Clinical complexity in medicine: A measurement model of task and patient complexity

Methods of Information in Medicine

Volumn 55, Issue 1, 2016, Pages 14-22

  Islam, Roosan ^a   Weir, C ^a   Fiol, G Del ^b  

^a UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF UTAH   (United States)

Author keywords

Clinical utilization; Decision complexity; Decision support systems; Health care methods; Humans; Information technology; Quality assurance; Social medicine methods; Software design

Indexed keywords

CLINICAL DECISION SUPPORT SYSTEM; COMMUNICABLE DISEASES; HEALTH CARE QUALITY; HUMAN; INFECTIOUS DISEASE MEDICINE; MEDICAL INFORMATICS; OBSERVER VARIATION; PHARMACIST; PHYSICIAN; PHYSICIAN ASSISTANT; PROCEDURES; REPRODUCIBILITY; SOFTWARE; THEORETICAL MODEL;

COMMUNICABLE DISEASES; DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; INFECTIOUS DISEASE MEDICINE; MEDICAL INFORMATICS; MODELS, THEORETICAL; OBSERVER VARIATION; PHARMACISTS; PHYSICIAN ASSISTANTS; PHYSICIANS; QUALITY ASSURANCE, HEALTH CARE; REPRODUCIBILITY OF RESULTS; SOFTWARE;

EID: 84954542820     PISSN: 00261270     EISSN: None     Source Type: Journal    
DOI: 10.3414/ME15-01-0031     Document Type: Article

References (54)

