2024
A human factors engineering approach to improving hand hygiene quality
Boyce M, Mathew T, Roberts S, Aniskiewicz M, Krechevsky K, Dahlberg S, Frye N, Trumpler J, Evans L, Martinello R, Team T. A human factors engineering approach to improving hand hygiene quality. Human Factors In Healthcare 2024, 6: 100085. DOI: 10.1016/j.hfh.2024.100085.Peer-Reviewed Original ResearchHealthcare personnelHealthcare-associated infectionsHospital settingWorld Health OrganizationPatient safetyHuman factors engineeringHuman factors engineering approachImprove patient safetyPrevent healthcare-associated infectionsPerformance of HHHealthcare-associated infection ratesSubject matter expertsInfection prevention specialistsHospital leadershipHealthcare settingsAlcohol-based handMatter expertsInpatient hospitalizationQualitative interviewsPrevention specialistsInfection preventionHealthcareHealth OrganizationHospitalHH techniqueEducational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study
Fults E, Gerwin J, Boyce M, Joseph M, Wong A, Evans L. Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study. BMC Medical Education 2024, 24: 1055. PMID: 39334215, PMCID: PMC11429862, DOI: 10.1186/s12909-024-05972-4.Peer-Reviewed Original ResearchConceptsEmergency medicine resident physiciansResident physiciansQualitative studyEmergency departmentResident physicians' experiencesEmergency medicine facultyCOVID-19 pandemicResident physician trainingResidency program leadershipSocial support systemsBackgroundThe COVID-19 pandemicData saturationPhysician trainingCode teamFrontline physiciansPractice styleUrban academic institutionProgram leadershipPhysician experienceMedicine facultyResident experiencePersonal impactPhysiciansMoral injuryResident preparationNEAT: Nurse Effort Assessment Tool—Human Factors Considerations in Designing for Appropriate Staffing
Good S, Boyce M, Evans L, Sevilla M. NEAT: Nurse Effort Assessment Tool—Human Factors Considerations in Designing for Appropriate Staffing. Proceedings Of The Human Factors And Ergonomics Society Annual Meeting 2024 DOI: 10.1177/10711813241261347.Peer-Reviewed Original ResearchElectronic health recordsPatient-level informationHealth recordsAppropriate staffingIncreased acuityPatient assessmentBehavior patientsClinical sitesAssessment toolStatistically significant resultsPatient recordsNursesSignificant resultsSubjective ratingsPatientsStaffingAlgorithmFactors considerationsRecordsScoresAutomated algorithmComparing Male and Female Resident Physicians in Central Venous Catheter Insertion Self-confidence and Competency: A Retrospective Cohort Study
Solberg M, Wong A, Ikejiani S, Bonz J, Evans L. Comparing Male and Female Resident Physicians in Central Venous Catheter Insertion Self-confidence and Competency: A Retrospective Cohort Study. Journal Of General Internal Medicine 2024, 1-7. PMID: 39117882, DOI: 10.1007/s11606-024-08982-6.Peer-Reviewed Original ResearchTraining programPost-trainingCentral venous catheterFemale resident physiciansSelf-confidenceSelf-reported confidenceMale traineesDifferences pre-Simulation training programVenous cathetersCannulation attemptsDesigning training programsPhysician residentsInserting central venous cathetersSkill-based outcomesLinear regressionDesignUsing dataMale physiciansResident physiciansCentral venous catheter insertionRetrospective cohort studyClinical competenceSpecialty designationBaseline demographic characteristicsPhysician educationHuman-Algorithmic Interaction Using a Large Language Model-Augmented Artificial Intelligence Clinical Decision Support System
