Work Coordination, Workflow, and Workarounds in a Medical Context
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Presented at CHI 2005. We report on an ethnographic study of workarounds—informal temporary practices for handling exceptions to normal workflow—in a hospital environment. Workarounds are a common technique for dealing with the inherent uncertainty of dynamic work environments. Workarounds can help coordinate work, especially under conditions of high time pressure, but they may result in information or work protocols that are unstable, unavailable, or unreliable. We investigated workarounds and their effects through observation and interviews in a major teaching medical center. Our results suggest 4 key features of workarounds that technologies might help address: (a) workarounds differ as a function of people’s role; (b) workarounds draw on tacit knowledge of others’ abilities and willingness to help; (c) workarounds can have a cascading effect, causing other workarounds down the line; (d) workarounds often rely on principles of fairness and who owes whom a favor. We provide recommendations for designing systems to better support workarounds in dynamic environments.
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2) Many studies being poorly designed and not learning from existing evidence.
3) Important results from studies often not being published or reported, leading to bias.
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Starbucks is an American global coffee company and cafe chain based in Seattle. It has over 20,000 stores in 62 countries. The company was founded in 1971 and has grown to become the largest coffeehouse company in the world under the leadership of CEO Howard Schultz. Schultz was inspired by Italian coffee culture and aimed to bring that experience to America, treating customers and employees like partners.
Quién soy
Este documento trata sobre la reflexión de un estudiante sobre su identidad, sus estudios, cómo se siente sobre su último año y sus metas para el próximo semestre.
Presentación1
El documento describe un programa de inglés global de dos años que consiste en cuatro niveles de seis meses cada uno, exponiendo a los estudiantes a diferentes acentos ingleses como el americano y el británico para que se desenvuelvan de manera bilingüe en inglés de la misma forma que en español.
Serving with gladness
This document discusses three common hindrances to serving with delight: 1) Not understanding what delight means, which is taking great pleasure in serving. 2) Serving with the wrong purpose or priorities rather than focusing on love for God and people. 3) Loving to serve more than loving God and people. It asks the reader to reflect on what adjustments they need to make in priorities, attitude, and themselves in order to serve with gladness and delight in the Lord.
review-cred-4-30-15
This document summarizes research into how people assess the credibility of online restaurant reviews. The researchers conducted a survey of 1,979 people to understand what attributes influence credibility judgments of reviews. Key findings include:
1) Reviewer identity like using a real name versus pseudonym can impact perceived credibility.
2) Reviewer status signals such as number of reviews written or followers can also influence credibility assessments.
3) The sentiment or valence of a review - whether it is positive, negative, or balanced - affects judgments of credibility. Reviews with balanced sentiment may be viewed as most credible.
Games User Research is for Game Design!
Sarah Romoslawski and Marina Kobayashi presented this talk at the 1st Game Design Conference in San Francisco on September 17th, 2012. The talk defines Games User Research (GUR), and includes two perspectives on practicing GUR at different companies, using GUR with different platforms, genres, and with different target audiences.
Mantenimiento
El documento describe los principales componentes de un computador. Estos incluyen el procesador, la memoria RAM, la unidad de disco duro, la unidad de CD/DVD, la tarjeta madre, puertos USB y otros. También distingue entre hardware (partes físicas como el monitor y teclado) y software (conjunto de instrucciones que permiten que funcione el hardware).
Vasarely Vida E Obra
Victor Vasarely nasceu na Hungria em 1908 e faleceu na França em 1997. Foi um pintor e escultor húngaro conhecido por ser um dos principais artistas do movimento Op Art, que explora ilusões ópticas através de padrões geométricos. Suas obras abstratas influenciaram o design gráfico com variações de círculos, quadrados e triângulos em cores puras.
Dissertation Defense Presentation
A presentation used to defend my research and final dissertation submission towards a PhD in Organizational Psychology
Mobile reseach presentation uxcampdc 01052012
The document discusses the need for Snagajob to develop a mobile job search solution. It notes that while mobile visits have increased significantly, they currently only drive 2% of applications. It then outlines Snagajob's initial mobile efforts, competitors' focus on mobile, and research showing the growing importance of mobile. The document proposes a user-centered design process starting with understanding users through interviews. It presents a persona of a potential user and insights from job seeker interviews. Initial prototype sketches are shown along with plans for further refinement and testing, with the goal of quickly building an initial mobile solution.
