Team Awareness Research Articles

Construction waste recycling: Enhancement strategies and organization size

The continuous increment of construction projects worldwide is raising the amount of construction waste (CW). A significant amount of CW in landfills can critically impact the economy and environment if not addressed properly. Construction waste recycling (CWR) is one solution for reducing CW in landfills. Organizations are implementing various strategies for enhancing CWR implementation in practice. However, small-medium enterprises (SMEs) and large enterprises (LEs) might face different challenges in implementing those strategies due to their different organizational characteristics. Therefore, this study compares the cost and easiness of implementing CWR enhancement strategies between SMEs and LEs. To achieve that objective, this study analyzes survey data from 108 construction industry practitioners using descriptive statistics, normalization, Kruskal-Wallis, and overlap analysis techniques. The major findings include ‘raise project team awareness on CWR’ and ‘organize temporary bins in each construction zone’ are simple and low-cost enhancement strategies for all organization sizes. Also, there are additional simple and low-cost strategies for LEs: ‘identify construction activities that produce recyclable materials,’ ‘use information technology to facilitate CWR processes,’ and ‘enhance company policies related to CWR.’ These findings contribute to a better knowledge of the optimal CWR enhancement strategies for different organization sizes.

Investigating the cognitive capacity constraints of an ICU care team using a systems engineering approach

BackgroundICU operational conditions may contribute to cognitive overload and negatively impact on clinical decision making. We aimed to develop a quantitative model to investigate the association between the operational conditions and the quantity of medication orders as a measurable indicator of the multidisciplinary care team’s cognitive capacity.MethodsThe temporal data of patients at one medical ICU (MICU) of Mayo Clinic in Rochester, MN between February 2016 to March 2018 was used. This dataset includes a total of 4822 unique patients admitted to the MICU and a total of 6240 MICU admissions. Guided by the Systems Engineering Initiative for Patient Safety model, quantifiable measures attainable from electronic medical records were identified and a conceptual framework of distributed cognition in ICU was developed. Univariate piecewise Poisson regression models were built to investigate the relationship between system-level workload indicators, including patient census and patient characteristics (severity of illness, new admission, and mortality risk) and the quantity of medication orders, as the output of the care team’s decision making.ResultsComparing the coefficients of different line segments obtained from the regression models using a generalized F-test, we identified that, when the ICU was more than 50% occupied (patient census > 18), the number of medication orders per patient per hour was significantly reduced (average = 0.74; standard deviation (SD) = 0.56 vs. average = 0.65; SD = 0.48; p < 0.001). The reduction was more pronounced (average = 0.81; SD = 0.59 vs. average = 0.63; SD = 0.47; p < 0.001), and the breakpoint shifted to a lower patient census (16 patients) when at a higher presence of severely-ill patients requiring invasive mechanical ventilation during their stay, which might be encountered in an ICU treating patients with COVID-19.ConclusionsOur model suggests that ICU operational factors, such as admission rates and patient severity of illness may impact the critical care team’s cognitive function and result in changes in the production of medication orders. The results of this analysis heighten the importance of increasing situational awareness of the care team to detect and react to changing circumstances in the ICU that may contribute to cognitive overload.

Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting.

Medically and socially complex patients disproportionately face barriers to primary care, contributing to health inequities and higher health care costs. This study elicited perspectives on how community health workers (CHWs) act upon barriers to primary care in 5 patient (n = 25) and 3 CHW focus groups (n = 17). Participants described how CHWs acted on patient-level barriers through social support, empowerment, and linkages, and system-level barriers by enhancing care team awareness of patient circumstances, optimizing communication, and advocating for equitable treatment. Limitations existed for influencing entrenched community-level barriers. CHWs, focusing on patient preferences, motivators, and circumstances, intervened on multilevel barriers to primary care, including advocacy for equitable treatment. These mechanisms have implications for existing CHW conceptual models.

