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https://www.readbyqxmd.com/read/30286798/optimizing-huddle-engagement-through-leadership-and-problem-solving-within-primary-care-a-study-protocol-for-a-cluster-randomized-trial
#1
Megan E Branda, Aravind Chandrasekaran, Marc D Tumerman, Nilay D Shah, Peter Ward, Bradley R Staats, Theresa M Lewis, Diane K Olson, Rachel Giblon, Michelle A Lampman, David R Rushlow
BACKGROUND: Team-based care has been identified as a key component in transforming primary care. An important factor in implementing team-based care is the requirement for teams to have daily huddles. During huddles, the care team, comprising physicians, nurses, and administrative staff, come together to discuss their daily schedules, track problems, and develop countermeasures to fix these problems. However, the impact of these huddles on staff burnout over time and patient outcomes are not clear...
October 4, 2018: Trials
https://www.readbyqxmd.com/read/30130241/resilient-autonomous-control-of-distributed-multiagent-systems-in-contested-environments
#2
Rohollah Moghadam, Hamidreza Modares
An autonomous and resilient controller is proposed for leader-follower multiagent systems under uncertainties and cyber-physical attacks. The leader is assumed nonautonomous with a nonzero control input, which allows changing the team behavior or mission in response to the environmental changes. A resilient learning-based control protocol is presented to find optimal solutions to the synchronization problem in the presence of attacks and system dynamic uncertainties. An observer-based distributed H∞ controller is first designed to prevent propagating the effects of attacks on sensors and actuators throughout the network, as well as to attenuate the effect of these attacks on the compromised agent itself...
August 17, 2018: IEEE Transactions on Cybernetics
https://www.readbyqxmd.com/read/29896506/data-on-the-design-of-truss-structures-by-teams-of-engineering-students
#3
Christopher McComb, Jonathan Cagan, Kenneth Kotovsky
This experiment was conducted in order to compare different approaches that human teams use to solve design problems that change dynamically during solving. Specifically, study participants were given the task of designing a truss structure (similar to a bridge spanning a chasm) in teams of three. At two points during design, the problem statement was changed unexpectedly, requiring participants to adapt. Two conditions were given different initial problem representations. During the study, every participant had access to a computer interface that allowed them to construct, test, and share solutions...
June 2018: Data in Brief
https://www.readbyqxmd.com/read/29510491/crisis-resource-management-in-the-delivery-room-development-of-behavioral-markers-for-team-performance-in-emergency-simulation
#4
Fabrizio Bracco, Gabriele de Tonetti, Michele Masini, Marcello Passarelli, Francesca Geretto, Danilo Celleno
Human factors are the most relevant issues contributing to adverse events in obstetrics. Specific training of Crisis Resource Management (CRM) skills (i.e., problem solving and team management, resource allocation, awareness of environment, and dynamic decision-making) is now widespread and is often based on High Fidelity Simulation. In order to be used as a guideline in simulated scenarios, CRM skills need to be mapped to specific and observable behavioral markers. For this purpose, we developed a set of observable behaviors related to the main elements of CRM in the delivery room...
March 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29238828/validation-of-the-strain-assessment-of-a-phantom-of-abdominal-aortic-aneurysm-comparison-of-results-obtained-from-magnetic-resonance-imaging-and-stereovision-measurements
#5
Yufei Wang, David Joannic, Patrick Juillion, Aurélien Monnet, Patrick Delassus, Alain Lalande, Jean-François Fontaine
Predicting aortic aneurysm ruptures is a complex problem that has been investigated by many research teams over several decades. Work on this issue is notably complex and involves both the mechanical behavior of the artery and the blood flow. Magnetic resonance imaging (MRI) can provide measurements concerning the shape of an organ and the blood that flows through it. Measuring local distortion of the artery wall is the first essential factor to evaluate in a ruptured artery. This paper aims to demonstrate the feasibility of this measure using MRI on a phantom of an abdominal aortic aneurysm (AAA) with realistic shape...
March 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29213057/a-catch-up-illusion-arising-from-a-distance-dependent-perception-bias-in-judging-relative-movement
#6
Tobias Meilinger, Bärbel Garsoffky, Stephan Schwan
The perception of relative target movement from a dynamic observer is an unexamined psychological three body problem. To test the applicability of explanations for two moving bodies participants repeatedly judged the relative movements of two runners chasing each other in video clips displayed on a stationary screen. The chased person always ran at 3 m/s with an observer camera following or leading at 4.5, 3, 1.5 or 0 m/s. We harmonized the chaser speed in an adaptive staircase to determine the point of subjective equal movement speed between runners and observed (i) an underestimation of chaser speed if the runners moved towards the viewer, and (ii) an overestimation of chaser speed if the runners moved away from the viewer, leading to a catch-up illusion in case of equidistant runners...
