Assessing the Usability of a Tumor Dashboard for Multidisciplinary Care Teams for First Time Users; First Exploration of a Comparative Participatory Cognitive Walkthrough to Show Mismatches in Cognitive Models

Due to the COVID-19 pandemic, multidisciplinary team (MDT) meetings have to switch from physical to digital meetings. However, the technology they currently use to facilitate these meetings can sometimes be lacking, therefore many software companies have developed new software to ease our new digital workspace. In this study, we propose a new method, a comparative participatory cognitive walkthrough, which can show mismatches in cognitive models. To test our method, we tested the compatibility of EPIC EMR (EPIC Care) and the NAVIFY Tumor Board for preparing MDT meetings. The identified mismatches are categorized in the HOT-fit model by Yusof et al, a common way to evaluate if a healthcare information system fits with the healthcare professionals and the organization. In total, 16 mismatches were identified. These mismatches were discussed in a feedback session with an implementation manager of the NAVIFY Tumor Board. The proposed method seems to be a fast and cheap method to gain useful insights in how well new software matches with the software currently in use, by comparing the cognitive models in place when performing tasks involved with specific scenarios. The identified aspects can be of use for the development and adaptation of the new software, as well as provide guidelines on which aspects to focus on when training healthcare professionals to use the new software to have a smooth transition of software.

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Untangling the Multidisciplinary Care Web: Streamlining Care Through an Immune-Related Adverse Events (IRAE) Tumor Board

Targeted Oncology ◽

10.1007/s11523-020-00739-5 ◽

2020 ◽

Vol 15 (4) ◽

pp. 541-548 ◽

Cited By ~ 1

Author(s):

Laura C. Kennedy ◽

Kit Man Wong ◽

Nikhil V. Kamat ◽

Ali Raza Khaki ◽

Shailender Bhatia ◽

...

Keyword(s):

Adverse Events ◽

Multidisciplinary Care ◽

Tumor Board

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Predicting healthcare professionals’ intention to use poison information system in a Malaysian public hospital

Health Information Science and Systems ◽

10.1007/s13755-019-0094-0 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Yulita Hanum P. Iskandar ◽

Gogilavani Subramaniam ◽

Mohamed Isa Abd Majid ◽

Adilah Mohamed Ariff ◽

Gururajaprasad Kaggal Lakshmana Rao

Keyword(s):

Information System ◽

Public Hospital ◽

Healthcare Professionals ◽

Intention To Use

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Lichen Distribution Patterns in the Ecoregions of Italy

Diversity ◽

10.3390/d12080294 ◽

2020 ◽

Vol 12 (8) ◽

pp. 294 ◽

Cited By ~ 1

Author(s):

Stefano Martellos ◽

Marco d’Agostino ◽

Alessandro Chiarucci ◽

Pier Luigi Nimis ◽

Juri Nascimbene

Keyword(s):

Information System ◽

Species Richness ◽

Regional Scale ◽

Distribution Patterns ◽

Environmental Features ◽

Ecological Requirements ◽

Surface Climate ◽

Lichen Biota ◽

Topographic Heterogeneity ◽

First Time

An outline of the main distribution patterns of lichens in the ecoregions of Italy, accounting for their climatic, geographic, and environmental features, is still missing. On the basis of a GIS-based analysis, we summarized: (1) the main features (e.g., surface, climate, landscape, topographic heterogeneity, bedrock, eutrophication) of the 9 ecoregions adopted in ITALIC, the information system on Italian lichens, and (2) the patterns of richness, functional traits, and ecological requirements of lichens in the ecoregions. Our GIS-based analysis describes for the first time the main features of the 9 ecoregions adopted in ITALIC, highlighting differences which could explain the main lichen patterns. Overall, the exploration of the Italian lichen biota is still a work in progress, some regions being still underexplored, especially in the South, with new taxa being reported every year. Our research could provide a baseline for further advancements in the understanding of species richness and community composition of Italian lichens, at a regional scale.