FUTURE MUSIC TEACHER’S PROFESSIONAL COMPETENCIES FORMATION AT THE WORKSHOP ON THE SCHOOL REPERTORY

The article highlights the process of formation of professional competencies of future music teachers in the process of mastering professionally-oriented disciplines, in particular, during a workshop on school repertoire. The article argues that during the mastering of the workshop from the school repertoire is the formation of theoretical knowledge, skills needed in practical work in the study of school repertoire; mastering the vocal-choral and instrumental repertoire of the current school program "Music", other experimental programs; mastering various methods of studying and working with works of the school repertoire; formation of the ability to lead a children's choir, to accompany songs of the school repertoire, to read from a sheet and transpose vocal choral works, to select by ear easy melodies by interval composition, accompaniment to them by means of the main functions. Since the subject of the discipline "School Repertoire Workshop" is the process of perception and reproduction of musical works of the school repertoire, correlating them with professional competencies, we can say that the main ones are: expanding, deepening and consolidating professional and pedagogical knowledge of teachers and professional competencies musical art; gaining experience in analyzing its essence, content, structure, levels; acquaintance with the civilizational changes influencing formation of professional competence of teachers of musical art; improvement of organizational, communicative, constructive, creative skills; preparation for professional functions The question of the need to develop soft skills, such personal characteristics, skills that allow a future music teacher to successfully interact in a team when solving any issues. In our opinion, the formation of soft skills in the process of professional training of future teachers of music is a systematic and purposeful process, as a result of which during educational activities is the formation of necessary for modern teachers skills for interpersonal communication and non-standard problem solving (disputes, conflicts). pedagogical interaction on the principles of respect, tact, tolerance, team awareness, which, of course, will have a very positive effect on the quality of the educational process in general secondary education.

Safety performance prediction and modification strategies for construction projects via machine learning techniques

PurposeUnsafe behavior accounts for a major part of high accident rates in construction projects. The awareness of unsafe circumstances can help modify unsafe behaviors. To improve awareness in project teams, the present study proposes a framework for predicting safety performance before the implementation of projects.Design/methodology/approachThe machine learning approach was adopted in this work. The proposed framework consists of two major phases: (1) data collection and (2) model development. The first phase involved several steps, including the identification of safety performance criteria, using a questionnaire to collect data, and converting the data into useful information. The second phase, on the other hand, included the use of the decision tree algorithm coupled with the k-Nearest Neighbors algorithm as the predictive tool along with the proposing modification strategies.FindingsA total of nine safety performance criteria were identified. The results showed that safety employees, training, rule adherence and management commitment were key criteria for safety performance prediction. It was also found that the decision tree algorithm is capable of predicting safety performance.Originality/valueThe main novelty of the present study is developing an integrated model to propose strategies for the safety enhancement of projects in the case of incorrect predictions.

Process Evaluation of the Regional Referral Clinical Pathway for Home-Based Palliative Care and Outreach Program: A Questionnaire Survey of the Medical Staff and Bereaved Families.

Background: The purpose of this study was to clarify how the Regional Referral Clinical Pathway for Home-based Palliative Care (RRCP-HPC) and an outreach program by a palliative care team (PCT) lead to an improvement in the outcome. Design and Methods: We conducted questionnaire surveys using the mailing method involving the regional medical staff involved in cancer patients introduced to the PCT of a single hospital, as well as bereaved families. The questionnaire was prepared through interviews with the medical staff and bereaved families. Subsequently, factor analysis was performed to identify factor structures and calculate the correlation coefficient with each outcome. Results: For the questionnaire survey involving the medical staff, responses were collected from 119 regional medical institutions and 84 regional medical staff. The response rate per institution was 51.3%. Similarly, for the questionnaire survey involving bereaved families, the response rate was 42.4%. For the survey involving the medical staff, 6 factors, such as “improved awareness of an interdisciplinary team,” were extracted. For the survey involving the bereaved families, 4 factors, such as “improvement of communications between patients and healthcare professionals,” were extracted. There were significant (≥moderate) correlations between these factors and all outcomes. Conclusion: In this study, we clarified the process of achieving palliative care until death at home without difficulties using the outreach program and RRCP-HPC. The results suggest the importance of improving communications. The outreach program and RRCP-HPC may have contributed to palliative care at home without difficulties through an improvement in communications.