December 6, 2017: Scientific Reports
https://www.readbyqxmd.com/read/27565276/a-framework-for-developing-the-structure-of-public-health-economic-models
#7
Hazel Squires, James Chilcott, Ronald Akehurst, Jennifer Burr, Michael P Kelly
BACKGROUND: A conceptual modeling framework is a methodology that assists modelers through the process of developing a model structure. Public health interventions tend to operate in dynamically complex systems. Modeling public health interventions requires broader considerations than clinical ones. Inappropriately simple models may lead to poor validity and credibility, resulting in suboptimal allocation of resources. OBJECTIVE: This article presents the first conceptual modeling framework for public health economic evaluation...
July 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27491197/the-secrets-of-great-teamwork
#8
Martine Haas, Mark Mortensen
Over the years, as teams have grown more diverse, dispersed, digital, and dynamic, collaboration has become more complex. But though teams face new challenges, their success still depends on a core set of fundamentals. As J. Richard Hackman, who began researching teams in the 1970s, discovered, what matters most isn't the personalities or behavior of the team members; it's whether a team has a compelling direction, a strong structure, and a supportive context. In their own research, Haas and Mortensen have found that teams need those three "enabling conditions" now more than ever...
June 2016: Harvard Business Review
https://www.readbyqxmd.com/read/27455085/disruptive-physician-behaviors-and-their-impact-on-patient-care-in-a-health-insurance-hospital-in-alexandria-egypt
#9
Taghareed A Elhoseny, Amr Adel
BACKGROUND: Disruptive behavior is the use of inappropriate words, actions, or inactions by physicians that interferes with their ability to function well with others. It is a current problem in the medical profession and has become a focus of public health attention due to its destructive impact on hospital staff, institutions, and quality patient care. AIM: The aim of the present study was to evaluate the perceptions of physicians about disruptive physician behaviors, and their frequency and impact on clinical outcomes...
June 2016: Journal of the Egyptian Public Health Association
https://www.readbyqxmd.com/read/27243023/behavioral-ecology-of-captive-species-using-bibliographic-information-to-assess-pet-suitability-of-mammal-species
#10
Paul Koene, Rudi M de Mol, Bert Ipema
Which mammal species are suitable to be kept as pet? For answering this question many factors have to be considered. Animals have many adaptations to their natural environment in which they have evolved that may cause adaptation problems and/or risks in captivity. Problems may be visible in behavior, welfare, health, and/or human-animal interaction, resulting, for example, in stereotypies, disease, and fear. A framework is developed in which bibliographic information of mammal species from the wild and captive environment is collected and assessed by three teams of animal scientists...
2016: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/27033134/physiological-synchronization-in-emergency-response-teams-subjective-workload-drivers-and-empaths
#11
Stephen J Guastello, David E Marra, Claire Perna, Julian Castro, Maribeth Gomez, Anthony F Peressini
Behavioral and physiological synchronization have important implications for work teams with regard to workload management, coordinated behavior and overall functioning. This study extended previous work on the nonlinear statistical structure of GSR series in dyads to larger teams and included subjective ratings of workload and contributions to problem solving. Eleven teams of 3 or 4 people played a series of six emergency response (ER) games against a single opponent. Seven of the groups worked under a time pressure instruction at the beginning of the first game...
April 2016: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/26341127/technology-in-postgraduate-medical-education-a-dynamic-influence-on-learning
#12
REVIEW
Alison Bullock, Katie Webb
The influence of technology in medical workplace learning is explored by focusing on three uses: m-learning (notably apps), simulation and social media. Smartphones with point-of-care tools (such as textbooks, drug guides and medical calculators) can support workplace learning and doctors' decision-making. Simulations can help develop technical skills and team interactions, and 'in situ' simulations improve the match between the virtual and the real. Social media (wikis, blogs, networking, YouTube) heralds a more participatory and collaborative approach to knowledge development...
November 2015: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/25943310/patient-and-health-care-professional-decision-making-to-commence-and-withdraw-from-renal-dialysis-a-systematic-review-of-qualitative-research
#13
REVIEW
Jamilla A Hussain, Kate Flemming, Fliss E M Murtagh, Miriam J Johnson
BACKGROUND AND OBJECTIVE: To ensure that decisions to start and stop dialysis in ESRD are shared, the factors that affect patients and health care professionals in making such decisions must be understood. This systematic review sought to explore how and why different factors mediate the choices about dialysis treatment. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: MEDLINE, Embase, CINAHL, and PsychINFO were searched for qualitative studies of factors that affect patients' or health care professionals' decisions to commence or withdraw from dialysis...
