We wished to identify the perceptions and barriers that oncologists face when considering NOM. Methods: This qualitative study explored oncologists’ experiences treating rectal cancer and identified their perceptions and values around NOM. Purposive and snowball sampling identified medical, radiation and surgical oncologists’ who treat a high volume of rectal cancer across Canada. Oncologists varied in length/location of practice and gender. Data were collected via semi-structured interviews. Constant comparative analysis identified key concepts. Results: Data saturation was achieved after 40 interviews: 20 surgeons, 12 radiation and 8 medical oncologists. The dominant theme was “NOM is not ready for prime time’. Most oncologists felt that there is insufficient long-term data around NOM and single center studies appear ‘too good to be true’. Physicians voiced concerns about worsening oncologic outcomes in the setting of regrowth, the challenges in determining a cCR and apprehension around patient compliance to surveillance. Some oncologists felt that NOM is limited to a very select population and voiced reluctance in offering it to younger patients or patients with more advanced disease. There was little consideration to improved functional outcomes with NOM. Overall the majority of participants felt that NOM is ‘ trading the benefit of saving the rectum for the uncertainty of an inferior oncologic outcome’. Conclusions: Oncologists felt that NOM should not be offered as a standard of care option following a cCR. Most felt that there is insufficient data supporting NOM and are concerned around worse oncologic outcomes. Patient views of NOM are critically needed to assess if patients value the same outcomes. Additional research is needed to address barriers should patients wish to consider NOM as a treatment option in the setting of a cCR.

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