Making Sense of Multi-Actor Social Collaboration in Building Information Modelling Level 2 Projects: A Case in Malaysia

Despite the diversity of thinking among the scholars on building information modelling (BIM) collaboration, there is a paucity of studies that capture the dimension of social collaboration in BIM projects. This study attempts to develop a comprehensive understanding on the key attributes of multi-actor social collaboration in BIM projects through the experience of practitioners in BIM-Level 2 construction project. The success of multi-actor social collaboration has been investigated through structured interviews with 22 BIM practitioners in a BIM-Level 2 project based on an established theoretical framework of social collaboration. The findings indicted that relationship-oriented attributes; relational contracts BIM execution plan; guideline, standard and work process manual approaches; employer information requirement (EIR); understanding roles and leadership; commitment from top management; resources; training, team building workshop and awareness program; coordination; and understanding on the theoretical knowledge of BIM are of importance towards multi-actor social BIM collaboration. This study acknowledges that the success of multi-actor social collaboration was influenced by the consolidation of many attributes, and it extends the dominant relationship between related attributes for multi-actor social collaboration based on the "best practice approach", which includes dominant-centric attributes (i.e., behaviour formation, procurement model and support principles). This research contributes to the body of BIM knowledge in the construction domain by focusing on what it takes to achieve greater social collaboration in BIM Level 2 projects.

Biomonitoring of Exposure to Metals in a Population Residing in an Industrial Area in Brazil: A Feasibility Study.

Background: Industries are sources of environmental pollutants. However, there are few human biomonitoring (HBM) studies in the vicinity of industrial areas. Thus, we evaluate the feasibility of conducting an HBM study to assess exposure to metals in an industrial area in Rio de Janeiro, Brazil. Methodology: A cross-sectional survey was conducted near a steel factory. Adults (exposed = 775; controls = 775) were randomly selected and sex-matched. Subjects were interviewed using a questionnaire and a 24 h dietary recall. Blood samples were collected to analyze metal concentrations, blood count, biochemical parameters, and thyroid hormones. The feasibility of the survey was assessed following guidelines. The descriptive analysis was performed for the first 250 participants (pilot study). Results: Adjustments were made to the survey execution, including age-matching, fieldwork team, questionnaire, blood collection, and research awareness. The complete questionnaire was answered by ≥97% of participants; metals were measured in ≥98% and clinical parameters in ≥89%, except thyroid hormones (13–44%). The average age and family income were of 50 years and USD 575/month, respectively. The participants had equal distribution among sexes: 50% had a medium education level, and 59% were nonwhite. Conclusion: This preliminary HBM study demonstrates feasibility for the total population, with results indicating representativeness of the target population.

Distributed situation awareness: From awareness in individuals and teams to the awareness of technologies, sociotechnical systems, and societies

A large component of Neville Stanton's work has focused on situation awareness in domains such as defence, transport, and process control. A significant contribution has been to initiate a shift from considering individual human operator situation awareness to considering the situation awareness of human and non-human teams, organisations, and even sociotechnical systems. Though controversial when introduced, the distributed situation awareness model has become increasingly relevant for modern day systems and problems. In this article we reflect on Stanton's contribution and point to a pressing need to consider a. The situation awareness of advanced technologies, and b. situation awareness at a sociotechnical system, societal and even global level. This is demonstrated via discussion on two contemporaneous issues: automated vehicles and the COVID-19 pandemic. It is concluded that, given advances such as artificial intelligence, the increased connectedness of society, emerging issues such as disinformation, and an increasing set of global threats, Stanton's distributed situation awareness model and associated analysis framework provide a useful toolkit for future Human Factors and Ergonomics applications.

