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Price: EUR 250.00Authors: de Arruda, Agnaldo Fernando Vieira | Gontijo, Leila Maral
Article Type: Research Article
Abstract: The underground mining activity is regarded as one of the activities that cause most accidents, deaths and illnesses in the world, highlighting the coal mines. This study examined how ergonomics principles can help improve this environment, reduce the number of accidents and occupational diseases, train and empower workers and leaders and humanize the activities of the duty cycle of an underground mine. For this, it was developed a conceptual model of safety managing and health at work for the underground mining through the incorporation of ergonomics principles in the Occupational Safety and Health Management System and OHSAS 18001 (2007). The …elaboration of the model was based on analysis of the environments and stages of work in underground mines and the PDCA cycle to ensure continuous improvement. Show more
Keywords: Underground Mining, Occupational Safety and Health Management, Ergonomics Principles
DOI: 10.3233/WOR-2012-0119-4460
Citation: Work, vol. 41, no. Supplement 1, pp. 4460-4467, 2012
Authors: Carayon, Pascale | Alyousef, Bashar | Hoonakker, Peter | Hundt, Ann Schoofs | Cartmill, Randi | Tomcavage, Janet | Hassol, Andrea | Chaundy, Kimberly | Larson, Sharon | Younkin, Jim | Walker, James
Article Type: Research Article
Abstract: Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration …of multiple health IT applications and, therefore, support coordination across transitions of care. Show more
Keywords: Care coordination, transitions of care, health information technology, macroergonomics, work system
DOI: 10.3233/WOR-2012-0746-4468
Citation: Work, vol. 41, no. Supplement 1, pp. 4468-4473, 2012
Authors: Hoonakker, Peter | Khunlertkit, Adjhaporn | Tattersall, Matthew | Keevil, Jon | Smith, Paul D.
Article Type: Research Article
Abstract: Computer Decision Support Tools (CDSTs) can support clinicians at various stages of the care process and improve healthcare, but implementation of these tools has been difficult. In this study we examine the need for, the use of, and barriers and facilitators to the use of a CDST from a human factor perspective. Results show that there is a need for CDSTs, and that physicians do use well-developed CDSTs. However, there are also barriers against the use, such usability issues and problems fitting them into the clinical workflow.
Keywords: Health Information Technology, Computer Decision Support Tool, Usefulness, Usability, Workflow
DOI: 10.3233/WOR-2012-0747-4474
Citation: Work, vol. 41, no. Supplement 1, pp. 4474-4478, 2012
Authors: Montague, Enid | Asan, Onur
Article Type: Research Article
Abstract: This study explored physicians’ interactions with EHRs to understand the qualities that contribute to patient satisfaction with their use of the technologies and patient satisfaction with physician. Video-taped observations of 100 medical consultations were used to distinguish interaction patterns between physicians and EHRs. Quantified observational methods were used to contribute to ecological validity. Ten primary care physicians and 100 patients from five clinics participated in the study. Visits were videotaped and coded using an objective coding methodology to understand how physicians interacted with electronic health records. Results indicate, a variety of EHR interaction styles may be effective in providing patient-centered …care. Show more
DOI: 10.3233/WOR-2012-0748-4479
Citation: Work, vol. 41, no. Supplement 1, pp. 4479-4483, 2012
Authors: Wears, Robert L
Article Type: Research Article
Abstract: Health information technology (HIT) is widely believed to be an essential modality for improving the efficiency, effectiveness, and safety of healthcare, and has its adoption has been vigorously promoted. However, the safety of commercially available HIT systems has never been independently and rigorously assessed. This paper discusses critical issues to be considered in the development of safe and reliable HIT, and identifies a group of structural impediments that may slow or prevent the arrival of HIT that is actually safe enough for routine clinical use. It argues that this situation is analogous to NASA’s promotion of the space shuttle not …as an experimental, risky technology, but rather as a routine, ready-for-ordinary-use resource. Show more
Keywords: Health care, safety, information technology, safety-critical computing
DOI: 10.3233/WOR-2012-0749-4484
Citation: Work, vol. 41, no. Supplement 1, pp. 4484-4489, 2012
Authors: Waterson, Patrick | Eason, Ken | Tutt, Dylan | Dent, Mike
Article Type: Research Article
Abstract: In this paper we briefly describe the results of a 3 year project examining the use of Health Information Technologies (e.g., electronic patient record systems) to deliver integrated care. In particular, we focus on one group of patient (the frail elderly) and efforts to design an e-health supported healthcare pathway (the frail elderly pathway – FEP). The aim of FEP is to bring together clinicians and staff from health and social care and allow them to share patient information. Our findings show that progress in delivering a fully-supported and working FEP has been slow, not least because of the difficulties …experienced by healthcare staff in using current IT systems. In addition, there are many strategic and technical issues which remain unresolved (e.g., systems interoperability). Show more
Keywords: Care coordination, health information technology, integrated care, sociotechnical system
DOI: 10.3233/WOR-2012-0750-4490
Citation: Work, vol. 41, no. Supplement 1, pp. 4490-4493, 2012
Authors: Egilman, David | Druar, Nicholas M.