Shopping today & tomorrow
Presentation in German Language about changes in shopping and media usage. Presented on the Handelswerbekongress 2008 in Wiesbaden.
Conceptos
Una red es un conjunto de computadoras conectadas entre sí que permite compartir recursos y datos. Las redes se pueden clasificar por su extensión geográfica en LAN (redes locales), MAN y WAN (redes amplias). Las LAN son redes privadas que conectan computadoras dentro de una misma organización a velocidades entre 10-100 Mbps, mientras que las WAN se extienden a largas distancias geográficas a través de varios elementos de red.
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Project Management Integration. New Effective Approaches
Project Management Integration. New Effective Approaches
Similar to Work Coordination, Workflow, and Workarounds in a Medical Context
Unit I. Introduction to Nursing Research.pptx
Introduction to Nursing Research:
Objectives:
Define nursing research
Describe ways of knowing in nursing (tradition, authority, borrowing, trial and error, intuition, and research )
Identify role of a nurse in research as ADN, BS, MS, PhD, and DNP
Explain Evidence Based Practice through research.
Definitions:
Research: It is a systematic, formal, rigorous, and precise process used to gain solutions to problems or discover and interpret new facts and relationships.
Nursing Research: is systemic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education, and nursing administration.
Research-based Practice: using research findings to inform the decisions, actions, and interaction of nurses with clients.
Importance of research in nursing:
Emphasizing on the development and utilization of nursing knowledge, which is essential for continued improvement in patient care.
Nurses' need to document the effectiveness of their practices not only to the profession, but also to the clients, administrators, and other professionals. - (Thus research findings help them to eliminate nursing actions that do not achieve desired outcomes or to identify the practices that alter health care outcomes and contain costs).
Nurses' need for understanding the varied dimensions of their profession, (theoretical, ethical, practical dimensions, etc.)
4. Research enables nurses to describe:
The characteristics of a particular nursing situation about which little is known.
Explain phenomena that must be considered in planning nursing care.
Predict the probable outcomes of certain nursing decisions.
Control the occurrence of undesired outcomes.
Initiate activities to promote desired client behavior.
Roles of nurses in nursing research:
It is every nurse's responsibility to engage in one or more roles along the research participation:
Indirect participation:
This is a minimum nurse involvement in a research responsibility. It is done when a nurse read a research report to keep up-to-date on relevant findings that may affect their practice. This level is called "research utilization".
Research Utilization: "Is the use of the research findings in a practice setting"
2. Direct participation: in which nurses are nursing research producers. They are actively participating in designing and implementing research studies.
3. Between these two dimensions of research participation, there are a variety of roles for nurses to play, from these roles:
Attending research presentations at professional conferences.
Evaluating completed research for its possible use in practice.
Discussing the implications and relevance of research findings with clients.
Giving clients information and advice about participation in studies.
Assisting in the collection of research information.
Quick introduction to critical appraisal of quantitative research
1) The document provides an introduction to critically appraising quantitative research for healthcare. It discusses key concepts such as levels of evidence, validity, reliability, and transferability.
2) Critical appraisal involves assessing a study's validity, rigor, and relevance through a structured process using checklists to evaluate aspects like research design, sample size, randomization, and potential for bias.
3) Statistical measures like p-values, confidence intervals, and effect sizes are important to consider, but clinical significance is also key when determining if results can be applied to practice.