MP34-06 IMPROVING THE AWARENESS OF RARE GENETIC DISEASE MULTIDISCIPLINARY TEAM (MDT) CLINICS

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety II (MP34)1 Sep 2021MP34-06 IMPROVING THE AWARENESS OF RARE GENETIC DISEASE MULTIDISCIPLINARY TEAM (MDT) CLINICS Wiktoria Milczynska, Amy de Wolf, Akhil Mohindra, and Tet Yap Wiktoria MilczynskaWiktoria Milczynska More articles by this author , Amy de WolfAmy de Wolf More articles by this author , Akhil MohindraAkhil Mohindra More articles by this author , and Tet YapTet Yap More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002043.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The recent guidelines from European Academy of Andrology recommend increasing knowledge of Klinefelter Syndrome and creating multidisciplinary teams to care for affected patients. However, raising awareness of rare genetic disease clinics represents a significant challenge, due to limited recognition amongst patients and clinicians as well as limited resources. Our aim was to look at cost-effective strategies to raise awareness of a national access Klinefelter Syndrome multidisciplinary (KSMDT) clinic among patients and healthcare professionals. METHODS: This longitudinal Quality Improvement Project was carried out over a 6-month period (2020 - 2021) at a tertiary hospital where the KSMDT clinic is located. Two Plan-Do-Study-Act (PDSA) cycles were carried out. The first intervention consisted of creating an informational video about the clinic which was disseminated through Facebook, Twitter and YouTube. The second intervention involved refining the user experience of the clinic’s website. Surveys were distributed amongst KS support group members (n=70) and local primary care practitioners (n=27) before and after intervention, and a focus group (n=6) was held for the second intervention. RESULTS: Awareness of the clinic in the community increased from 33% pre-intervention to 70%. Similarly, awareness of the clinic’s website increased by 31% with an increased retention rate of 61.2% for the multimedia resources accessed. A total of 81% of patients reported that the video helped them understand the aims of the KSMDT. The engagement associated with website use increased by 13% for the focus group post-intervention. The interventions were associated with no financial costs. CONCLUSIONS: Our results indicated that a multifactorial approach, working with both patient and clinician populations, is successful in increasing awareness of rare disease services like the KSMDT clinic. Future awareness strategies need to employ more effective ways of engaging clinician and patient alike, such as targeted programs on social media and virtual programmed sessions with the KSMDT team. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e618-e618 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Wiktoria Milczynska More articles by this author Amy de Wolf More articles by this author Akhil Mohindra More articles by this author Tet Yap More articles by this author Expand All Advertisement Loading ...

Tackling multimorbidity: staff perceptions of the transition from single-condition rehabilitation to a specialist-generalist model

Background/aims The Healthy and Active Rehabilitation Programme is a specialist-generalist approach to targeting multimorbidity, which was developed through reconfiguring single-condition rehabilitation pathways. This project examined staff perceptions of the transition from specialist rehabilitation, to delivering this new model. Methods A total of 18 staff from the Healthy and Active Rehabilitation Programme (eight nurses, seven exercise instructors, two physiotherapists, one occupational therapist) participated in three focus groups, generating three key themes: apprehension, confidence growth, and integrated working. Results Despite initial apprehension around the Healthy and Active Rehabilitation Programme's impact on the existing service, the service users, and their clinical roles, staff developed confidence in the service and in their broader roles. Integrated working within the Healthy and Active Rehabilitation Programme has enhanced their awareness of the wider rehabilitation team, and provides valuable peer support. Conclusions This project provides valuable information for single-condition rehabilitation services that are considering delivery of specialist-generalist care to help target multimorbidity.

INFLUENCE FACTORS OF CULTURE OF INTELLIGENCE IN ORGANIZATIONS

RESUMO Organizations have recognized intelligence processes to deal with uncertainties, anticipate and better direct their decisions, aiming at greater competitiveness and sustainability. Among the influencing factors in these processes, culture, built by values, standards and behaviors, is strongly highlighted. In order to identify which characteristics are present in the culture of intelligence, we explore different elements covered in the literature. Studies point to cultural factors of leadership, communication, trust and collaboration, learning, and an orientation to the future and innovation as capable of influencing the intelligence processes. Aiming to identify factors of organizational culture that can influence intelligence processes in organizations, a SLR was carried out to form the construct “intelligence culture”, with validation by specialists, via Card Sorting and Delphi method. As a result, factors as leadership, appropriate communication and team awareness were identified. In terms of theoretical contribution, this study identifies the organizational culture factors which can influence the intelligence processes, uniting findings from the literature and the intelligence specialists’ opinions. It also proposes an instrument that can serve as a reference for future studies of culture factors and intelligence in organizations. In practical terms, organizations can diagnose and think strategies that develop the organizational culture in their processes.

