scholarly journals A Framework for Communication in Complex Healthcare Environments: The Case of the Electrophysiology Lab

Author(s):  
M. Robert Garfield ◽  
Judith Tiferes

Team communication challenges compound the complexity of healthcare environments. While there is a significant body of research on team interaction in surgical and operating room settings, there is limited research in more specialized use environments such as the electrophysiology (EP) lab where an interdisciplinary team supports the diagnostics and interventional correction of the heart’s electrical timing. This work proposes a novel framework to uncover and classify team communication pathways in complex healthcare environments via a case study of the EP lab. Designers of integrated medical systems should study the communication practices and communication barriers of intended users to drive better user needs and design inputs.

2008 ◽  
Vol 17 (3) ◽  
pp. 93-98
Author(s):  
Lynn E. Fox

Abstract Linguistic interaction models suggest that interrelationships arise between structural language components and between structural and pragmatic components when language is used in social contexts. The linguist, David Crystal (1986, 1987), has proposed that these relationships are central, not peripheral, to achieving desired clinical outcomes. For individuals with severe communication challenges, erratic or unpredictable relationships between structural and pragmatic components can result in atypical patterns of interaction between them and members of their social communities, which may create a perception of disablement. This paper presents a case study of a woman with fluent, Wernicke's aphasia that illustrates how attention to patterns of linguistic interaction may enhance AAC intervention for adults with aphasia.


2017 ◽  
Vol 14 (2) ◽  
pp. 1-11
Author(s):  
Shairn Hollis-Turner

Both oral and written communication is influential and prevalent in modern societies. This research study focused on interpersonal communication practices in a business context. The aim was to determine whether youths between 18 and 23 years of age undertaking their six-month period of internship as novice employees were adequately prepared to meet the demands of the workplace. Data were collected from the employers at organisations that employed novice employees. This provided critical perspectives on the competency of young people to cope with the communication demands of the workplace. Quantitative and qualitative methods of data collection were used. Sixty eight (68) employers completed the questionnaires. Interviews were also conducted with six randomly selected employers at the organisations where the young people were undertaking their respective internships. The findings show that workplace communication is complex and that many young people struggle to meet the challenges of communicating adequately in the workplace. Deliberate practice is fundamental to the development of communication skills and expert performance in the workplace. Recommendations are made to better prepare young people to face the challenges and demands of the dynamic workplace.


Author(s):  
Itai Gurvich ◽  
Lu Wang ◽  
Kevin O'Leary ◽  
Nicholas D Soulakis ◽  
Jan A. Van Mieghem

Author(s):  
Mirette Dubé ◽  
Jason Laberge ◽  
Elaine Sigalet ◽  
Jonas Shultz ◽  
Christine Vis ◽  
...  

Purpose: The aim of this article is to provide a case study example of the preopening phase of an interventional trauma operating room (ITOR) using systems-focused simulation and human factor evaluations for healthcare environment commissioning. Background: Systems-focused simulation, underpinned by human factors science, is increasingly being used as a quality improvement tool to test and evaluate healthcare spaces with the stakeholders that use them. Purposeful real-to-life simulated events are rehearsed to allow healthcare teams opportunity to identify what is working well and what needs improvement within the work system such as tasks, environments, and processes that support the delivery of healthcare services. This project highlights salient evaluation objectives and methods used within the clinical commissioning phase of one of the first ITORs in Canada. Methods: A multistaged evaluation project to support clinical commissioning was facilitated engaging 24 stakeholder groups. Key evaluation objectives highlighted include the evaluation of two transport routes, switching of operating room (OR) tabletops, the use of the C-arm, and timely access to lead in the OR. Multiple evaluation methods were used including observation, debriefing, time-based metrics, distance wheel metrics, equipment adjustment counts, and other transport route considerations. Results: The evaluation resulted in several types of data that allowed for informed decision making for the most effective, efficient, and safest transport route for an exsanguinating trauma patient and healthcare team; improved efficiencies in use of the C-arm, significantly reduced the time to access lead; and uncovered a new process for switching OR tabletop due to safety threats identified.


2021 ◽  
Vol 42 (5) ◽  
pp. 103000
Author(s):  
Alexandra T. Bourdillon ◽  
Saral Mehra ◽  
Rahmatullah Rahmati ◽  
Benjamin Judson ◽  
Heather A. Edwards

2021 ◽  
Vol 11 (10) ◽  
pp. 4617
Author(s):  
Daehee Park ◽  
Cheoljun Lee

Because smartphones support various functions, they are carried by users everywhere. Whenever a user believes that a moment is interesting, important, or meaningful to them, they can record a video to preserve such memories. The main problem with video recording an important moment is the fact that the user needs to look at the scene through the mobile phone screen rather than seeing the actual real-world event. This occurs owing to uncertainty the user might feel when recording the video. For example, the user might not be sure if the recording is of high-quality and might worry about missing the target object. To overcome this, we developed a new camera application that utilizes two main algorithms, the minimum output sum of squared error and the histograms of oriented gradient algorithms, to track the target object and recognize the direction of the user’s head. We assumed that the functions of the new camera application can solve the user’s anxiety while recording a video. To test the effectiveness of the proposed application, we conducted a case study and measured the emotional responses of users and the error rates based on a comparison with the use of a regular camera application. The results indicate that the new camera application induces greater feelings of pleasure, excitement, and independence than a regular camera application. Furthermore, it effectively reduces the error rates during video recording.


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