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Biomedical subjects

Daniel E Haun

Publications and source records attributed to Daniel E Haun.

8 recordsLinked to original sources
PubMed2003

Just-in-time training: a Web-based tool for needlestick injury.

It's 11:30 PM on a Saturday night, and you just stuck yourself with a contaminated needle. Suddenly, you have a problem. You remember that you have to act fast and you need a form, and the source has to be tested, but the details are somehow lacking. Now what do you do and where do you go? Where are those forms that you need? And didn't that procedure change last year? Now imagine being able to get all your questions answered and finding your forms with a few clicks of a mouse....

Blood-Borne Pathogens↗
PubMed2002

Houston, we've had a problem: when do we override rules?

As important as rules are in health care, the authors explain why it is sometimes necessary to deviate from them to maximize patient outcomes. They then provide a framework for documenting, discussing, and teaching the importance of making exceptions and changing rules.

Diagnostic Errors↗
PubMed2002

Are they microcytes or macrocytes? Can we do a better job?

As an attempt to improve accuracy in the grading of microcytes and macrocytes, a custom reticle was developed and evaluated. The evaluation looked at grading accuracy, reproducibility, speed, and opinion. In this study, the reticle improved the grading accuracy and reproducibility of graders who were "poorer performers." The reticle offered no advantage to the speed of the evaluation. The opinion survey indicated improved confidence with the reticle, and most of the participants found the device useful. The improvement to "poorer performers" is sufficient to warrant use in actual practice.

Anemia, Macrocytic↗
PubMedDate not supplied

Computer use in an urban university hospital: technology ahead of literacy.

The linkage of patient safety and care quality to the implementation of computerized information systems assumes that clinical staff are skilled with computers. Nurses and nursing support staff increasingly require computers to carry out their work. Minimum computer competencies for nurses have been identified. The determination of whether the current nursing workforce has acquired these competencies remains uncertain. We administered a self-assessment survey to nurses and nursing support staff to determine proficiency with computer skills they might perform at work. Respondents reported inadequacies in basic and work-related computer skills. More than 28% scored themselves as having fair or poor proficiency on all skills, and more than 50% as fair or poor on five of 11 skills. Respondents over age 50 and those graduating before 1984 tended to score proficiency lower. Our study suggests that many nurses and nursing support staff may not have the minimum computer competencies to effectively and efficiently perform their work.

Adult↗
PubMedDate not supplied

Performing poorly but testing perfectly.

We noted that our competency assessment activities did not predict actual performance and, in questioning why, we discovered a world very similar to our experience in clinical testing. We found that, with careful attention to measurement design, we could detect incompetent performance and find improvement opportunities. This article explores several of the design principles on which one can build competency measurements. It also discusses the reasons why organizations should invest in this activity, which go beyond the most obvious reason--it is the right thing to do.

Employee Performance Appraisal↗