Operations Research, Systems Engineering and Industrial Engineering Commons^™

Digital Patient Engagement At A Perioperative Surgical Home Implemented Community Hospital, Srinivasan Sridhar, Amy Mount Hunter, Bernadette Mccrory

Patient Experience Journal

Patients in rural areas typically require more perioperative ‘optimization’ for surgery. The rural healthcare systems often overwhelmed with coordinating perioperative services and deliver less than optimal surgical outcomes. This is due to limited supporting microsystems and ability to effectively engage and track patients over the 120-day perioperative period to limit post-surgical complications. The study assessed longitudinal patient engagement within a newly established Perioperative Surgical Home (PSH) at a rural community hospital serving 10+ surrounding counties to identify barriers and best practices for engagement. A digital patient engagement platform was implemented and used to assess longitudinal patient outcomes and engagement from …

A Comparison Of Nonverbal And Paraverbal Behaviors In Simulated And Virtual Patient Encounters, Sarah Powers, Mark W. Scerbo, Matthew Pacailler, Macy Kisiel, Baillie Hirst, Ginger S. Watson, Lauren Hamel, Fred Kron

Modeling, Simulation and Visualization Student Capstone Conference

The present study assessed whether trainees display similar nonverbal and paraverbal behaviors when interacting with a simulated (SP) and virtual patient (VP). Sixty second slices of time following four interactions were rated for the presence and frequency of three nonverbal and paraverbal behaviors. Results revealed that students exhibited fewer behaviors in the VP interaction, possibly due to differences social inhibition or fidelity between the two formats.

Introduction To Bioaerosols Assessment And Control, 2nd Edition, Cheri Marcham, John (Jack) Springston

Publications

• Risk Assessment
• Assessment for the Presence of Bioaerosols
• Sampling
• Purpose/ Necessity
• Interpretation Controls
  • Ventilation
  • Other Controls

Lignin Derived Hydrophobic Deep Eutectic Solvents As Sustainable Extractants, Yuxuan Zhang, Qi Qiao, Usman Lame Abbas, Jun Liu, Yi Zheng, Christopher Jones, Qing Shao, Jian Shi

Markey Cancer Center Faculty Publications

Solvent innovation has become a central task for improving the sustainability of chemical processes1. Deep eutectic solvents (DESs) emerge as environmentally friendly alternatives to toxic and volatile organic solvents. One appealing aspect for DESs is that they can be synthesized using naturally occurring compounds from biomass. Herein, we prepared novel hydrophobic DESs based on lignin derivatives and characterized their physicochemical properties including density, viscosity, and thermal behavior. The results showed that five lignin-derived hydrophobic DESs made from menthol, thymol, and 2,6-dimethoxyphenol were promising as green solvents due to their low viscosities and environmentally friendly constituents. To evaluate the potential application …

Utilisation Des Ponts Élévateurs De Véhicules Hors Terre À Deux Colonnes : Identification De Déterminants Techniques De Stabilité Et Des Déterminants Du Travail Des Techniciens Automobiles, Damien Burlet-Vienney, Sylvie Beaugrand, Bertrand Galy, Maud Gonella, François Gauthier, Élise Ledoux, Isabelle Berger, Isvieysys Armas Marrero, Kariane Cusson Bertrand

Rapports de recherche scientifique

Cette recherche porte spécifiquement sur l’utilisation des ponts élévateurs de véhicules (PEV) hors terre à deux colonnes (HT2C). Les PEV HT2C sont utilisés par les techniciens automobiles lors de l’entretien et de la réparation des véhicules et les amènent à travailler sous ou à proximité d’une charge surélevée de plusieurs tonnes. La mort d’un jeune technicien en 2014 est à l’origine d’une concertation du secteur de la réparation automobile et de ces travaux de recherche. La chute d’un véhicule d’un PEV HT2C est le risque ciblé par cette étude.