Surgical Team Effectiveness Model: Team Awareness mediates subculture teamwork and communications

The Institute of Medicine (Kohn et al, 2000) reports that effective team function is a core principle of safe health care systems. Lemieux-Charles and McGuire (2006)’s Integrated Team Effectiveness Model (ITEM) provides a comprehensive and adaptable framework for describing healthcare team effectiveness. Here we adapt the ITEM within the microenvironment of surgical team design based on the ad hoc nature of a Standard Roles Variable Personnel construct (Andreatta, 2010). With the changing nature of personnel, we propose that team monitoring requires a degree of constant awareness to changes in membership and task prioritization throughout the course of a surgery. We propose the concept of Team Awareness, the negotiation of Standard Roles Variable Personnel at the level of the individual as a mediator between teamwork and organizational outcomes. The implications of Team Awareness are necessary for understanding how individuals balance between competing priorities in team subcultures. Describing a group-level context for surgery offers the opportunity to shift agency towards individuals' role in effectiveness. The result is a Surgical Team Effectiveness Model, an understanding of the relationships between teamwork and organizational outcomes in surgery. This model may be valuable for soliciting organizational and team member support for improving teamwork in the operating room.

The Use of a Three-in-One Practice-Management-Innovation Training Model in the Construction of an Infection Control Team.

ObjectiveThis study aims to explore the role of a three-in-one practice, management, and innovation training model (also called as three-in-one practice-management-innovation training model) in the construction of an infection control team.MethodsThis study retrospectively analyzed the position structure, mastery of professional knowledge, and working methods of the full-time and part-time personnel of the Changzhou Cancer Hospital, compared the training content of Jiangsu Hospital Infection Control Center with the actual situation of the hospital, and formulated and implemented a three-in-one practice-management-innovation training model. First, the team members were selected for the construction and management of the Hospital Infection Management Department according to the relevant responsibility and management requirements, and their learning and mastery of the basic knowledge and skills concerning infection control were completed based on their professional roles. In line with the regulations of the hospital and department, full-time personnel were ensured of having the opportunity to participate in provincial- and municipal-level academic exchanges and then learn from each other, through collaboration between doctors and nurses, how to exercise basic management skills. At the same time, a fair competitive incentive mechanism was established through the three-level network of the hospital infection committee, the hospital infection management department, and nosocomial infection management department to implement innovative project-based management and cultivate an awareness of hospital infection control in all employees.ResultsThe professional structure of the full-time infection control personnel has been optimized, the awareness of the infection control team concerning active participation in practice has gradually increased, and infection control management and innovation has been significantly improved.ConclusionAfter the selection of an infection control management team and the delivery of well-planned training, the quality of infection control management has improved.

Do team and task performance improve after training situation awareness? A randomized controlled study of interprofessional intensive care teams

BackgroundWhen working in complex environments with critically ill patients, team performance is influenced by situation awareness in teams. Moreover, improved situation awareness in the teams will probably improve team and task performance. The aim of this study is to evaluate an educational programme on situation awareness for interprofessional teams at the intensive care units using team and task performance as outcomes.MethodTwenty interprofessional teams from the northern part of Sweden participated in this randomized controlled intervention study conducted in situ in two intensive care units. The study was based on three cases (cases 0, 1 and 2) with patients in a critical situation. The intervention group (n = 11) participated in a two-hour educational programme in situation awareness, including theory, practice, and reflection, while the control group (n = 9) performed the training without education in situation awareness. The outcomes were team performance (TEAM instrument), task performance (ABCDE checklist) and situation awareness (Situation Awareness Global Assessment Technique (SAGAT)). Generalized estimating equation were used to analyse the changes from case 0 to case 2, and from case 1 to case 2.ResultsEducation in situation awareness in the intervention group improved TEAM leadership (p = 0.003), TEAM task management (p = 0.018) and TEAM total (p = 0.030) when comparing cases 1 and 2; these significant improvements were not found in the control group. No significant differences were observed in the SAGAT or the ABCDE checklist.ConclusionsThis intervention study shows that a 2-h education in situation awareness improved parts of team performance in an acute care situation. Team leadership and task management improved in the intervention group, which may indicate that the one or several of the components in situation awareness (perception, comprehension and projection) were improved. However, in the present study this potential increase in situation awareness was not detected with SAGAT. Further research is needed to evaluate how educational programs can be used to increase situation awareness in interprofessional ICU teams and to establish which components that are essential in these programs.Trial registrationThis randomized controlled trial was not registered as it does not report the results of health outcomes after a health care intervention on human participants.

