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Laura Schubel
MedStar Health
UsabilityHealth information technologySepsisClinical decision support systemMedicine
5Publications
0Citations
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Publications 9
Newest
#2Naveen Muthu (Children's Hospital of Philadelphia)H-Index: 1
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Abstract Adverse events, avoidable complications caused by health-care management, occur in an overwhelming number of hospitalizations. By identifying areas in which clinicians would benefit from cognitive support and understanding the cognitive background of these areas, we are able to discuss how to best facilitate dynamic health-care. Health information technology, clinical practice redesign, and collaborative work are ways in which health-care organizations are seeking to attenuate the decis...
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Workload is a critical concept in the evaluation of performance and quality in healthcare systems, but its definition relies on the perspective (e.g. individual clinician-level vs unit-level workload) and type of available metrics (e.g. objective vs subjective measures). The purpose of this paper is to provide an overview of objective measures of workload associated with direct care delivery in tertiary healthcare settings, with a focus on measures that can be obtained from electronic records to...
1 CitationsSource
#1Laura Schubel (MedStar Health)
#2Robin Littlejohn (MedStar Health)
Last. Kristen Miller (MedStar Health)H-Index: 3
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Usability testing has become a necessary step to successfully implement health information technology, but despite the expanded variety of usability methods, systems still are not guaranteed to mee...
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#1Laura Schubel (MedStar Health)
#2Lucy Stein (MedStar Health)
Last. Kristen Miller (MedStar Health)H-Index: 3
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In a complex, dynamic system such as healthcare delivery, there is often a “gap” between work as imagined (how clinical workflow ideally occurs) and work as done (how clinical workflow occurs in re...
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#1Deliya B. Wesley (MedStar Health)
#2Laura Schubel (MedStar Health)
Last. Raj M. Ratwani (MedStar Health)H-Index: 17
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Abstract Background Patient-Reported Outcomes (PROs) can be used to inform the clinical management of individuals, including patient self-management, care planning, and goal setting. Despite a rapid proliferation of technology to collect and integrate PROs in clinical care, uptake by patients and healthcare providers remains sub optimal. A consideration of systems factors to understand these challenges is needed. Objectives To apply the socio-technical systems (STS) model as a framework for unde...
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#1Laura Schubel (MedStar Health)
#2Christian Boxley (MedStar Health)
Last. Kristen Miller (MedStar Health)H-Index: 1
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Clinicians are constantly forecasting patient trajectories to make critical point of care decisions intended to influence clinical outcomes. Little is known, however, about how providers interpret ...
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#1Christopher Bonk (MedStar Health)
#2Laura Schubel (MedStar Health)
Last. Kristen Miller (MedStar Health)H-Index: 1
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#1Laura Schubel (MedStar Health)
#2Danielle L Mosby (MedStar Health)
Last. Kristen Miller (MedStar Health)H-Index: 3
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In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation of its significance. There are ...
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#1Danielle Weldon (MedStar Health)H-Index: 1
#2Rebecca Kowalski (MedStar Health)H-Index: 2
Last. Kristen Miller (MedStar Health)H-Index: 3
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Patient-based scenario-driven usability tests are routinely created for health information technology and clinical decision support evaluations. Due to low clinician awareness of sepsis, a study wa...
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