De nombreux facteurs sont susceptibles de contribuer à la chute d’un …

Modeling Behavior And Vaccine Hesitancy For Predicting Daily Vaccination Inoculations Using Trends, Case, Death, And Twitter Sentiment Data, Talal Daghriri

Electronic Theses and Dissertations, 2020-2023

Over the past 100 years, epidemiological models have evolved to incorporate greater facets of the process. With the advent of social networking, massive computational power, population sentiment analysis can now be added to the epidemiological modeling process. Sentiment analysis is greater understanding of the fears, uncertainties, motivation, and trends of the public with respect to vaccination and associated events. Lack of public confidence in the efficacy of models, safety of vaccines, and appropriateness of policies confounds vaccine inoculation prediction. Sentiment analysis of social media is a seminal technique that accesses shared users' contents and tweets on the Twitter platform for …

A Machine Learning Approach For Early Diagnosis Of Transthyretin Amyloid Cardiomyopathy Among Heart Failure Patients, Tanjim Ahmed

Graduate Theses, Dissertations, and Problem Reports (ETD)

Transthyretin Amyloid Cardiomyopathy (ATTR-CM) is a rare, progressive, and fatal disease. Prevalence of ATTR-CM ranges from 4 to 17 per 100000 cases where the mean survival time is less than 4 years. It has a history of being underdiagnosed and misdiagnosed. The diagnosis delay has a weighted mean of 6.1 years for wild-type ATTR-CM. Low awareness, the necessity of invasive procedures, and lack of treatment are the key reasons for delayed diagnosis. But, with the introduction of non-invasive tests like nuclear scintigraphy with ^99mTC-PYP and the disease modifying drug Tafamidis, the diagnosis delay signifies a missed opportunity to increase …

Pressure Induced By Roll-Down Foam-Earplugs On Earcanal, Ahmed Dalaq, Luiz Melo, Franck Sgard, Olivier Doutres, Éric Wagnac

Études primaires

Physical discomfort of earplug is a common complaint, so much so it jeopardizes the health and safety of workers, resulting in frequent noncompliance to proper wearing of earplugs. A pressing need thus arises to understand the underlying mechanics for the interaction of earplugs with earcanal walls. An idealized cylindrical geometry of earcanal is first treated with computational and analytical modeling to predict the pressure induced by roll-down cylindrical PVC foam earplugs. In order to predict representative pressure values and distribution, we estimated the hyperelastic properties of foam-based earplugs and characterized their behavior using a stent testing machine (J-Crimp^TM machine) …

Second Victim Syndrome And Organizational Support For Healthcare Providers: A Scoping Review, K R. Petryszyn, J P. Young, E R. Neil, J E. Benedict, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Healthcare providers may experience critical incident, medical error, or other adverse patient events in their clinical practice. Those that do encounter such events, may experience second victim syndrome (SVS), a condition in which providers feel psychological, cognitive, or physical reactions rendering care in these instances. Those with SVS may experience symptoms such as anxiety, depression, or burnout. Organizational support may mediate the impacts of SVS after an adverse patient event. We conducted a scoping review to explore and synthesize the literature on the support strategies implemented by healthcare organizations in the United States, for healthcare providers, after adverse patient …

Analysis Of The Physical Discomfort Of Earplugs Experienced By A Group Of Workers In Canadian Companies And Identification Of The Influencing Variables, Bastien Poissenot-Arrigoni, Alessia Negrini, Djamal Berbiche, Franck Sgard, Olivier Doutres

Études primaires

Earplugs are widely used to prevent noise induced hearing loss. However, the discomforts they induce negatively impacts their effectiveness by influencing their consistent and correct use. The physical earplugs discomfort is related to the user perception resulting from biomechanical and thermal interactions between the earplug and the earcanal. Its main attributes are “physical annoyance”, “pain”, “pressure” and “irritation". The (dis)comfort results from the complex interactions between the wearer, his/her earplug, and his/her work environment, which form the concept of triad. This study aims at improving our understanding of the physical discomfort of earplugs by identifying the triad characteristics that have …

