Toward Better Understanding of Task Difficulty during Physicians’ Interaction with Electronic Health Record System (EHRs)

ABSTRACT

The goal of this study was to assess the relationship of task difficulty and mental effort with performance during physicians’ interaction with electronic health records (EHRs). A total of 38 physicians were asked to identify abnormal results and take follow-up action to “close the loop” on care delivery. Task difficulty was quantified via task-flow strategies and computer mouse-click patterns. Mental effort was quantified using eye movements based on changes in pupillary dilations (task evoked pupillary response or TEPR) and blink rate. Performance was quantified based on commission errors (error vs. no-error). Results indicated that physicians had different task-flow strategies; however, with improved awareness of the patient status, they exhibited an optimal task-flow strategy. Overall, performance was related to task-flow strategies, computer mouse-click patterns, and blink rate, indicating that physicians had lower task-difficulty and experienced lower mental effort with improved awareness of patient follow-up status. This is an important finding demonstrating that task-flows are a dominant predictor of physician performance when comparing between EHR designs. On the contrary, mouse-click patterns and blink rate are both useful predictors of physician performance when assessment was done within an EHR.     

安钢SAP预留系统的开发与应用

本文简述了安钢信息化建设概况,介绍了安钢信息化建设中开发SAP预留系统的设计流程,阐述了预留系统实现的功能.     

基于Packet Tracer的Multiuser扩展构建分布式网络模拟实验环境

Packet Tracer广泛应用于计算机网络课程的教学实践中.不同于传统的单机模拟,利用Packet Tracer的Multiuser扩展构建分布式的网络模拟实验环境,可解决单机模拟在规模、性能等方面的限制.该实验环境可用于加强教学互动,帮助学生掌握概念和操作方法,提高教学效果.     

基于UML可适应的教学考评系统分析与设计

该文给出了UML的概念与要点,应用UML对教学考评系统进行了建模。给出了系统的用例模型、整体结构模型、静态模型、动态模型,并分析了模型对教学考评变化的可适应性。     

校务系统中的Web服务应用

从拓展校务系统的角度,介绍了 Web服务在校务系统中的理论模型和实现方法.     

A preliminary attempt to use radiomic features in the diagnosis of extra-articular long head biceps tendinitis

Magnetic Resonance Materials in Physics, Biology and Medicine - This study aims to present a radiomic application in diagnosing the long head of biceps (LHB) tendinitis. Moreover, we evaluated...     

Approximate dynamic programming solutions with a single network adaptive critic for a class of nonlinear systems

Approximate dynamic programming (ADP) formulation implemented with an adaptive critic (AC)-based neural network (NN) structure has evolved as a powerful technique for solving the Hamilton-Jacobi-Bellman (HJB) equations. As interest in ADP and the AC solutions are escalating with time, there is a dire need to consider possible enabling factors for their implementations. A typical AC structure consists of two interacting NNs, which is computationally expensive. In this paper, a new architecture, called the ‘cost-function-based single network adaptive critic (J-SNAC)’ is presented, which eliminates one of the networks in a typical AC structure. This approach is applicable to a wide class of nonlinear systems in engineering. In order to demonstrate the benefits and the control synthesis with the J-SNAC, two problems have been solved with the AC and the J-SNAC approaches. Results are presented, which show savings of about 50% of the computational costs by J-SNAC while having the same accuracy levels of the dual network structure in solving for optimal control. Furthermore, convergence of the J-SNAC iterations, which reduces to a least-squares problem, is discussed; for linear systems, the iterative process is shown to reduce to solving the familiar algebraic Ricatti equation.     

基于激光超声表面波检测的瓦斯检测研究

利用SnO2/Pt气敏薄膜对瓦斯气体的选择性吸附作用将引起声表面波在其表面的传播速度发生相应改变的性质,并结合激光超声检测技术,提出了一种新的瓦斯检测方法.采用激光在覆有选择性气体吸附薄膜的抛光铝材表面激发出声表面波,用单芯光纤耦合的反射式光束偏转法对所激发声表面波信息进行采集,进而通过合理的算法可以准确检测出环境中瓦斯气体的体积分数.为瓦斯监测方法提供了一种新途径.