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Full-Text Articles in Engineering

Nursing Interruption Dynamics: The Impact Of Work System Factors, Yushi Yang Dec 2015

Nursing Interruption Dynamics: The Impact Of Work System Factors, Yushi Yang

All Dissertations

Interruptions occur frequently in healthcare work systems. Hands-free Communication Devices (HCDs) were implemented in healthcare work systems to support the interruption process. However, from a sociotechnical systems perspective, HCDs may introduce new complications and unintended consequences to the work system. Research gaps exist in investigating the complexity of HCD interruptions in the real-world context. This dissertation aims to understand HCD interruption dynamics in the nursing work systems, using qualitative research methods. The first study examined the major differences between face-to-face and HCD-mediated interruptions, based on 30 hours of field observations in the acute care setting. Three major differences included: (1) …


Design Of A Web Application To Improve The Efficiency Of Crnas., Venkatramanan Chanchapalli Madhavan Dec 2015

Design Of A Web Application To Improve The Efficiency Of Crnas., Venkatramanan Chanchapalli Madhavan

All Theses

Physical artifacts such as whiteboards have been successfully used in healthcare facilities to keep track of dynamic changes in information and to manage work schedules. Since these whiteboards are easy- to- use and do not require any technical expertise, they have been easy- to-adopt. Additionally, they act as memory aids for the users by capturing transient information. However, they have their own limitations, the primary ones being the lack of mobility and real-time updates, both of which are crucial in a high consequence environment such as a healthcare facility. These whiteboards are usually kept in a central location with the …


Engineering Hospital Discharge Instructions: An Eye-Tracking Based Study, Haley Marie Vaigneur May 2015

Engineering Hospital Discharge Instructions: An Eye-Tracking Based Study, Haley Marie Vaigneur

All Theses

With new healthcare reform initiatives, (e.g., the Patient Protection and Affordable Care Act) hospitals have additional requirements to reduce avoidable readmissions. This results in identifying the needs for improving the hospital discharge process, improving care transitions and discharge instructions, and increasing overall patient health literacy. In terms of discharge instructions, one of the most influential factors to patients' understanding and compliance with their prescribed health regimen is the document's readability. The study goal is to examine how adjusting the discharge instructions' reading level and using human factors design guidelines can influence a novice user's ability to read, comprehend, and recall …


Linear Programming Methods For Identifying Solvable Cases Of The Quadratic Assignment Problem, Lucas Waddell May 2015

Linear Programming Methods For Identifying Solvable Cases Of The Quadratic Assignment Problem, Lucas Waddell

All Dissertations

This research effort is concerned with identifying and characterizing families of polynomially solvable instances of the celebrated NP-hard quadratic assignment problem (qap). The approach is novel in that it uses polyhedral methods based on an equivalent mixed 0-1 linear reformulation of the problem. The continuous relaxation of this mixed 0-1 form yields a feasible region having extreme points that are both binary and fractional. The solvable instances of concern essentially possess objective function structures that ensure a binary extreme point must be optimal, so that the linear program solves the qap. The ultimate contribution of this work is the unification …