American Association for Suicidology (2020), Jaspr Health (DIMEFF)
This document summarizes research on using a digital tool called Jaspr to provide suicide prevention for adults in crisis in emergency departments. An observational study of 82 individuals found that Jaspr effectively delivered best practices like safety planning and helped reduce distress. A randomized controlled trial of 31 individuals found that those using Jaspr received more thorough best practices and had significantly lower distress and higher satisfaction than standard care. The tool integrates both scientific and lived experience expertise to transform emergency suicide care delivery.
introduction to research its importance in nursing roll of nurse in research
its about intro of research its important
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
A well-developed and reliable body of knowledge is a foundation for any profession. The most sought-after knowledge can be acquired from highly structured as well as loosely arranged processes or methods. Traditionally, loosely arranged methods are used to develop knowledge, such as inherited traditions, authority, experience, intuition and trial and error method. However, with increased complexity in development, researchers discovered more structured methods for generation of new knowledge such as logical reasoning, problem solving, and scientific methods.
Selection of Resaerch Problem statement
This document discusses the selection and formulation of a research problem. It defines a research problem as an enigmatic condition that a researcher seeks to solve by generating evidence. Key elements of a research problem include the objective, topic, time frame, location, and population. Sources of research problems include clinical experience, literature, social issues, and theories. Important criteria for selecting a good research problem are its significance, researchability, feasibility, the researcher's experience and interest, and ethical considerations. Formulating a problem is the most important step in the research process and lays the foundation for a successful study.
RN Training: Procedural Sedation
This document discusses sedation and guidelines for qualified sedation providers. It defines levels of sedation from minimal to general anesthesia. Certified registered nurse anesthetists, anesthesiologists, and specifically trained physicians, dentists, oral surgeons, and registered nurses can provide conscious sedation. The American Society of Anesthesiologists' practice guidelines for non-anesthesiologist sedation were developed through an extensive review process. The guidelines also address training requirements for sedation personnel. Kaiser Moanalua's registered nurse training involves an online test and hands-on training in an operating room. A sedation simulation aims to supplement online training through realistic scenarios that simulate dynamic decision making. Evaluation of the simulation involves surveys of
NURSING PROCESS
BSC NURSING - I YEAR - FUNDAMENTALS OF NURSING
(ASSESSMENT, NURSING DIAGNOSIS, PLANNING, IMPLEMENTATION, EVALUATION)
Systematic reviews and trials (Claire Allen, Evidence Aid)
Evidence Aid provides systematic reviews and evidence summaries to aid decision making in humanitarian crises and disasters. They conducted a survey that found most respondents feel systematic reviews are useful and practical for disaster response. While few trials have been done in disaster settings, it is possible to conduct them and summarize the evidence systematically. Evidence Aid aims to identify relevant systematic reviews and prioritize new reviews to address aid workers' most pressing evidence needs and improve the effectiveness of humanitarian interventions.
Evidence Aid: who and why
Evidence Aid provides systematic reviews and evidence summaries to aid decision making in humanitarian crises and disasters. They conducted a survey that found most respondents feel systematic reviews are useful and practical for disaster response. While few trials have been done in disaster settings, it is possible to conduct them and summarize the evidence systematically. Evidence Aid aims to identify relevant systematic reviews and prioritize new reviews to help improve interventions and assess their impact.
Abnormal Psych Pwrpt. ch03
Clinical assessment involves collecting information to determine how and why a person is behaving abnormally and how they can be helped. Clinicians use clinical interviews, tests, and observations as assessment tools, which must be standardized, reliable, and valid. The DSM-IV-TR is commonly used for diagnosis and describes diagnostic criteria across five axes. Treatment decisions are based on assessment and diagnosis information, with the goal of empirically supported and evidence-based therapies. Research shows that therapy is generally more effective than no treatment, though some therapies may be more effective than others for specific problems.
Fap5 lecture ch03
Clinical assessment involves collecting information to determine how and why a person is behaving abnormally and how they can be helped. Clinicians use clinical interviews, tests, and observations as assessment tools, which must be standardized, reliable, and valid. The DSM-IV-TR is commonly used for diagnosis and describes diagnostic criteria across five axes. Treatment decisions are informed by assessment and diagnosis, with the goal of empirically supported and evidence-based interventions. Research shows that therapy is generally more effective than no treatment, and that specific therapies can effectively treat particular disorders.
