BACKGROUND: The use of electronic health records (EHR) is related to the improvement of service quality and care coordination. The design of this platform generally focuses on the individual use of the system and does not integrate the specific needs of workers to provide support for collaborative activities.
OBJECTIVE:The study investigated how activity ergonomics (AE) contributed to improve the design of an EHR that supports the collaborative mental health care of children and youth. METHODS: This qualitative study, based on the theoretical framework of AE, used individual and group interviews and document analysis as research procedures. The data collection occurred between March and September 2017 in Rio de Janeiro, Brazil.
RESULTS:The study highlighted the following points: the characteristics that marked the different perceptions of workers regarding the use of a communication tool for collaborative care; the problems related to spreadsheet usability; and the desirable attributes that should be considered in the conception of a new EHR. CONCLUSIONS: The research indicated that AE favors improving the design of an EHR by incorporating the work dimension into the project.
BACKGROUND: The treatment of bad actors consists of analyzing the most triggered alarms at a plant, seeking to make modifications that provide workers with more efficient and safer operational conditions. The consideration of plant operators’ practical knowledge in these proposed changes is both an opportunity and a challenge, as specific conditions are required. OBJECTIVE: To present and discuss how an alarm management report (AMR) could support the treatment of bad actors by promoting structured debates on real work situations and its contribution in improving the solutions proposed by alarm management committees (AMCs). METHODS: Data from nine AMC meetings were gathered and parsed using qualitative content analysis to classify the kind of information that the AMC used to justify the proposed changes and how these changes were decided. RESULTS: More than 60% of the changes were justified by information provided by the AMRs, indicating broad application and adoption. However, our findings suggest that the structured debates addressed variability and emerging strategies and may consider entire subsystems instead of single alarms. CONCLUSION: The use of structured debates is feasible for the treatment of bad actors and is an appropriate option that includes operating experience feedback for alarm optimization in industrial facilities.
As demanded at Collective Employment Agreement (CEA), three Ergonomic assessment of work (AEW) where made into an airport from a big Brazilian city (in particular, at the flight tower), with a 2 years interval between them. The objective was to produce a report pointing out problems and solutions. At the third time (2010), were verified that the work conditions where almost the same from 2006 and 2008, although all recommendations made in the reports. This work presents how the AET Team worked with this situation. At the third AEW, due the lack of real changes and the necessity of a report, the strategy was to know how workers where dealing with the complains and constraint detected at the previous reports, and how it interfere in abnormal or danger situations. Trying to explain this organizational phenomenon, we resort to Resilience Engineering to understand how those f/actors played to achieve its objectives.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.