Models And Algorithms For Trauma Network Design., Sagarkumar Dhirubhai Hirpara

Electronic Theses and Dissertations

Trauma continues to be the leading cause of death and disability in the US for people aged 44 and under, making it a major public health problem. The geographical maldistribution of Trauma Centers (TCs), and the resulting higher access time to the nearest TC, has been shown to impact trauma patient safety and increase disability or mortality. State governments often design a trauma network to provide prompt and definitive care to their citizens. However, this process is mainly manual and experience-based and often leads to a suboptimal network in terms of patient safety and resource utilization. This dissertation fills important …

Mise Au Point Et Validation D’Une Approche Terrain De Prédiction Des Chargements Au Dos Basée Sur Des Données De Laboratoire, Alain Delisle, François Thénault, André Plamondon, Hakim Mecheri

Rapports de recherche scientifique

Les troubles musculosquelettiques (TMS) et particulièrement ceux au bas du dos affectent de nombreux travailleuses et travailleurs chaque année au Québec (Vézina et al., 2011). Le chargement mécanique au bas dos est reconnu comme un facteur de risque pouvant mener au développement de maux de dos, et la manutention de charges peut occasionner des chargements importants et répétés. La façon habituelle de quantifier le chargement au dos des individus est d’estimer le moment qui s’exerce à l’articulation lombo-sacrée (L5/S1). L’estimation de ce moment se fait généralement en laboratoire et nécessite la connaissance de la position et de l’orientation de …

Back And Shoulder Exoskeletons For Occupational Use: A Review, Erkan Ozan

Theses

Work-related musculoskeletal disorders (MSDs) account for a large portion of all work-related injuries according to OSHA. Back and shoulder-related disorders make the most of work-related MSDs according to the Bureau of Labor Statistics (BLS). Exoskeletons emerged in recent years with the potential to reduce the risks of work-related musculoskeletal disorders and injuries. Their use in occupational settings is increasing, and exoskeleton designs are rapidly evolving. This paper reviewed recent scientific articles (2015 and after) that evaluated back and shoulder-support passive industrial exoskeletons. The findings of these articles are summarized and analyzed to assess the benefits of passive upper-body exoskeletons by …

Improving Patient Safety, Patient Flow And Physician Well-Being In Emergency Departments, Vishnunarayan Girishan Prabhu

All Dissertations

Over 151 million people visit US Emergency Departments (EDs) annually. The diverse nature and overwhelming volume of patient visits make the ED one of the most complicated settings in healthcare to study. ED overcrowding is a recognized worldwide public health problem, and its negative impacts include patient safety concerns, increased patient length of stay, medical errors, patients left without being seen, ambulance diversions, and increased health system expenditure. Additionally, ED crowding has been identified as a leading contributor to patient morbidity and mortality. Furthermore, this chaotic working environment affects the well-being of all ED staff through increased frustration, workload, stress, …

Dietary Practices During Pregnancy In A Marshallese Community: A Mixed Methods Analysis, Britni Ayers, Cari A. Bogulski, Ashlea Bennett-Milburn, Anna Fisher, Morda Newton, Pearl A. Mcelfish

Industrial Engineering Faculty Publications and Presentations

Dietary practices during pregnancy play a pivotal role in the health of women and their children and set the foundation for long-term health. Marshallese women have disproportionally higher rates of maternal and infant health disparities, yet little is known about the dietary practices during their pregnancy. The purpose of this study was to identify dietary practices during pregnancy among Marshallese women. From March 2019 to March 2020, a purposive sample of 33 pregnant Marshallese participants participated in a mixed methods study. Two primary themes emerged: (1) traditional beliefs about a healthy diet during pregnancy; and (2) dietary change during pregnancy. …

Eagle Medical Tray Denesting & Debris Removal Process, Nicholas Allen Ungefug, Noah Chavez, Susana Shu-Lin Okhuysen, Michael Augustine Pennington