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A Case Study on Agile Estimating and Planning using Scrum

Elektronika ir Elektrotechnika ◽

10.5755/j01.eee.111.5.372 ◽

1970 ◽

Vol 111 (5) ◽

pp. 123-128 ◽

Cited By ~ 9

Author(s):

V. Mahnic

Keyword(s):

Development Process ◽

Evidence Based ◽

Effort Estimation ◽

The Third ◽

Software Companies ◽

Student Teams ◽

Development Teams ◽

The University ◽

First Time

We describe a case study that was conducted at the University of Ljubljana with the aim of studying the behavior of development teams using Scrum for the first time, i.e., a situation typical for software companies trying to introduce Scrum into their development process. 13 student teams were required to develop an almost real project strictly using Scrum. The data on project management activities were collected in order to measure the amount of work completed, compliance with the release and iteration plans, and ability of effort estimation, thus contributing to evidence-based assessment of the typical Scrum processes. It was found that the initial plans and effort estimates were over-optimistic, but the abilities of estimating and planning improved from Sprint to Sprint. Most teams were able to define almost accurate Sprint plans after three Sprints. In the third Sprint the velocity stabilized and the actual achievement almost completely matched the plan. Bibl. 25, tabl. 4 (in English; abstracts in English and Lithuanian).http://dx.doi.org/10.5755/j01.eee.111.5.372

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Physician and practice characteristics influencing tumor board attendance: Results from the provider survey of the Los Angeles Women's Health Study

Journal of Clinical Oncology ◽

10.1200/jco.2009.27.15_suppl.e17501 ◽

2009 ◽

Vol 27 (15_suppl) ◽

pp. e17501-e17501

Author(s):

K. Scher ◽

D. M. Tisnado ◽

D. Rose-Ash ◽

A. Rastegar ◽

J. Adams ◽

...

Keyword(s):

Breast Cancer ◽

Los Angeles ◽

Multidisciplinary Care ◽

Tumor Board ◽

Health Study ◽

Coordination Of Care ◽

Volume Number ◽

Practice Characteristics ◽

Tumor Boards ◽

Low Volume

e17501 Background: Coordination of care has grown in importance with the advent of new modalities of treatment requiring specialized expertise. In cancer care, multidisciplinary approaches have shown improvements in quality of care and patient satisfaction. Tumor boards provide a mechanism for improving coordination of care. We evaluated physician and practice characteristics that predict frequency of tumor board attendance. Methods: This cross-sectional study utilizes data obtained by surveying physicians of a population-based sample of women with incident breast cancer. Physicians were queried regarding tumor board attendance, specialty (medical oncologist [MO], radiation oncologist [RO], surgeon indicating that the hospital at which most breast cancer surgeries are performed has an American College of Surgeons accredited program [ACOSSg] and surgeon without such affiliation [non-ACOSSg]), physician characteristics (gender, race, teaching involvement, patient volume, number of offices, ownership interest), and practice setting (practice type, size, reimbursement). Univariate, bivariate, and multivariate analyses were performed for the dependent variable characterizing provider report of frequency of tumor board meeting attendance. Results: Most surveyed physicians (83%) report attending tumor board weekly (58%) or monthly (25%). Weekly participation was reported by 63%, 92%, 47%, and 32% of MOs, ROs, ACOSSgs, and non-ACOSSgs (p < 0.01). Specialty and higher patient volumes are significant predictors of more frequent attendance, after adjustment for practice size and type. In comparison to the most prevalent specialty category (low volume ACOSSgs), high volume MOs attend more (p = 0.01), and low volume non-ACOSSgs attend less frequently (p = 0.00). Conclusions: Tumor board attendance implies increased participation in multidisciplinary care, but specific subsets of providers are less frequent users. This not only has implications for choosing providers, but also for efforts to increase attendance. Tumor board agendas and formalized institution wide policies could be designed to further engage low frequency attendees as a means to promote multidisciplinary care and improve health outcomes. [Table: see text]

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Utility of a multidisciplinary tumor board in the management of pancreatic diseases.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.4_suppl.319 ◽

2016 ◽

Vol 34 (4_suppl) ◽

pp. 319-319

Author(s):

David G. Brauer ◽

Matthew S. Strand ◽

Dominic E. Sanford ◽

Maria Majella Doyle ◽

Faris Murad ◽

...