Sustainable Community-Based Disaster Management (CBDM) in Wonolelo Village, Bantul Regency, Special Region of Yogyakarta, Indonesia

Special Region of Yogyakarta is passed by the ring of fire and become a province which prone to disasters, especially earthquake. In 2006, Wonolelo Village was one of the villages hardest hit by the earthquake. Therefore, understanding and awareness of disaster management are important. Currently, disaster management at local is widely applied. According to Van Niekerk, et al (2017), the approach at the local level aims to change the perspective of disaster management in terms of issues, challenges and problems faced by the community. For this reason, Wonolelo Village has a disaster-aware community, the Disaster Risk Reduction Forum (FPRB). The purposes of this research are to identify the processes and factors that influence the success of sustainable CBDM in Wonolelo Village. The method used is qualitative. Based on the analysis, Wonolelo Village has three stages of the disaster management process, namely the identification, the planning and implementation stage, and the development stage. While the factors that influence the success of disaster management in Wonolelo Village are the choice of Wonolelo Village as a Pilot Project by NDMA, recurring disaster events, volunteers who have team awareness, the existence of cooperation culture in the community, and budget allocation from Wonolelo Government for CBDM.

Incidence and OR team awareness of \u201cnear-miss\u201d and retained surgical sharps: a national survey on United States operating rooms

IntroductionA retained surgical sharp (RSS) is a never event and defined as a lost sharp (needle, blade, instrument, guidewire, metal fragment) that is not recovered prior to the patient leaving the operating room. A “near-miss” sharp (NMS) is an intraoperative event where there is a lost surgical sharp that is recovered prior to the patient leaving the operating room. With underreporting of such incidents, it is unrealistic to expect aggressive development of new prevention and detection strategies. Moreover, awareness about the issue of “near-miss” or retained surgical sharps remains limited. The aim of this large-scale national survey-based study was to estimate the incidence of these events and to identify the challenges surrounding the use of surgical sharps in daily practice.MethodsWe hypothesized that there was a larger number of RSS and NMS events than what was being reported. We survived the different OR team members to determine if there would be discordance in reported incidence between groups and to also evaluate for user bias. An electronic survey was distributed to OR staff between December 2019 and April 2020. Respondents included those practicing within the United States from both private and academic institutions. Participants were initially obtained by designating three points of contact who identified participants at their respective academic institutions and while attending specialty specific medical conferences.Together, these efforts totaled 197 responses. To increase the number of respondents, additional emails were sent to online member registries. Approximately 2650 emails were sent resulting in an additional 250 responses (9.4% response rate). No follow up reminders were sent. In total, there were 447 survey responses, in which 411 were used for further analysis. Thirty-six responses were removed due to incomplete respondent data. Those who did not meet the definition of one of the three categories of respondents were also excluded. The 411 were then categorized by group to include 94 (22.9%) from anesthesiologist, 132 (32.1%) from resident/fellow/attending surgeon and 185 (45%) from surgical nurse and technologist.SurveyThe survey was anonymous. Participants were asked to answer three demographic questions as well as eight questions related to their personal perception of NMS and RSS (Fig. 1). Demographic questions were asked with care to ensure no identifiable information was obtained and therefore unable to be traced back to a specific respondent or institution. Perception questions 4–6 and 11 were designed to understand the incidence of various sharp events (e.g. lost, retained, miscounted). Questions 7 and 10 were dedicated to understanding time spent managing sharps and questions 8 and 9 were dedicated to understanding the use x-ray and its effectiveness.ResultsOverall, most of each respondent group reported 1–5 lost sharp events over the last year. Roughly 20% of surgeons believed they never had a miscounted sharp over the last year, where only 5.3% of anesthesiologist reported the same (p = 0.002). Each group agreed that roughly 4 lost events occur every 1000 surgeries, but a significant difference was found between the three groups regarding the number of lost sharps not recovered per 10,000 surgeries with anesthesiologist, surgeon and nurse/technologist groups estimating 2.37, 2.56 and 2.94 respectively (p = 0.001). All groups noted x-ray to offer poor effectiveness at 26–50% with 31-40 min added for each time x-ray was used. More than half (56.8%) of surgeons reported using x-ray 100% of the time when managing a lost sharp whereas anesthesiologists and nurses/technologists believe it is closer to 1/3 of the time. An average of 21-30 min is spent managing each NMS, making a lost sharp event result in up to 70 min of added OR time.Conclusions“Near-miss” and RSS are more prevalent than what is reported in current literature. Surgeons perceive a higher rate of success in retrieving the RSS when compared to anesthesiologists and OR nurses/technologists. We recognize several challenges surrounding “near-miss” and never events as contributing factors to their underreported nature and the higher degree of surgeon recall bias associated with these events. Additionally, we highlight that current methods for prevention are costly in time and resources without improvement in patient safety. As NMS and RSS have significant health system implications, a strong understanding of these implications is important as we strive to improve patient safety.