1. Bedny GZ, Karwowski W, Bedny IS. Complexity Evaluation of Computer-Based Tasks. International Journal of Human-Computer Interaction 2012; 28 (4): 236-257.
2. Braithwaite RS, Concato J. Vector Model of Complexity. J Gen Intern Med 2008; 23 (6): 895.
3. Jenkins DP. Cognitive Work Analysis: Coping with Complexity: Ashgate Publishing, Ltd.; 2009.
4. Kannampallil TG, Schauer GF, Cohen T, Patel VL. Considering Complexity in Healthcare Systems. Journal of Biomedical Informatics 2011; 44 (6): 943-947.
5. Plsek PE, Wilson T. Complexity Science: Complexity, Leadership, and Management in Healthcare Organisations. British Medical Journal 2001; 323 (7315): 746-749.
6. Sintchenko V, Coiera E. Decision Complexity Affects the Extent and Type of Decision Support Use. AMIA Annu Symp Proc 2006: 724-728.
7. Wilson T, Holt T. Complexity Science: Complexity and Clinical Care. British Medical Journal 2001; 323 (7314): 685-688.
8. Woods DD. Coping with Complexity: The Psychology of Human Behaviour in Complex Systems. Tasks, Errors and Mental Models 1988: 128-148.
9. Moura Jr LA. Complexity and the Will to Transform. Methods Inf Med 2012; 51 (3): 187-188.
10. Sandoval J, Esteller M. Cancer Epigenomics: Beyond Genomics. Current Opinion in Genetics & Development 2012; 22 (1): 50-55.
11. Alonso F, Lara JA, Martinez L, PÈrez A, Valente JP. Generating Reference Models for Structurally Complex Data. Application to the Stabilometry Medical Domain. Methods Inf Med 2013; 52 (5): 441- 453.
12. Grant RW, Ashburner JM, Hong CS, Chang Y, Barry MJ, Atlas SJ. Defining Patient Complexity From the Primary Care Physician's Perspective: A Cohort Study. Annals of Internal Medicine 2011; 155 (12): 797-804.
13. Shippee ND, Shah ND, May CR, Mair FS, Montori VM. Cumulative Complexity: A Functional, Patient- Centered Model of Patient Complexity Can Improve Research and Practice. J Clin Epidemiol 2012; 65 (10): 1041-1051.
14. Huntley MS Jr. Task Complexity and Serial Performance Under Steadily Increasing Input Rates. Human Factors 1972; 14 (1): 65-75.
15. Hartley AA, Anderson JW. Task Complexity and Problem-Solving Performance in Younger and Older Adults. Journals of Gerontology 1983; 38 (1): 72-77.
16. Gardner DG. Task Complexity Effects on Nontask- Related Movements: A Test of Activation Theory. Organizational Behavior and Human Decision Processes 1990; 45 (2): 209-231.
17. Braarud PO. Subjective Task Complexity and Subjective Workload: Criterion Validity for Complex Team Tasks. International Journal of Cognitive Ergonomics 2001; 5 (3): 261-273.
18. Gill TG, Hicks RC. Task Complexity and Informing Science: A Synthesis. Informing Science 2006; 9: 1-30.
19. Gill TG, Murphy WF. Task Complexity and Design Science. In: 9th International Conference on Education and Information Systems. Technologies and Applications (EISTA 2011), Orlando, FL, USA. 2011.
20. Ham DH, Park J, Jung W. Model-Based Identification and Use of Task Complexity Factors of Human Integrated Systems. Reliability Engineering and System Safety 2012; 100: 33-47.
21. Liu P, Li Z. Task Complexity: A Review and Conceptualization Framework. International Journal of Industrial Ergonomics 2012; 42 (6): 553-568.
22. Schaink AK, Kuluski K, Lyons RF, Fortin M, Jadad AR, Upshur R, et al. A Scoping Review and Thematic Classification of Patient Complexity: Offering a Unifying Framework. Journal of Comorbidity 2012; 2 (1): 1-9.
23. Safford MM, Allison JJ, Kiefe CI. Patient Complexity: More Than Comorbidity. The Vector Model of Complexity. Journal of General Internal Medicine 2007; 22 (3): 382-390.
24. Fauci AS, Morens DM. The Perpetual Challenge of Infectious Diseases. N Engl J Med. 2012; 366 (5): 454-461.
25. Fong IW. Challenges in Infectious Diseases: Springer; 2013.
26. Khabbaz RF, Moseley RR, Steiner RJ, Levitt AM, Bell BP. Challenges of Infectious Diseases in the USA. The Lancet 2014; 384 (9937): 53- 63.
27. Carroll LN, Au AP, Detwiler LT, Fu T-c, Painter IS, Abernethy NF. Visualization and Analytics Tools for Infectious Disease Epidemiology: A Systematic Review. Journal of Biomedical Informatics 2014; 51 (0): 287-298.
28. Morens DM, Folkers GK, Fauci AS. The Challenge of Emerging and Re-emerging Infectious Diseases. Nature 2004; 430 (6996): 242-249.
29. Tleyjeh IM, Nada H, Baddour LM. VisualDx: Decision-Support Software for the Diagnosis and Management of Dermatologic Disorders. Clinical Infectious Diseases 2006; 43 (9): 1177-1184.
