A mentored Career Development Award is proposed to provide the candidate with rigorous methodological training and experience in Human Factors Engineering research that can be applied to the proposed research project in the imaging sciences processes and systems in a non-radiology environment such as the emergency department (ED). The proposed project will use cognitive systems engineering analysis to characterize the role of imaging in the ED and to specify system design characteristics which will best facilitate this role, then use human factors analysis methods to determine the ability of existing technologies to meet these needs and to develop a prototype dashboard interface to integrate the multiple imaging systems used in the ED. The proposed multidisciplinary work will be mentored by a collaboration of human factors engineers, cognitive systems engineers, health services researchers, and patient safety experts, and an advisory board of experts in radiology and imaging sciences information technology. Rollin J. Fairbanks, MD, MS, who has unique qualifications as both a physician researcher and a human factors engineer, will emerge from the award period as a researcher positioned to direct significant research efforts using human factors engineering approaches to the design of medical devices and information systems which meet the cognitive needs of the health care provider in their work environment. This project will also expand an existing simulation center to create a multidisciplinary translational laboratory which will be positioned to conduct continuing research to improve existing clinical technologies and to create new ones.

Public Health Relevance

This Study aims to better understand the cognitive processes the use of clinical imaging by emergency physicians. This information can inform the design of imaging systems which are used in the emergency department, and the improved design can improve the safety, reliability, and efficiency of these systems, thus having an impact on public health.

Agency
National Institute of Health (NIH)
Institute
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
Type
Clinical Investigator Award (CIA) (K08)
Project #
1K08EB009090-01A1
Application #
7738580
Study Section
Special Emphasis Panel (ZEB1-OSR-E (M1))
Program Officer
Erim, Zeynep
Project Start
2009-08-07
Project End
2010-07-31
Budget Start
2009-08-07
Budget End
2010-07-31
Support Year
1
Fiscal Year
2009
Total Cost
$155,046
Indirect Cost
Name
University of Rochester
Department
Emergency Medicine
Type
Schools of Dentistry
DUNS #
041294109
City
Rochester
State
NY
Country
United States
Zip Code
14627
Clark, Lindsey N; Benda, Natalie C; Hegde, Sudeep et al. (2017) Usability evaluation of an emergency department information system prototype designed using cognitive systems engineering techniques. Appl Ergon 60:356-365
Kellogg, Kathryn M; Hettinger, Zach; Shah, Manish et al. (2017) Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? BMJ Qual Saf 26:381-387
Pati, Debajyoti; Pietrzak, Michael P; Harvey Jr, Thomas E et al. (2013) Advancing Translational Research through Facility Design in Non-AMC Hospitals. HERD 6:126-37
Russ, Alissa L; Fairbanks, Rollin J; Karsh, Ben-Tzion et al. (2013) The science of human factors: separating fact from fiction. BMJ Qual Saf 22:802-8
Kessler, Chad S; Asrow, Alexandra; Beach, Christopher et al. (2013) The taxonomy of emergency department consultations--results of an expert consensus panel. Ann Emerg Med 61:161-6
Hettinger, A Zachary; Fairbanks, Rollin J; Hegde, Sudeep et al. (2013) An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. J Healthc Risk Manag 33:11-20
Baker, Stephanie N; Acquisto, Nicole M; Ashley, Elizabeth Dodds et al. (2012) Pharmacist-managed antimicrobial stewardship program for patients discharged from the emergency department. J Pharm Pract 25:190-4
Weaver, Matthew D; Wang, Henry E; Fairbanks, Rollin J et al. (2012) The association between EMS workplace safety culture and safety outcomes. Prehosp Emerg Care 16:43-52
Stephens, Robert J; Fairbanks, Rollin J (2012) Humans and multitask performance: let's give credit where credit is due. Acad Emerg Med 19:232-4
Acquisto, Nicole M; Hays, Daniel P; Fairbanks, Rollin J Terry et al. (2012) The outcomes of emergency pharmacist participation during acute myocardial infarction. J Emerg Med 42:371-8

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