HEURISTICS FOR AWARENESS SUPPORT IN GROUPWARE SYSTEMS

ABSTRACT: Groupware Systems (GS) or collaborative systems are software systems that support the development of activities in which a group of users interacts to combine their skills, abilities, and work to achieve a common goal. In this area, an important concept is awareness, which is the information that helps people be aware of events beyond their current tasks. This information makes smoother the use of a collaborative system, so it is a fundamental element in this kind of software. In the design and construction of these types of systems, heuristics are used as design guidelines that serve as a useful evaluation tool for product designers and usability professionals. The current heuristics and guidelines for the design of awareness support focus on supporting the awareness of the team in the shared workspace, without considering elements to support the information needs of the user's own and individual interaction within the workspace. To address this problem and to facilitate the design and integration of awareness support, we developed 13 heuristics that integrate principles of Human-Computer Interaction and Computer Supported Cooperative Work to help groupware designers meet individual and team awareness needs. For evaluating the validity of the proposed heuristics, a structured and iterative consultation process was carried out with experts in Human-Computer Interaction and Computer-Supported Cooperative Work. The proposed heuristics can help software engineers develop collaborative systems that integrate awareness information and satisfy users' contextual information needs. Keywords: Awareness, virtual groups, collaborative work, heuristics.

Perspectives of paediatric hospital staff on factors influencing the sustainability and spread of a safety quality improvement programme

ObjectiveSituation Awareness For Everyone (SAFE) is a quality improvement programme aiming to improve situation awareness in paediatric clinical teams. The aim of our study was to examine hospital staff perceptions...

The popularity of the university basketball championship

Introduction: The aim of our research was to assess the attitude of the students of the Eszterházy Károly University towards the men's basketball team of the University. Furthermore, our goal was to examine the development of thepopularity of the basketball team among the university students, to get to know the opinion of the colleagues working in the university basketball scene in relation to the organization and reputation of the tournament. In addition, we describe good practices that can be adapted in Hungary to increase awareness. Methods:The aim of our research was to explore the brand values and awareness of the basketball team among the students of Eszterházy Károly University, to achieve this goal we chose a questionnaire survey and filled in the questionnaire online among the students of Eszterházy Károly University (N=389). In addition, we conducted indepth interviews with four coaches and colleagues in higher education working in the Hungarian University and College Basketball Championship. Results: We found that the team has well-identifiable brand elements, with the brand system receiving the lowest score for all brand creators that needs to be improved. The averages of the most important questionnaire responses to the liqueur scale questions range from 4.46 to 4.67. These values also indicate that the students of Eszterházy Károly University know the university team, follow its sporting events and are important in strengthening the university identity. In-depth interviews revealed that the process of advertising university matches should be broadened, bringing matches closer to all students. In-depth interviews also highlighted that developing a program stream around matches could be an important consideration. Conclusions: In connection with our previous brand research - which examined the team's awareness among the city's adult population - we found lower awareness results, the present research confirmed the higher awareness and interest results ofuniversity students in relation to the university's basketball team. By creating a website that meets the needs of today's modern age, involving merchandising products, and expanding the range of programs that accompany matches, theawareness of the basketball team could be raised to an even higher level not only among students, but also among the population. to strengthen. Additional opportunities arose in the organization of the tournament, which were mainlyexpressed in the expansion of the advertising scale. DOI: https://doi.org/10.24040/sjss.2020.6.2.63-71