Article Type: Research Article
Abstract: We describe the emerging issues related to warnings with respect to pharmaceutical company use of the internet as a vehicle for direct-to-consumer marketing (DTC) and market research. We describe the various techniques pharmaceutical companies have used to exploit this new communications medium which permits two way exchange of information. The Food and Drug Administration (FDA) has not issued any specific regulations to control internet based misbranding. We describe some examples of the FDA’s application of historic regulations to pharmaceutical company use of this new medium and suggest.
Keywords: direct-to-consumer, web 2.0, pharmaceutical, social media
DOI: 10.3233/WOR-2012-0751-4494
Citation: Work, vol. 41, no. Supplement 1, pp. 4494-4502, 2012
Authors: Boy, Guy A.
Article Type: Research Article
Abstract: Human-centered design is not a new approach to design. Aerospace is a good example of a life-critical systems domain where participatory design was fully integrated, involving experimental test pilots and design engineers as well as many other actors of the aerospace engineering community. This paper provides six topics that are currently part of the requirements of the Ph.D. Program in Human-Centered Design of the Florida Institute of Technology (FIT.) This Human-Centered Design program offers principles, methods and tools that support human-centered sustainable products such as mission or process control environments, cockpits and hospital operating rooms. It supports education and training …of design thinkers who are natural leaders, and understand complex relationships among technology, organizations and people. We all need to understand what we want to do with technology, how we should organize ourselves to a better life and finally find out whom we are and have become. Human-centered design is being developed for all these reasons and issues Show more
Keywords: Human-centered design, life-critical systems, cognitive engineering, complexity analysis, organization design and management, modeling and simulation
DOI: 10.3233/WOR-2012-0029-4503
Citation: Work, vol. 41, no. Supplement 1, pp. 4503-4513, 2012
Authors: Lyons, Rhonda
Article Type: Research Article
Abstract: According to Federal Aviation Administration traffic predictions currently our Air Traffic Management (ATM) system is operating at 150 percent capacity; forecasting that within the next two decades, the traffic with increase to a staggering 250 percent [17]. This will require a major redesign of our system. Today’s ATM system is complex. It is designed to safely, economically, and efficiently provide air traffic services through the cost-effective provision of facilities and seamless services in collaboration with multiple agents however, contrary the vision, the system is loosely integrated and is suffering tremendously from antiquated equipment and saturated airways. The new Next Generation …(Next Gen) ATM system is designed to transform the current system into an agile, robust and responsive set of operations that are designed to safely manage the growing needs of the projected increasingly complex, diverse set of air transportation system users and massive projected worldwide traffic rates. This new revolutionary technology-centric system is dynamically complex and is much more sophisticated than it’s soon to be predecessor. ATM system failures could yield large scale catastrophic consequences as it is a safety critical system. This work will attempt to describe complexity and the complex nature of the NextGen ATM system and Trajectory Based Operational. Complex human factors interactions within Next Gen will be analyzed using a proposed dual experimental approach designed to identify hazards, gaps and elicit emergent hazards that would not be visible if conducted in isolation. Suggestions will be made along with a proposal for future human factors research in the TBO safety critical Next Gen environment. Show more
Keywords: NextGen, Dynamic Planning, Complex Systems, Air Traffic Management, Trajectory Based Operations, Human Factors, Role Allocation
DOI: 10.3233/WOR-2012-0030-4514
Citation: Work, vol. 41, no. Supplement 1, pp. 4514-4522, 2012
Authors: Craig, Carol
Article Type: Research Article
Abstract: In aviation, there is currently a lack of accurate and timely situational information, specifically weather data, which is essential when dealing with the unpredictable complexities that can arise while flying. For example, weather conditions that require immediate evasive action by the flight crew, such as isolated heavy rain, micro bursts, and atmospheric turbulence, require that the flight crew receive near real-time and precise information about the type, position, and intensity of those conditions. Human factors issues arise in considering how to display the various sources of weather information to the users of that information and how to integrate this display …into the existing environment. In designing weather information display systems, it is necessary to meet the demands of different users, which requires an examination of the way in which the users process and use weather information. Using Human Centered Design methodologies and concepts will result in a safer, more efficient and more intuitive solution. Specific goals of this approach include 1) Enabling better fuel planning; 2) Allowing better divert strategies; 3) Ensuring pilots, navigators, dispatchers and mission planners are referencing weather from the same sources; 4) Improving aircrew awareness of aviation hazards such as turbulence, icing, hail and convective activity; 5) Addressing inconsistent availability of hazard forecasts outside the United States Air Defense Identification Zone (ADIZ); and 6) Promoting goal driven approaches versus event driven (prediction). Show more
Keywords: Human Centered Design, Situational Awareness, Aviation, Weather
DOI: 10.3233/WOR-2012-0031-4523
Citation: Work, vol. 41, no. Supplement 1, pp. 4523-4531, 2012
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