Industrial and Manufacturing Engineering

Eagle Medical Incorporated is a contract medical device packaging and sterilization company. The company purchases thermoformed medical packaging trays, which maintain the sterility of medical devices, from various manufacturers. To ensure packaging quality and to prevent cleanroom contamination, Eagle Medical inspects and sterilizes each blister tray that they order. This process is an essential non-value-added activity that creates a bottleneck. Cleanroom employees must stop packaging medical devices and attend to the processing of blister trays and packaging solutions. The blister trays arrive at Eagle’s facility in nested stacks. Vibration and movement during shipping further compresses the stacks, which makes separation …

Supplier Performance Scorecard Utilization In The Medical Device Manufacturing Healthcare Supply Chain, Justin Cardisco

Theses and Dissertations

The medical device manufacturing industry has a deficiency in determining how to improve supplier performance for the components and systems they purchase. Many complex medical devices require components from superb suppliers. But how does a medical device manufacturer (MDM) impartially assess supplier performance to know which suppliers to continuing with (or even boost purchase volumes) and which suppliers they should exit? This study describes which supplier-specific metrics are most important to medical device manufacturers (MDMs) so they can utilize this supplier performance scorecard backed by real-world inputs. This research will focus on five categories to measure MDM supplier performance (Quality, …

Investigations Of External Resources And The Impact Of Imaging On Patient Flow In The Emergency Department, Marisa Shehan

All Theses

The problems associated with Emergency Department (ED) crowding are numerous, varied, and complex. Though overcrowded Emergency Departments are frequently attributed to overcrowded hospitals, crowding is also impacted by bottlenecks in patient flow. While discrete-event simulation (DES) is commonly used to model ED flow, external resources are typically excluded from these models due to their complexity and the limited amount of known information for these processes. Instead, external resources such as consults, labs, and imaging are modeled using estimation and/or educated guesswork. In this study, the impact of imaging on patient flow was assessed through data analysis of specific imaging factors, …

Examining The Impact Of Design Features Of Electronic Health Records Patient Portals On The Usability And Information Communication For Shared Decision Making, Rong Yin

All Dissertations

The use of the Electronic Health Records (EHR) patient portal has been shown to be effective in generating positive outcomes in patients’ healthcare, improving patient engagement and patient-provider communication. Government legislation also required proof of its meaningful use among patients by healthcare providers. Typical patient portals also include features such as health information and patient education materials. However, little research has examined the specific use of patient portals related to individuals with specific diseases such as inflammatory bowel diseases (IBDs). IBDs are life-long, not curable, chronic diseases that can impact the whole population. Individuals with IBDs may have higher needs …

Développement D’Une Méthodologie Pour Évaluer La Performance Des Gants À Isoler Des Vibrations En Tenant Compte De La Dextérité Ainsi Que De La Force De Préhension, Pierre Marcotte, Subhash Rakheja, Christian Larivière, Yumeng Yao, Chantal Gauvin, Karim Hamouda, Hakim Mecheri

Rapports de recherche scientifique

L'efficacité des gants antivibrations pour réduire les vibrations transmises à la main est actuellement évaluée en laboratoire selon la méthodologie décrite dans la norme ISO 10819:2013. Cette norme évalue la transmission des vibrations à la paume de la main, mais ne tient pas compte de la transmission des vibrations aux doigts ni de l’effet du port de ces gants sur la dextérité manuelle et l’effort de préhension. Cette étude visait à développer une méthodologie afin d’améliorer l’évaluation de la transmission des vibrations par les gants antivibrations à la paume et aux doigts, tout en tenant compte de l’effet de ces …

Evaluating The Military Medical Evacuation Dispatching And Delivery Problem Via Simulation And Self-Exciting Hawkes Process, Virbon B. Frial

Theses and Dissertations

The location, allocation, and utilization of military medical evacuation (MEDEVAC) resources significantly impact the quality and timeliness of medical care to injured troops. In 2009, Secretary of Defense Robert Gates introduced the Golden Hour mandate that entails the evacuation of critically-injured troops to military treatment facilities (MTFs) within an hour to prevent further complications. To develop high-quality policies that improve MEDEVAC system performance, several papers in the current literature assume that MTFs have both the capacity and capability of treating any patient, regardless of the type of injury. However, these assumptions are unrealistic when conducting high-intensity operations. While acknowledging MTF …