July 7, 2015: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/25546263/team-performance-and-collective-efficacy-in-the-dynamic-psychology-of-competitive-team-a-bayesian-network-analysis
#14
P Fuster-Parra, A García-Mas, F J Ponseti, F M Leo
The purpose of this paper was to discover the relationships among 22 relevant psychological features in semi-professional football players in order to study team's performance and collective efficacy via a Bayesian network (BN). The paper includes optimization of team's performance and collective efficacy using intercausal reasoning pattern which constitutes a very common pattern in human reasoning. The BN is used to make inferences regarding our problem, and therefore we obtain some conclusions; among them: maximizing the team's performance causes a decrease in collective efficacy and when team's performance achieves the minimum value it causes an increase in moderate/high values of collective efficacy...
April 2015: Human Movement Science
https://www.readbyqxmd.com/read/25491129/the-perceived-effects-of-faculty-presence-vs-absence-on-small-group-learning-and-group-dynamics-a-quasi-experimental-study
#15
Miriam Hoffman, Joanne E Wilkinson, Jin Xu, John Wiecha
BACKGROUND: Medical education increasingly relies on small-group learning. Small group learning provides more active learning, better retention, higher satisfaction, and facilitates development of problem-solving and team-working abilities. However, less is known about student experience and preference for different small groups teaching models. We evaluated group educational dynamics and group learning process in medical school clerkship small group case-based settings, with a faculty member present versus absent...
2014: BMC Medical Education
https://www.readbyqxmd.com/read/25292448/a-model-for-translating-ethnography-and-theory-into-culturally-constructed-clinical-practices
#16
Bonnie Kaul Nastasi, Jean J Schensul, Stephen L Schensul, Abelwahed Mekki-Berrada, Pertti J Pelto, Shubhada Maitra, Ravi Verma, Niranjan Saggurti
This article describes the development of a dynamic culturally constructed clinical practice model for HIV/STI prevention, the Narrative Intervention Model (NIM), and illustrates its application in practice, within the context of a 6-year transdisciplinary research program in Mumbai, India. Theory and research from anthropology, psychology, and public health, and mixed-method ethnographic research with practitioners, patients, and community members, contributed to the articulation of the NIM for HIV/STI risk reduction and prevention among married men living in low-income communities...
March 2015: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/25165190/the-pooling-of-manpower-and-resources-through-the-establishment-of-european-reference-networks-and-rare-disease-patient-registries-is-a-necessary-area-of-collaboration-for-rare-renal-disorders
#17
REVIEW
Samantha Parker
This review aims to provide guidance on emerging concepts and policy related to European reference networks (ERNs) for rare diseases (RDs) and the development and management of RD patient registries. A major problem facing many RDs including rare renal disorders is that patients do not have a specialist centre that they can attend where clinicians, working as a multidisciplinary team, are experts in the particular disease. Furthermore, for most RDs, no single centre, and in many cases no single country, has sufficient numbers of patients and resources to fully understand the natural history or to conduct clinical and translational research...
September 2014: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/24756030/collaborative-working-between-pediatric-speech-and-language-therapy-and-ent-colleagues-what-is-good-practice
#18
REVIEW
Hilary Gardner
PURPOSE OF REVIEW: This article considers current evidence pertaining to good practice in joint paediatric speech and language therapy (SLT) and ear, nose and throat (ENT) assessment and management in the general hospital clinic. Because of space limitations, this review excludes those cases that are typically referred into highly specialist clinics dealing with cleft palate or profound hearing loss and cochlear implant. It will instead focus on children with the types of communication difficulties that are related to physical anomalies and conditions impacting on speech, nasal resonance, voice and those cases with a history of fluctuating or mild hearing loss...
June 2014: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/24689252/team-knowledge-representation-a-network-perspective
#19
J Alberto Espinosa, Mark A Clark
OBJECTIVE: We propose a network perspective of team knowledge that offers both conceptual and methodological advantages, expanding explanatory value through representation and measurement of component structure and content. BACKGROUND: Team knowledge has typically been conceptualized and measured with relatively simple aggregates, without fully accounting for differing knowledge configurations among team members. Teams with similar aggregate values of team knowledge may have very different team dynamics depending on how knowledge isolates, cliques, and densities are distributed across the team; which members are the most knowledgeable; who shares knowledge with whom; and how knowledge clusters are distributed...
March 2014: Human Factors
https://www.readbyqxmd.com/read/24517441/neural-signatures-of-team-coordination-are-revealed-by-multifractal-analysis
#20
Aaron D Likens, Polemnia G Amazeen, Ron Stevens, Trysha Galloway, Jamie C Gorman
The quality of a team depends on its ability to deliver information through a hierarchy of team members and negotiate processes spanning different time scales. That structure and the behavior that results from it pose problems for researchers because multiply-nested interactions are not easily separated. We explored the behavior of a six-person team engaged in a Submarine Piloting and Navigation (SPAN) task using the tools of dynamical systems. The data were a single entropy time series that showed the distribution of activity across six team members, as recorded by nine-channel electroencephalography (EEG)...
2014: Social Neuroscience
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