30. McMullen CK, Ash JS, Sittig DF, Bunce A, Guappone K, Dykstra R, et al. Rapid Assessment of Clinical Information Systems in the Healthcare Setting. An Efficient Method for Time-Pressed Evaluation. Methods Inf Med 2011; 50 (4): 299-307.
31. Timmermans DR, Gooszen AW, Geelkerken RH, Tollenaar RA, Gooszen HG. Analysis of the Variety in Surgeons' Decision Strategies for the Management of Left Colonic Emergencies. Medical Care 1997; 35 (7): 701-713.
32. Timmermans DR, Sprij AJ, de Bel CE. The Discrepancy Between Daily Practice and the Policy of a Decision-Analytic Model: The Management of Fever of Unknown Origin. Medical Decision Making: An International Journal of the Society for Medical Decision Making 1996; 16 (4): 357-366.
33. Begum S, Ahmed MU, Funk P, Xiong N, Von Schéele B. A Case-Based Decision Support System for Individual Stress Diagnosis Using Fuzzy Similarity Matching. Computational Intelligence 2009; 25 (3): 180-195.
34. Lynn MR. Determination and Quantification of Content Validity. Nursing Research 1986; 35 (6): 382-386.
35. Stemler S. An Overview of Content Analysis. Practical Assessment, Research & Evaluation 2001; 7 (17): 137-146.
36. Haney W, Russell M, Gulek C, Fierros E. Drawing on Education: Using Student Drawings to Promote Middle School Improvement. Schools in the Middle 1998; 7 (3): 38-43.
37. Clark J. How to Peer Review a Qualitative Manuscript. Peer Review in Health Sciences 2003; 2: 219-235.
38. Custer RL, Scarcella JA, Stewart BR. The Modified Delphi Technique-A Rotational Modification. Journal of Vocational and Technical Education 1999.
39. Wolff JL, Starfield B, Anderson G. Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly. Archives of Internal Medicine 2002; 162 (20): 2269-2276.
40. Werner RM, Asch DA. Clinical Concerns About Clinical Performance Measurement. The Annals of Family Medicine 2007; 5 (2): 159-163.
41. Hübner-Bloder G, Ammenwerth E. Key Performance Indicators to Benchmark Hospital Information Systems‚ A Delphi Study. Methods Inf Med 2009; 48 (6): 508-518.
42. Arnrich B, Mayora O, Bardram J, Tröster G. Pervasive Healthcare. Paving the Way for a Pervasive, User-Centered and Preventive Healthcare Model. Methods Inf Med 2010; 49 (1): 67-73.
43. Werner RM, Greenfield S, Fung C, Turner BJ. Measuring Quality of Care in Patients With Multiple Clinical Conditions: Summary of a Conference Conducted by the Society of General Internal Medicine. Journal of General Internal Medicine 2007; 22 (8): 1206-1211.
44. Turner BJ, Cuttler L. The Complexity of Measuring Clinical Complexity. Annals of Internal Medicine 2011; 155 (12): 851-852.
45. Islam R, Weir C, Fiol GD, editors. Heuristics in Managing Complex Clinical Decision Tasks in Experts' Decision Making. 2014 IEEE International Conference on Healthcare Informatics (ICHI); Sept 15-17, 2014.
46. Mane KK, Bizon C, Schmitt C, Owen P, Burchett B, Pietrobon R, et al. VisualDecisionLinc: A Visual Analytics Approach for Comparative Effectiveness- Based Clinical Decision Support in Psychiatry. J Biomed Inform 2012; 45 (1): 101-106.
47. Singh H, Petersen LA, Thomas EJ. Understanding Diagnostic Errors in Medicine: A Lesson from Aviation. Quality and Safety in Health Care 2006; 15 (3): 159-164.
48. Elstein AS. Thinking About Diagnostic Thinking: A 30-Year Perspective. Advances in Health Sciences Education: Theory and Practice 2009; 14 Suppl 1: 7-18.
49. Schiff GD, Hasan O, Kim S, Abrams R, Cosby K, Lambert BL, et al. Diagnostic Error in Medicine: Analysis of 583 Physician-Reported Errors. Archives of Internal Medicine 2009; 169 (20): 1881-1887.
50. Graber ML, Kissam S, Payne VL, Meyer AN, Sorensen A, Lenfestey N, et al. Cognitive Interventions to Reduce Diagnostic Error: A Narrative Review. BMJ Quality & Safety 2012; 21 (7): 535-557.
51. Croskerry P, Petrie DA, Reilly JB, Tait G. Deciding About Fast and Slow Decisions. Academic Medicine: Journal of the Association of American Medical Colleges 2014; 89 (2): 197-200.
52. Bailey BP, Iqbal ST. Understanding Changes in Mental Workload During Execution of Goal-Directed Tasks and Its Application for Interruption Management. ACM Transactions on Computer- Human Interaction (TOCHI) 2008; 14 (4): 21.
53. John BE, Kieras DE. Using GOMS for User Interface Design and Evaluation: Which Technique? ACM Transactions on Computer-Human Interaction (TOCHI) 1996; 3 (4): 287-319.
54. Wagner T, Garvey A, Lesser V. Criteria-Directed Task Scheduling. International Journal of Approximate Reasoning 1998; 19 (1): 91-118.