Rajashekar N, Shin Y, Pu Y, Chung S, You K, Giuffre M, Chan C, Saarinen T, Hsiao A, Sekhon J, Wong A, Evans L, Kizilcec R, Laine L, Mccall T, Shung D. Human-Algorithmic Interaction Using a Large Language Model-Augmented Artificial Intelligence Clinical Decision Support System. 2024, 1-20. DOI: 10.1145/3613904.3642024.Peer-Reviewed Original ResearchClinical decision support systemsHuman-computer interactionDecision support systemArtificial intelligenceAI-CDSSIntelligent clinical decision support systemSupport systemIntegration of artificial intelligenceHuman-algorithm interactionsEase-of-useLanguage modelHuman algorithmAI systemsSocio-technological challengesHealth-care providersMedical student participationQualitative themesClinical simulationClinical expertiseUpper gastrointestinal bleedingUsabilityBorderline decisionsLanguageClinical intuitionTrustHRVEST: a novel data solution for using wearable smart technology to measure physiologic stress variables during a randomized clinical trial
Gerwin J, de Oliveira Almeida G, Boyce M, Joseph M, Wong A, Burleson W, Evans L. HRVEST: a novel data solution for using wearable smart technology to measure physiologic stress variables during a randomized clinical trial. Frontiers In Computer Science 2024, 6: 1343139. DOI: 10.3389/fcomp.2024.1343139.Peer-Reviewed Original ResearchWearable smart garmentsSmart garmentsNovel algorithmRaw physiological dataData solutionsElectrocardiogram (ECGData processing algorithmsReal-time feedbackWearable technologyBiometric dataNoise-filteringProprietary softwareProposed solutionsData challengeSmart technologiesRaw dataAlgorithmDataAnalytical softwareSoftwarePhysiological dataTechnologyBreak-takingDecision-makingHeart rate variability
2021
Virtual Telesimulation for Medical Students During the COVID-19 Pandemic
Ray JM, Wong AH, Yang TJ, Buck S, Joseph M, Bonz JW, Auerbach MA, Couturier K, Tomassoni AJ, Schwartz ML, Evans LV. Virtual Telesimulation for Medical Students During the COVID-19 Pandemic. Academic Medicine 2021, 96: 1431-1435. PMID: 33883398, PMCID: PMC8475640, DOI: 10.1097/acm.0000000000004129.Peer-Reviewed Original ResearchConceptsMedical studentsVideoconferencing platformUndergraduate medical educationImmersive educational experienceClinical skill developmentSimulation-based learningMedical student curriculumLearning experienceEducational experienceStudent curriculumClerkship rotationEducational modalitiesContent areasMedical educationMedical schoolsSkill developmentFacilitator interactionsStudentsOnline webinarsPatient actorsStudent volunteersCOVID-19 pandemicSimilar programsChat functionSchools
2010
Simulation and patient safety: evaluative checklists for central venous catheter insertion
Evans LV, Dodge KL. Simulation and patient safety: evaluative checklists for central venous catheter insertion. BMJ Quality & Safety 2010, 19: i42. PMID: 20959318, DOI: 10.1136/qshc.2010.042168.Peer-Reviewed Original ResearchConceptsCentral venous catheter insertionVenous catheter insertionPatient safetyCatheter insertionInvasive proceduresHealthcare providers' competenceInsertion of CVCsProcedural checklistCVC insertionHarmful complicationsReliable assessment toolHealthcare providersClinical settingProvider competenceCategorical breakdownRating ScaleTraining protocolClinical competencyGlobal rating scaleCompetency-based trainingAssessment toolEvaluation toolChecklistAccurate assessmentSafetySimulation Training in Central Venous Catheter Insertion: Improved Performance in Clinical Practice
Evans LV, Dodge KL, Shah TD, Kaplan LJ, Siegel MD, Moore CL, Hamann CJ, Lin Z, D'Onofrio G. Simulation Training in Central Venous Catheter Insertion: Improved Performance in Clinical Practice. Academic Medicine 2010, 85: 1462-1469. PMID: 20736674, DOI: 10.1097/acm.0b013e3181eac9a3.Peer-Reviewed Original ResearchMeSH KeywordsCatheterization, Central VenousChi-Square DistributionClinical CompetenceCompetency-Based EducationEducation, Medical, GraduateEducational MeasurementHumansIntensive Care UnitsInternship and ResidencyPatient SimulationProspective StudiesRegression AnalysisSingle-Blind MethodStatistics, NonparametricUltrasonography, InterventionalConceptsCentral venous catheter insertionVenous catheter insertionCVC insertionFirst cannulationIntervention groupControl groupCatheter insertionMechanical complicationsClinical practiceTertiary care teaching hospitalSingle-blind studyInsertion success rateTechnical errorsBlinded independent ratersSimulation trainingPatient comorbiditiesPrimary outcomeSecondary outcomesTeaching hospitalInsertion successSecond-year residentsCannulationResident specialtyConfidence intervalsSimulation training course
