The Impact of Usability on Patient Safety in Long-Term Care
Our best practice approach to pre-employment Real-Time Screening (RTS) demonstrates how health information technology positively impacts organizational communication practices, which is essential for effective public health management. Using user-centered design methodologies has improved the effectiveness of the background check system in a complex organizational environment under challenging time constraints. Using cutting edge technology and a user-focused design process the research team has developed a system that allows users to seamlessly move highly-sensitive, complex information swiftly, efficiently and securely.
KeywordsCriminal background checks Real-time screening Long-term care health information technology Usability User-centered design Patient safety
This research was funded through a grant between Michigan Department of Licensing and Regulatory Affairs and Michigan State University, Usability/Accessibility Research and Consulting: Michigan Department of Licensing and Regulatory Affairs (U.S. Department of Health and Human Services – Center for Medicare and Medicaid Services). Michigan Workforce Background Check – Enhancement. Grant # 1A1CMS331188-0-00. Principal Investigator: Toni Dennis (Prime), 5/20/13–05/19/16, $1,500,000. MSU Subaward Grant # BHCS/MSU-CMS NBCP 2013-2016. Principal Investigator of MSU Subaward: Sarah J. Swierenga. Yale University Subaward from Grant # (1A1CMS331188-0-00). Principal Investigator of Yale Subaward: Fuad Abujarad.
We sincerely appreciate the contributions of Thi Nguyen for creating the test scenarios in the system and providing technical support, as well as Tim Decloniemaclennan and Phil Deaton for assistance with the tagging the video recordings.
- 1.US Census Bureau: The Older Population: 2010 Census Briefs (2011). http://www.census.gov/content/dam/Census/library/publications/2011/dec/c2010br-09.pdf
- 2.U.S. Bureau of Labor Statistics: Occupational Outlook Handbook – Fastest Growing Occupations, January 8, 2014. http://www.bls.gov/ooh/fastest-growing.htm
- 3.Department of Health and Human Services, Office of Inspector General: Nursing Facilities’ Employment of Individuals with Criminal Convictions. Report OEI-07-09-00110, March 2011Google Scholar
- 5.Post, L.A., Salmon, C.T., Prokhorov, A., Oehmke, J.F., Swierenga, S.J.: Chapter 6 - Aging and elder abuse: projections for Michigan. In: Murdock, S.H., Swanson, D.A. (eds.) Applied Demography in the 21st Century, pp. 103–112. Springer Science and Business Media B.V. (ISBN: 1402083289) (2008)Google Scholar
- 6.Post, L.A., Swierenga, S.J., Oehmke, J., Salmon, C., Prokhorov, A., Meyer, E., Joshi, V.: The implications of an aging population structure. Int. J. Interdisc. Soc. Sci. 1(2), 47–58 (2006)Google Scholar
- 7.Galantowicz, S., Crisp, S., Karp, N., Accius, J.: Safe at Home?. Developing Effective Criminal Background Checks and Other Screening Policies for Home Care Workers. AARP Public Policy Institute, Washington (2010)Google Scholar
- 10.Abujarad, F., Swierenga, S.J., Dennis, T.A., Post, L.A.: Rap Backs: continuous workforce monitoring to improve patient safety in long-term care. In: Marcus, A. (ed.) DUXU 2013, Part III. LNCS, vol. 8014, pp. 3–9. Springer, Heidelberg (2013)Google Scholar
- 11.Swierenga, S.J., Abujarad, F., Dennis, T.A, Post, L.A.: Improving patient safety through user-centered healthcare background check system design. In: Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare HFES 2013. Human Factors and Ergonomics Society, 2(21), pp. 21–26 (2013)Google Scholar
- 12.International Organization for Standardization: Ergonomic Requirements for Office Work with Visual Display Terminals (VDTs) – Part 11: Guidance on Usability. (ISO Reference No. 9241-11:1998) (1998)Google Scholar
- 14.Nielsen, J.: Why You Only Need to Test with 5 Users, March 19, 2000. http://www.useit.com/alertbox/20000319.html
- 15.Virzi, R.A.: Refining the test phase of usability evaluation: how many subjects is enough? Hum. Factors 34, 457–468 (2002)Google Scholar
- 17.Macefield, R.: How to specify the participant group size for usability studies: a practitioner’s guide. J. Usability Stud. 5(1), 34–45 (2009)Google Scholar
- 18.Molich, R.A.: A commentary of “How to specify the participant group size for usability studies: a practitioner’s guide”. J. Usability Stud. 5(3), 124–128 (2010)Google Scholar
- 19.U.S. Department of Health & Human Services: System Usability Scale (SUS). usability.gov (n.d.). http://www.usability.gov/how-to-and-tools/methods/system-usability-scale.html
- 21.Brooke, J.: SUS: a retrospective. J. Usability Stud. 8(2), 29–40 (2013)Google Scholar