Advancing Ubiquitous Collaboration For Telehealth - A Framework To Evaluate Technology-Mediated Collaborative Workflow For Telehealth, Hypertension Exam Workflow Study, Christopher Bondy Ph.D., Linlin Chen Ph.D, Pamela Grover Md, Pengcheng Shi Ph.D

Articles

Healthcare systems are under siege globally regarding technology adoption; the recent pandemic has only magnified the issues. Providers and patients alike look to new enabling technologies to establish real-time connectivity and capability for a growing range of remote telehealth solutions. The migration to new technology is not as seamless as clinicians and patients would like since the new workflows pose new responsibilities and barriers to adoption across the telehealth ecosystem. Technology-mediated workflows (integrated software and personal medical devices) are increasingly important in patient-centered healthcare; software-intense systems will become integral in prescribed treatment plans [1]. My research explored the path to …

Inpatient Discharge-By-Noon: Are Fewer Better Than All?, Nicholas Ballester, Pratik J. Parikh, Kara Combs, Jordan S. Peck

Journal of Maine Medical Center

Introduction: To address boarding in hospital emergency departments, discharge-by-noon could free up inpatient beds earlier in the day. However, discharging all patients by noon can heavily burden inpatient units and may not be feasible. In this study, we determine the number of discharges after which the benefits of an additional discharge-by-noon diminish.

Methods: We conducted a simulation analysis to quantify how occupancy rate, mean daily number of discharges, and peak discharge time impact upstream boarding time in an inpatient neurology unit at Maine Medical Center. Using a day-of-discharge simulation model with one year of retrospective data, we assessed configurations approximating …

Blockchain-Based Digital Trust Mechanism: A Use Case Of Cloud Manufacturing Of Lds Syringes For Covid-19 Vaccination, Trupti Rane, Jingwei Huang

Engineering Management & Systems Engineering Faculty Publications

Trust is essential in the digital world. It is a critical task to build digital trust for the ongoing digital engineering transformation. Aiming at developing a blockchain-based digital trust mechanism for Cloud Manufacturing or Manufacturing-as-a-Service (MaaS), in this paper, we use the manufacturing of low dead space (LDS) medical syringes through Cloud Manufacturing as a motivating scenario to develop a basic framework. To meet the need of optimally saving COVID-19 vaccine doses to save more lives, the medical device manufacturing community needs to make a swift move to meet the surged need for LDS syringes. Cloud Manufacturing is a form …

Réduction Des Risques Lors Des Interventions En Espace Clos : Développement D’Une Base De Connaissances Sur La Prévention Intrinsèque Et La Protection Collective, Damien Burlet-Vienney, Yuvin Chinniah, Ali Bahloul, Andrés Felipe González Cortés, Capucine Ouellet, Abdallah Ben Mosbah

Rapports de recherche scientifique

Les espaces clos parmi les plus courants dans les milieux de travail au Québec sont les réservoirs, les cuves, les puits d’accès, les égouts, les tuyaux et les citernes. Les entrées en espace clos sont effectuées, entre autres, pour des raisons de maintenance (p. ex. : réparation, inspection, nettoyage, déblocage). Les risques pour la santé et la sécurité des travailleurs impliqués sont variés : atmosphérique, chimique, biologique, mécanique, physique ou liés à une chute ou au non-respect des principes ergonomiques. Dans le cadre de ce projet, une moyenne de 2,6 décès par an en espace clos au Québec sur la …

Contrôle Des Énergies Dangereuses Par Cadenassage Et Par D’Autres Méthodes Chez Les Électriciens, Les Tuyauteurs, Les Frigoristes Et Les Mécaniciens Du Secteur De La Construction : Étude Exploratoire, Damien Burlet-Vienney, Yuvin Chinniah, Ayoub Nokra

Rapports de recherche scientifique

À la différence des études précédentes de l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) sur le contrôle des énergies dangereuses et sur le cadenassage, cette étude est spécifique au secteur de la construction.

