The 2014 International Symposium on Human Factors & Ergonomics in Healthcare is currently going on in my hometown Chicago, but I’m not there! 🙁 Oh well, I’ll follow the excellent tweets containing the hashtag #HFES2014 (or is it #HFES…?). I’ll add some here, surrounded by commentary. As usual, I’ll focus on usability and workflow. Please come back as I’ll be adding more tweets (such as, maybe, yours!) and more commentary as it occurs to me.
6 mentions "workflow" (now! 3/16-3/19) International Symposium on Human Factors & Ergonomics in Healthcare
— Charles Webster, MD ()
Just a little habit of mine. I like counting the number of “workflows” in healthcare workflow-related documents. I know I should also count potential synonyms such as “process” and maybe even normalize by deciding by total number or words…. but too much work! It’s just a superficial, but nonetheless surprisingly useful, signifier.
The next few tweets link to conference abstracts about healthcare workflow.
Patient Safety, Usability & Workflow http://t.co/KEVpQDXyoE Process maps, goal-means decomp cc
— Charles Webster, MD ()
Impact of on Workload, Workflow, Error increased workflow, need for scribes cc
— Charles Webster, MD ()
Resident Teamwork Training Improves Trauma Workflow http://t.co/NNAHdbVsOi Team Tools to Enhance Performance and Patient Safety
— Charles Webster, MD ()
Expanding on AHRQ E-Prescribing Workflow in Community Pharmacies hmm, pharmacy workflow management system?
— Charles Webster, MD ()
Visualizing Emergency Dept Workflow cc
— Charles Webster, MD ()
Integrating Patient-Generated Health Data into Clinical Workflow completeness, access, accuracy, timeliness
— Charles Webster, MD ()
Third-party tweets:
– MU is shifting from "can you do it" to "how do you do it". The focus on SED and outcomes of HIT on workflow & pt. safety.
— Patti Abbott ()
If true, I find this shift troubling. One of the most potent criticisms of meaningful use is that it’s been too much about how (specifically, micromanaging workflow), not enough about clinical and financial outcomes and whether meaningful use actually improves them.
The way to address EHR usability is to take a modular approach to development! Amen!
— Jason Goldwater ()
I absolutely agree with the idea that modular development is essential to the creation of effective, efficient, flexible and satisfying software systems. I would go on, though, to advocate use of workflow technologies to combine and execute these modules effectively, efficiently, and flexibly. Take a look at the following abstract from Usable Clinical Groupware Requires Modular Components and Business Process Management (I’ve bolded the key phrase):
“Future extensible clinical groupware will coordinate delivery of EHR functionality to teams of users by combining modular components with executable process models whose usability (effectiveness, efficiency, and user satisfaction) will be systematically improved using business process management techniques.”
Emily Patterson from : poorly supported work processes -> suboptimal, non-standard care, poor decision support, dropped cases
— Ephrem Abebe ()
“poorly supported work processes [cause] suboptimal, non-standard care, poor decision support, dropped cases”
Again, I absolutely agree with the above characterization of the relationship between work processes and those bad things…., but what’s a “work process”? It’s workflow! OK, lets think about this for a minute. What do we use to management information? Information technology. What do we use to harness solar energy? Solar technology. So, how should healthcare management workflow? How about: workflow technology?
– vendors must submit evidence of UCD – but…. the devil is in the details. We are now having a lesson on bureaucracy.
— Patti Abbott ()
– shortcut to what anyone interested in UCD in HIT must weigh in on: . Open for comment – FIX!
— Patti Abbott ()
@ Emily Patterson gr8 talk about evaluating workflow, patient safety, and usability
— janey barnes ()
See following tweet:
. Manage info? Info tech. Harness solar? Solar tech. So, how should healthcare manage workflow? How about: workflow tech?
— Charles Webster, MD ()
RT : Safety-enhanced design MU2 certification implementation is not working from top-bottom. Ways to help improve
— Yue Dong, M.D. ()
10K Prize: Recognizing Excellence in Human-Automation Interaction Research http://t.co/CZUCQwvPsO … via
— Ariana Markle ()
- Research on human trust in automation and how trust affects interactions
- How team interactions are affected by automation
- Models of effective human-automation interaction/autonomy
RT Read the latest issue of Human Factors
— Akiani ()
Cool! Looks like full text is behind paywall, but at least abstracts are available. I even see a professor I took a graduate course from during my Industrial Engineering degree! I’ll tweet some of the papers and embed them here.
What do attendees think of my User-Centered EHR Design Considered Harmful (Try Process-Centered Instead)? http://t.co/YllNN92gFl
— Charles Webster, MD ()
Addendum
Selected papers from the most recent issue of Human Factors (mentioned by on the #HFES2014 #HFES thread).
Improving Social Connection Thru a Communities-of-Practice-Inspired Cognitive Work Analysis Approach via
— Charles Webster, MD ()
Shared Leadership in Multiteam System How Cockpit & Cabin Crews Lead Each Other 2 Safety http://t.co/5ZixJ0j0er via
— Charles Webster, MD ()
Multilevel Model for Predicting Workload Under Routine and Nonroutine Conditions via on
— Charles Webster, MD ()
A Network Model 4 Human Interoperability (via on ) cc
— Charles Webster, MD ()