Evidence Based Practice - EBP
This document provides an overview of evidence-based practice (EBP) for speech and language pathologists. It defines EBP as integrating the best research evidence, clinical expertise, and client values and preferences. The 5 steps of EBP are discussed: 1) developing an answerable clinical question, 2) finding the evidence, 3) critically appraising the evidence, 4) making an informed clinical decision, and 5) evaluating and improving the process. Key aspects of each step like developing PICO questions, searching various sources of evidence, critically evaluating research quality, and incorporating client values are explained. The importance of reflection, communication, and applying EBP principles in clinical practice is emphasized.
Critical thinking
This document provides an overview of critical thinking and the nursing process. It defines critical thinking as an organized cognitive process used to carefully examine one's own and others' thinking. Critical thinking aims to make evidence-based judgments rather than rely on assumptions. The nursing process involves assessing clients, diagnosing actual or potential health problems, planning and implementing interventions, and evaluating outcomes. Effective use of critical thinking and the nursing process requires gathering and analyzing client data, considering various options, and making well-reasoned clinical decisions.
Study design2 6_07
This document provides an overview of important considerations for designing a successful clinical research study. It discusses how to begin by defining research questions and assessing feasibility. It then covers common study design types including experimental, observational, descriptive, and analytical designs. Examples are given of randomized clinical trials, cohort studies, cross-sectional studies, and case-control studies that could be used to study the relationship between hormone therapy and coronary heart disease. Statistical issues like sample size calculations and analytic approaches are also highlighted.
Critical thinking in nursing
This document discusses critical thinking in nursing. It defines critical thinking as an organized cognitive process used to carefully examine one's own thinking and the thinking of others based on evidence rather than assumptions. Critical thinking is needed for nurses to make accurate clinical decisions, solve problems, plan individualized care, and think creatively. It involves reflection, language skills, and intuition. Critical thinking progresses from basic to complex levels and involves commitment to decisions. Key competencies include using the scientific method, problem solving, decision making, diagnostic reasoning, and clinical decision making. A critical thinking model incorporates knowledge, experience, competencies, attitudes like curiosity and integrity, and standards.
Nursing process by raj kumar mehta
to encourage nursing professional to provide sound, effective and holistic nursing care to the client by using nursing process. Nursing process is the both heart and brain of the Nursing.
Primary-Care-Research-2017.ppt
This document provides an introduction to key concepts in primary care research. It discusses how to formulate a research question and understand the differences between quantitative and qualitative research approaches. The major steps in the research process are outlined as identification of a problem, literature review, specifying questions/hypotheses, determining methodology, data collection and analysis, and interpreting findings. Common quantitative study designs like cross-sectional, case control, cohort, and randomized controlled trials are explained. The document also covers using secondary data sources for research.
Primary-Care-Research-2017.ppt
This document provides an introduction to key concepts in primary care research. It discusses how to formulate a research question and understand the differences between quantitative and qualitative research approaches. The major steps in the research process are outlined as identification of a problem, literature review, specifying questions/hypotheses, determining methodology, data collection and analysis, and interpreting findings. Common quantitative study designs like cross-sectional, case control, cohort, and randomized controlled trials are explained. The document also covers using secondary data sources for research.
Care research
This document provides an introduction to key concepts in primary care research. It discusses how to formulate a research question and understand the differences between quantitative and qualitative research approaches. The major steps in the research process are outlined, including identifying a problem, conducting a literature review, determining a study design and methodology, collecting and analyzing data, and interpreting findings. Common quantitative study designs like cross-sectional, case-control, cohort, and randomized controlled trials are explained. The document also covers using secondary data sources for research.
Similar to Work Coordination, Workflow, and Workarounds in a Medical Context (20)
Quick introduction to critical appraisal of quantitative research
Quick introduction to critical appraisal of quantitative research
American Association for Suicidology (2020), Jaspr Health (DIMEFF)
American Association for Suicidology (2020), Jaspr Health (DIMEFF)
introduction to research its importance in nursing roll of nurse in research
introduction to research its importance in nursing roll of nurse in research
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)
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2开始安排制作毕业证成绩单电子图；
3毕业证成绩单电子版做好以后发送给您确认；
4毕业证成绩单电子版您确认信息无误之后安排制作成品；
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国外哥伦比亚大学哥伦比亚大学毕业证录取书办理过程：
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AHMED TALAAT ARCHITECTURE PORTFOLIO .pdf
Architectural and constructions management experience since 2003 including 18 years located in UAE.