En 2016, la section 2.20 « Cadenassage et autres méthodes de contrôle des énergies » a été ajoutée au Code de sécurité pour les travaux de construction (CSTC) qui régit la santé et la sécurité sur les chantiers de construction au Québec. Cette section du CSTC fait notamment référence à la notion de maître d’œuvre (MO) pour l’encadrement du contrôle des énergies …

Analyse Du Concept De Marge De Manœuvre En Ergonomie Du Point De Vue Du Contrôle De La Motricité Humaine, Philippe Corbeil, André Plamondon, Denys Denis

Rapports de recherche scientifique

Le concept de marge de manœuvre se définit comme la liberté dont dispose un travailleur pour élaborer différentes façons de travailler afin de répondre aux exigences de production, et ce, sans effet défavorable sur sa santé (Coutarel, Caroly, Vézina et Daniellou, 2015; St-Vincent et al., 2011). Une forte charge de travail jumelée à une faible latitude décisionnelle restreint l’élaboration des gestes et pourrait pénaliser ainsi la santé des opérateurs. Les connaissances actuelles des façons de faire des manutentionnaires, qu’ils soient experts ou non, ne nous permettent pas d’apprécier dans sa totalité l’ampleur de cette liberté lorsqu’un individu doit répéter …

A Unified Health Information System Framework For Connecting Data, People, Devices, And Systems, Wu He, Justin Zuopeng Zhang, Huanmei Wu, Wenzhuo Li, Sachin Shetty

Information Technology & Decision Sciences Faculty Publications

The COVID-19 pandemic has heightened the necessity for pervasive data and system interoperability to manage healthcare information and knowledge. There is an urgent need to better understand the role of interoperability in improving the societal responses to the pandemic. This paper explores data and system interoperability, a very specific area that could contribute to fighting COVID-19. Specifically, the authors propose a unified health information system framework to connect data, systems, and devices to increase interoperability and manage healthcare information and knowledge. A blockchain-based solution is also provided as a recommendation for improving the data and system interoperability in healthcare.

Submaximal Electromyography-Driven Musculoskeletal Modeling Of The Human Trunk During Static Tasks: Equilibrium And Stability Analyses, Farshid Ghezelbash, Aboulfazl Shirazi-Adl, Denis Gagnon, Ali Shahvarpour, Navid Arjmand, Amir Hossein Eskandari, Christian Larivière

Études primaires

Conventional electromyography-driven (EMG) musculoskeletal models are calibrated during maximum voluntary contraction (MVC) tasks, but individuals with low back pain cannot perform unbiased MVCs. To address this issue, EMG-driven models can be calibrated in submaximal tasks. However, the effects of maximal (when data points include the maximum contraction) and submaximal calibration techniques on model outputs (e.g., muscle forces, spinal loads) remain yet unknown. We calibrated a subject-specific EMG-driven model, using maximal/submaximal isometric contractions, and simulated different independent tasks. Both approaches satisfactorily predicted external moments (Pearson’s correlation ∼ 0.75; relative error = 44%), and removing calibration tasks under axial torques markedly improved …

Challenges And Solutions For Designing A Covid-19 Vaccination Hub: A Simulation Approach, Antonio Cimino, Maria Grazia Gnoni, Francesco Longo, Rafael Diaz, Adriano Solis, Antonio Nervoso, Karen Althea Manfredi, Marika Diaco

VMASC Publications

It is the intent of the work to support experts in the organization process of Covid-19 vaccination hubs. An approach based on Modelling & Simulation (M&S) is proposed and in particular, a simulation model of a real vaccination hub, located in South of Italy, has been developed. The simulation model recreates, with satisfactory accuracy, the evolution over the time of the real system and it has been used to analyze the system behavior under several operative scenarios. The generation of the alternative operative scenarios comes from the variation of multiple design parameters that affect multiple performance measures. The quantitative evaluation …