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Browsing by Author "Ray, Jessica M."
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Item Six habits of highly successful health information technology: powerful strategies for design and implementation(Oxford Academic, 2019-10) Ray, Jessica M.; Ratwani, Raj M.; Sinsky, Christine A.; Frankel, Richard M.; Friedberg, Mark W.; Powsner, Seth M.; Rosenthal, David I.; Wachter, Robert M.; Melnick, Edward R.; Regenstrief Institute, Indiana University School of MedicineHealthcare information technologies are now a routine component of patient–clinician interactions. Originally designed for operational functions including billing and regulatory compliance, these systems have had unintended consequences including increased exam room documentation, divided attention during the visit, and use of scribes to alleviate documentation burdens. In an age in which technology is ubiquitous in everyday life, we must re-envision healthcare technology to support both clinical operations and, above all, the patient–clinician relationship. We present 6 habits for designing user-centered health technologies: (1) put patient care first, (2) assemble a team with the right skills, (3) relentlessly ask WHY, (4) keep it simple, (5) be Darwinian, and (6) don’t lose the forest for the trees. These habits should open dialogues between developers, implementers, end users, and stakeholders, as well as outline a path for better, more usable technology that puts patients and their clinicians back at the center of care.Item Supporting the Quadruple Aim Using Simulation and Human Factors During COVID-19 Care(Wolters Kluwer, 2021) Wong, Ambrose H.; Ahmed, Rami A.; Ray, Jessica M.; Khan, Humera; Hughes, Patrick G.; McCoy, Christopher Eric; Auerbach, Marc A.; Barach, Paul; Emergency Medicine, School of MedicineThe health care sector has made radical changes to hospital operations and care delivery in response to the coronavirus disease (COVID-19) pandemic. This article examines pragmatic applications of simulation and human factors to support the Quadruple Aim of health system performance during the COVID-19 era. First, patient safety is enhanced through development and testing of new technologies, equipment, and protocols using laboratory-based and in situ simulation. Second, population health is strengthened through virtual platforms that deliver telehealth and remote simulation that ensure readiness for personnel to deploy to new clinical units. Third, prevention of lost revenue occurs through usability testing of equipment and computer-based simulations to predict system performance and resilience. Finally, simulation supports health worker wellness and satisfaction by identifying optimal work conditions that maximize productivity while protecting staff through preparedness training. Leveraging simulation and human factors will support a resilient and sustainable response to the pandemic in a transformed health care landscape.