Keyword(s):

Treatment Plan ◽

Diagnostic Testing ◽

Retrospective Chart Review ◽

Multidisciplinary Care ◽

Tumor Board ◽

Cancer Center ◽

Common Diagnosis ◽

Tumor Boards ◽

Cancer Network ◽

The Impact

319 Background: Multidisciplinary Tumor Boards (MTBs) are a requirement for comprehensive cancer centers and are routinely used to coordinate multidisciplinary care in oncology. Despite their widespread use, the impact of MTBs is not well characterized. We studied the outcomes of all patients presented at our pancreas MTB, with the goal of evaluating our current practices and resource utilization. Methods: Data were prospectively collected for all patients presented at a weekly pancreas-specific MTB over the 12-month period at a single-institution NCI-designated cancer center. The conference is attended by surgical, medical, and radiation oncologists, interventional gastroenterologists, pathologists, and radiologists (diagnostic and interventional). Retrospective chart review was performed at the end of the 12-month period under an IRB-approved protocol. Results: A total of 470 patient presentations were made over a 12-month period. Average age at time of presentation was 61.5 years (range 17 – 89) with 51% males. 61.7% of cases were presented by surgical oncologists and 26% by medical oncologists. 174 cases were the result of new diagnoses or referrals. 78 patients were presented more than once (average of 2.3 times). Pancreatic adenocarcinoma was the most common diagnosis (37%), followed by uncharacterized pancreatic mass (16%), and pancreatic cyst (7%). The treatment plan proposed by the presenting clinician was known or could be evaluated prior to conference in 402 cases. Presentation of a case at MTB changed the plan of management 25% (n = 100) of the time, including MTB recommendation against a planned resection in 46 cases. When the initial plan changed as a result of MTB discussion, the most common new plan was to obtain further diagnostic testing such as biopsy and/or endoscopy (n = 24). Conclusions: MTBs are required and resource-intensive but offer the opportunity to discuss a wide array of pathologies and influence management decisions in a sizable proportion of cases. Additional investigations evaluating adherence rates to MTB decisions and to published guidelines (i.e. National Comprehensive Cancer Network) will further enhance the assessment and utility of MTBs.

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Development of the Human Resources Information System (HRIS) Based on Usability Analysis with Usefulness, Satisfaction, Ease to Use (USE) Questionaire and Cognitive Walkthrough Methods

bit-Tech ◽

10.32877/bt.v1i3.77 ◽

2019 ◽

Vol 1 (3) ◽

pp. 150-162

Author(s):

Doni Prastyo ◽

Sihab Udin ◽

Muhammad Yusuf Bakhtiar

Keyword(s):

Information System ◽

User Interface ◽

Human Resources ◽

Evaluation Method ◽

Ease Of Use ◽

Human Resources Information System ◽

System Usability ◽

Usability Analysis ◽

Cognitive Walkthrough

HRIS application is an application that is needed to manage human resources well and integrated the system. Usability in a system is very necessary in the development of a system so that it can affect the use of the application. The author tests the usability user interface on HRIS products using the cognitive walkthrough evaluation method, which works through a series of task scenarios and asks a number of questions from the user's perspective, and the method of usefulness, satisfaction, ease of use (USE) Questionnaire to assess how much usability is done by the user. The cognitive walkthrough testing is done by using the application that has been made by the author, after that the author makes improvements to the system according to the results of the test. Then after being repaired, the system was tested again with the same application, then the results were assessed using the USE Questionnaire and compared with previous results. The result is that the system has increased from previously by 3.67 from a scale of 1-5 to 4.04, up by 0.34.

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Topology Poisoning Attacks and Prevention in Hybrid Software-Defined Networks

10.36227/techrxiv.14806368.v1 ◽

2021 ◽

Author(s):

Pragati Shrivastava ◽

Kotaro Kataoka

Keyword(s):

High Accuracy ◽

Virtual Network ◽

Smooth Transition ◽

Software Defined Networks ◽

Inconsistency Management ◽

Link Discovery ◽

New Challenges ◽

First Time ◽

Sdn Controller ◽

Hybrid Sdn

<p>The hybrid software-defined networks (SDN) architectures are beneficial for a smooth transition and less costly SDN deployment. However, legacy switches and SDN switches coexistence brings new challenges of deployment inconsistency management and security. Security is not well studied for hybrid SDN architecture. In this paper, we study the topology poisoning attacks in hybrid SDN for the first time. We propose new attack vectors for link fabrication in hybrid SDN. The new attack is named “multi-hop link fabrication”, in which an adversary successfully injects a fake multi-hop link (MHL) by exploiting the link discovery protocols. We presented the Hybrid-Shield, a link verification framework for hybrid SDN link discovery. Hybrid-Shield introduces a novel verification technique that includes: i) monitoring legacy switch and host generated traffic at MHL and ii) validating the existence of legacy switches contained in an MHL. This paper presents the prototype implementation of Hybrid-Shield over a real SDN controller. The experimental evaluation is performed with the mininet virtual network emulation. Our evaluation shows that Hybrid-Shield is capable of detecting MHL fabrication attacks in real-time with high accuracy. Hybrid-Shield’s performance evaluation shows that it is lightweight at the controller as it causes less overhead and requires no additional functionalities at the SDN controller for deployment.</p>