2009
The Development of an Independent Rater System to Assess Residents' Competence in Invasive Procedures
Evans LV, Morse JL, Hamann CJ, Osborne M, Lin Z, D'Onofrio G. The Development of an Independent Rater System to Assess Residents' Competence in Invasive Procedures. Academic Medicine 2009, 84: 1135-1143. PMID: 19638785, DOI: 10.1097/acm.0b013e3181acec7c.Peer-Reviewed Original ResearchInformation Loss in Emergency Medical Services Handover of Trauma Patients
Carter AJ, Davis KA, Evans LV, Cone DC. Information Loss in Emergency Medical Services Handover of Trauma Patients. Prehospital Emergency Care 2009, 13: 280-285. PMID: 19499462, DOI: 10.1080/10903120802706260.Peer-Reviewed Original ResearchConceptsGlasgow Coma ScalePrehospital hypotensionPatient handoverPrehospital Glasgow Coma ScaleLevel I trauma centerEMS providersPrehospital vital signsEmergency medical services personnelI trauma centerMechanism of injuryTrauma team activationPatients meeting criteriaMedical services personnelPrehospital eventsGCS scoreTrauma patientsComa ScaleTrauma centerEmergency departmentTeam activationHospital cliniciansAnatomic locationAppropriate careTrauma teamTrauma program
2008
Teaching and Assessing Procedural Skills Using Simulation: Metrics and Methodology
Lammers RL, Davenport M, Korley F, Griswold‐Theodorson S, Fitch MT, Narang AT, Evans LV, Gross A, Rodriguez E, Dodge KL, Hamann CJ, Robey WC. Teaching and Assessing Procedural Skills Using Simulation: Metrics and Methodology. Academic Emergency Medicine 2008, 15: 1079-1087. PMID: 18828833, DOI: 10.1111/j.1553-2712.2008.00233.x.Peer-Reviewed Original ResearchConceptsProcedural skillsSimulation-based procedural trainingEducational research methodologyHuman factors researchOutcomes-based assessmentTransfer of skillsTraining methodsSimulation-based trainingTeam skillsFactors researchSkill decaySkillsEmergency medicineTechnical skillsAssessment instrumentsResearch methodologyProcedural trainingTrainingAssessment toolPerformance standardsPresent questionsMedical disciplinesSimulator modelResearch themesFurther researchAttracting Surgical Clerks to Surgical Careers: Role Models, Mentoring, and Engagement in the Operating Room
Berman L, Rosenthal MS, Curry LA, Evans LV, Gusberg RJ. Attracting Surgical Clerks to Surgical Careers: Role Models, Mentoring, and Engagement in the Operating Room. Journal Of The American College Of Surgeons 2008, 207: 793-800.e2. PMID: 19183524, DOI: 10.1016/j.jamcollsurg.2008.08.003.Peer-Reviewed Original Research
2006
Efficacy of a Human Patient Simulator to Improve Senior Residents’ skills in Functioning as a Team Leader During Trauma Resuscitations
Schechter E, Kaplan L, Hojman H, Bontempo L, Carusone C, Evans L. Efficacy of a Human Patient Simulator to Improve Senior Residents’ skills in Functioning as a Team Leader During Trauma Resuscitations. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2006, 1: 98. DOI: 10.1097/01266021-200600120-00020.Peer-Reviewed Original Research
1993
Defecation Syncope Secondary to Functional Inferior Vena Caval Obstruction During a Valsalva Maneuver
Brophy C, Evans L, Sumpio B. Defecation Syncope Secondary to Functional Inferior Vena Caval Obstruction During a Valsalva Maneuver. Annals Of Vascular Surgery 1993, 7: 374-377. PMID: 8268080, DOI: 10.1007/bf02002893.Peer-Reviewed Original ResearchConceptsValsalva maneuverDefecation syncopeInferior vena cava obstructionInferior vena caval obstructionPreoperative hemodynamic assessmentVena caval obstructionEffective surgical approachVena cava obstructionContinuous hemodynamic monitoringIVC obstructionCava obstructionCaval obstructionBlood pressureFunctional obstructionHemodynamic assessmentHemodynamic monitoringDiaphragmatic hiatusSurgical approachTransesophageal ultrasonographyFunctional disordersIVC patencyIntraoperative approachSurgical mobilizationObstructionExtensive mobilization