Engineering Commons^™

Capacity Planning For Heterogeneous Patient Populations In Primary Care And Specialty Networks, Prashant Meckoni

Doctoral Dissertations

Access to primary care has a direct impact on morbidity and mortality, and is strongly influenced by indirect waiting time: the delay between the requested and allotted appointment day. Our models describe the heterogeneous appointment seeking patterns of a primary care patient panel using stochastic processes parameterized to reflect the diversity of primary care visit rates in the US. For capacity planning, we estimate the distribution of daily appointments, and show that the distribution variability can be reduced by heuristics that use patient flexibility regarding the day of the appointment. For delays, we demonstrate that in a first-come, first-served system, …

Comparing And Improving The Design Of Physical Activity Data Visualizations, Peter M. Frackleton

Masters Theses

Heart disease is a leading cause of death in the United States, and older adults are at highest risk of being diagnosed with heart disease. Consistent physical exercise is an effective means of deterring onset of heart disease, and physical activity tracking devices can inspire greater activity in older adults. However, physical activity tracking device abandonment is quite common due to limitations on what can be learned from the activity data that is collected. Better data visualization of physical data presents an opportunity to surpass these limitations. In this thesis, a task-based human subject study was performed with three different …

The Application Of Usability Engineering Methods To Evaluate And Improve A Clinical Decision Support System, Kristine Desotto

Masters Theses

Delays in the process of diagnosing and treating cancer are common and lead to confusion and undesirable outcomes. Care coordinators are often embedded within the system of care to manage follow-up care. Electronic and real-time reminder systems can be used to support the care coordinator’s work, but electronic health record (EHR) usability is known to be poor. This study, completed in collaboration with the Department of Veterans Affairs (VA) Connecticut Healthcare System, evaluated the Cancer Coordination and Tracking System (CCTS), an EHR-linked, web-based tool for cancer care management.

A set of expert-driven and user-driven usability engineering methods was applied to …

The Effect Of Interruptions On Primary Task Performance In Safety-Critical Environments, Cheryl Ann Nicholas

Doctoral Dissertations

Safety critical systems in medicine utilize alarms to signal potentially life threatening situations to professionals and patients. In particular, in the medical field multiple alarms from equipment are activated daily and often simultaneously. There are a number of alarms which require caregivers to take breaks in complex, primary tasks to attend to the interruption task which is signaled by the alarm. The motivation for this research is the knowledge that, in general, interrupting tasks can have a potentially negative impact on performance and outcomes of the primary task. The focus of this research is on the effect of an interrupting …