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Measles Outbreak Among Healthcare Professionals: Operational Response and Remedial Measures

Clinical Management Issues ◽

10.7175/cmi.v13i1.1433 ◽

2019 ◽

Vol 13 (1) ◽

Author(s):

Silvia Dari ◽

Anna Maria Cassano ◽

Sabrina Di Lorenzo ◽

Raffaela Napoli ◽

Elisabetta Manini ◽

...

Keyword(s):

Healthcare Workers ◽

Healthcare Professionals ◽

Local Health ◽

Close Monitoring ◽

Health Unit ◽

Mmr Vaccine ◽

Information Campaign ◽

Local Health Unit ◽

Measles Outbreak ◽

First Time

Given the numerous cases recorded in 2017, a descriptive epidemiological study was conducted in the Viterbo Local Health Unit (LHU) area, Italy. Hospital Discharge Sheets (HDSs) and the notifications of infectious diseases (NOIDs) were used.We were able to trace the distribution of the disease both in the general population and, in particular, among the staff of Belcolle Hospital in Viterbo. In 2017, 50 cases of measles were detected among the population in the area of Viterbo. Of these, 10 concerned healthcare professionals and 3 employees of the Viterbo LHU.Due to the education and information campaign on the measles, mumps, and rubella (MMR) vaccine and the close monitoring of the vaccination coverage among the employees of the hospital (performed for the first time), only 4 cases were registered from January 1, 2018 to December 31, 2018 in the same area, and no healthcare workers were involved.

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Multidisciplinary Cancer Management of Colorectal Cancer in Tikur Anbessa Specialized Hospital, Ethiopia

Journal of Global Oncology ◽

10.1200/jgo.19.00014 ◽

2019 ◽

pp. 1-7

Author(s):

Biniyam Tefera Deressa ◽

Nikola Cihoric ◽

Ephrem Tefesse ◽

Mathewos Assefa ◽

Daniel Zemenfes

Keyword(s):

Colorectal Cancer ◽

Treatment Plan ◽

Neoadjuvant Chemoradiotherapy ◽

Multidisciplinary Care ◽

Clinical Staging ◽

Tumor Board ◽

Colorectal Cancers ◽

Cancer Management ◽

Retrospective Assessment ◽

Tumor Boards

PURPOSE Multidisciplinary cancer care is currently considered worldwide as standard for the management of patients with cancer. It improves patient diagnostic and staging accuracy and provides patients the benefit of having physicians of various specialties participating in their treatment plan. The purpose of this study was to describe the profile of patients discussed in the Tikur Anbessa Multidisciplinary Tumor Board (MTB) and the potential benefits brought by multidisciplinary care. METHODS The study involved the retrospective assessment of all patient cases presented to the Tikur Anbessa Hospital colorectal cancers MTB between March 2016 and November 2017. The data were collected from the MTB medical summary documents and were analyzed using SPSS version 20 (SPSS, Chicago, IL). RESULTS Of 147 patients with colorectal cancer, 96 (65%) were men. The median age at presentation was 46 years (range, 17-78 years). The predominant cancer was rectal (n = 101; 69%), followed by colon (n = 24; 16%). Of these, 68 (45%) and 22 (15%) had stage III and IV disease, respectively, on presentation to the MTB. The oncology department presented the majority of the patients for discussion. Most patients had undergone surgery before the MTB discussion but had no proper preoperative clinical staging information. The majority of patients with rectal cancer treated before the MTB discussion had undergone surgery upfront; however, most of the patients who were treatment naive before MTB received neoadjuvant chemoradiotherapy before surgery. CONCLUSION Decisions made by tumor boards are more likely to conform to evidence-based guidelines than are those made by individual clinicians. Therefore, early referral of patients to MTB before any treatment should be encouraged. Finally, other hospitals in Ethiopia should take a lesson from the Tikur Anbessa Hospital colorectal cancers MTB and adopt multidisciplinary cancer management.

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