Coordinate and oversee all technical activities relating to architectural and construction projects,
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Organize and typically develop, and review building plans, ensuring that a project meets all safety and
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Attention to detail, exceptional time management, and strong problem-solving and communication
skills are required for this role.
Heuristics Evaluation - How to Guide.pdf
This guide helps identify potential issues related to navigation, clarity, consistency, and other factors that can affect user experience.
定制美国西雅图城市大学毕业证学历证书原版一模一样
原版一模一样【微信：741003700 】【美国西雅图城市大学毕业证学历证书】【微信：741003700 】学位证，留信认证（真实可查，永久存档）offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
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留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
原版定做(penn毕业证书)美国宾夕法尼亚大学毕业证文凭学历证书原版一模一样
原版纸张【微信：741003700 】【(penn毕业证书)美国宾夕法尼亚大学毕业证、文凭学历证书】【微信：741003700 】学位证，留信认证（真实可查，永久存档）offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原海外各大学 Bachelor Diploma degree, Master Degree Diploma
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
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Work Coordination, Workflow, and Workarounds in a Medical Context
- 1. Work Coordination, Workflow, & Workarounds in a Medical Context Marina Kobayashi, Susan R. Fussell Human Computer Interaction Institute Carnegie Mellon University Yan Xiao, F. Jacob Seagull School of Medicine - Human Factors Research Program University of Maryland, Baltimore April 6, 2005
- 2. Motivation Time People Task Resources
- 3. Workarounds: medical context Context: Urban Hospital Trauma Operating Room (OR) – High-reliability: required to be dependable with minimal errors – Fast-response: limitations to amount of time to attend to tasks – Critical task environment: high urgency and emergent
- 4. Workarounds: current study Data Collection: Field study – 120 hours of observations, interviews, focus groups – Personnel in targeted roles: charge nurse, charge anesthesia, surgeon – Critical incident reports
- 5. Workarounds: current study Workarounds—informal temporary practices for handling exceptions to normal workflow. How do workarounds influence work coordination and workflow in the medical context?
- 6. Workarounds Blood not sent for testing Lab Use universally accepted type Patient blood type unknown Nurse Charge Nurse
- 7. Workflow
- 8. Findings: Workaround patterns Differ as a function of actor’s role – “As the charge nurse I think about things in one way and there’s things that I’m concerned about, but [she] is a clerk, so even though she’s helping me with the same task she’s thinking about other things…” Draw on tacit knowledge of other’s abilities and willingness to help – "[You] just kind of know from experience who your stronger people are, who your weaker people are, who's flexible…" Have a cascading effect Often rely on principles of fairness and who owes whom favors – “[In any OR management situation] what you really want when you’re running the OR is you want everybody to owe you a favor at all…It helps if they can remember last week when you helped them….”
- 9. Workaround support tools Training – Provide a library of previously used workarounds and outcomes Memory – Remind workaround initiators of who they should call on for a favor, or where to find a person with specific skills/ experience Decision-making – Simulate and predict the short and long-term effects of different workarounds, and suggest strategies to best handle repercussions Awareness – Provide knowledge of availability or current status of resources and personnel
- 10. Future research Implement and evaluate workaround support tools Further study of workarounds in ORs – Triggers – Execution – Outcome (short & long) Workarounds in other critical contexts
- 11. Thanks! Sara Kiesler, Yuqing Ren, Peter Scupelli, Scott Davidoff, Lui Min Oh, and other members of our research group on Large-Scale Collaboration Our collaborators at the University of Maryland Medical Center This project is supported by National Science Foundation grant #0325087
- 12. Questions? Contact us… Marina marinak@andrew.cmu.edu Susan sfussell@andrew.cmu.edu Yan yxiao@umaryland.edu Jake jseag001@umaryland.edu