The rehabilitation robot: factors influencing its use, advantages and limitations in clinical rehabilitation.

Purpose: Despite the proven effectiveness of rehabilitation robots (RR) in the literature, they are still little used in clinical rehabilitation. The aim of this study was to analyse the factors influencing the use of RR and the perception of therapists who used RR.

Method: In order to characterize the factors influencing the use of RR by therapists, a semi-structured interview was conducted with 18 therapists.

Time pressure and regulations on hospital-in-the-home (HITH) nurses: An on-the-road study.

This study investigated both causal factors and consequences of time pressure in hospital-in-the-home (HITH) nurses. These nurses may experience additional stress from the time pressure they encounter while driving to patients' homes, which may result in greater risk taking while driving. From observation in natural settings, data related to the nurses' driving behaviours and emotions were collected and analysed statistically; semi-directed interviews with the nurses were analysed qualitatively.

From technological acceptability to appropriation by users: methodological steps for device assessment in road safety.

This article presents the methodology developed within the framework of the research project SARI (Automated Road Surveillance for Driver and Administrator Information). This methodology is based on the logic of action research. The article presents the different stages in the development of technological innovation addressing vehicle control loss when driving on a curve.

How do time pressured drivers estimate speed and time?

The purpose of this laboratory study was to investigate the influence of time pressure on the perception of speed and duration in driving situations. Participants provided estimations of speed and performed both productions and reproductions of time durations, based on traffic films. The experimental films were made from a driver's point of view within a moving car, and audio-recorded instructions invited participants to imagine that they were driving while under time pressure or while relaxed.

A comparison of the impact of CPOE implementation and organizational determinants on doctor-nurse communications and cooperation.

Objective: To compare the impact of CPOE implementation and of the workplace organizational determinants on the doctor-nurse cooperation and communication processes.

Method: A first study was undertaken in eight different wards aimed to identify the different workplace organizations that support doctor-nurse communications'. A second study compared the impact of these organizations and of a CPOE on medication-related doctor-nurse communications.

The impact of perceptual treatments on driver's behavior: from driving simulator studies to field tests--first results.

Our study focused on the lateral position of drivers in relation to risk on rural crest vertical curves, using a field site proposed by a local operator of the French road network (Conseil Général de Maine-et-Loire, 49). The final goal was to test one road treatment on this field site. The study consisted of three stages.

Does CPOE actually disrupt physicians-nurses communications?

This study addresses the question of the respective impact of organizational vs. technical environment variables on the collaborative aspects of healthcare work situations. It analyzes the physicians-nurses communications during the medication use process, according to both the organization of their work and their technical environment.

The impact of perceptual treatments on lateral control: a study using fixed-base and motion-base driving simulators.

This research was carried out as part of the French national multidisciplinary research project, PREDIT-SARI. Using a driving simulator, it aimed to test the effectiveness of road treatments intended to inform drivers about the risk of losing control on rural roads with "crest vertical curves" (Landis et al., 2004).

Organizational vs. technical variables: impact on the collective aspects of healthcare work situations.

This study addresses the question of the respective impact of organizational vs. technical environment variables on the collective aspects of healthcare work situations. It analyzes the physicians-nurses communications during the medication use process, according to both the organization of their work and their technical environment.

Informal notes to support the asynchronous collaborative activities.

Background: Health care professionals' collaboration is highly important for the medical practice. Efficient exchange of information improves good cooperation, but remains complex, due to the diversity of the medical activities. Currently, the health record is mainly used to manage structured medical information.

A study of the communication notes for two asynchronous collaborative activities.

Introduction: To build relevant tools for Health Care Professionals, we must study and understand their practices. This paper discusses the way they leave traces in the Patient Record to help asynchronous collaboration, elaborating new documents or adding annotations.

Methods: We compared the results of two studies about the various writing strategies used by the Health Care Professionals to capture knowledge in the Patient Records.

Cognitive analysis of physicians and nurses cooperation in the medication ordering and administration process.

The objective of this study was to analyse physician-nurse cooperation in the medication ordering and administration process from a cognitive point of view. In this paper, we compared two work organizations characterized by: (1) a synchronous cooperation engendered by common doctor-nurse medical rounds and (2) an asynchronous situation characterized by split physician's and nurse's rounds. Both organizations worked with paper-based documentation systems.

[Development of an experimental methodology: hypotheses and variables].

In this methodological paper, we present the elaboration of the experimental design, central stage of the research cycle. First, we focus on the hypothesis elaboration from the research question. Then, we detail the hypothesis operationalisation by the means of the choice of variables.

Impact of CPOE on doctor-nurse cooperation for the medication ordering and administration process.

The objective of this study was to analyze the impact of medication ordering and administration functions of CPOE on doctor-nurse communications and cooperation. We performed an extensive analysis of the work situations in several departments of three different hospitals. One of the hospitals is still using paper-based orders, the second one is currently implementing a patient care information system (PCIS), but the analysis was carried out with paper-based orders.

A distributed coordination platform for home care: analysis, framework and prototype.

Good cooperation between health care (HC) professionals, patient, and family is indispensable during homecare as mentioned in reports and analyses from different countries. In a French National project named coordination for the quality of care (COQUAS), we aimed to address the problem of improving such cooperation with current tools and techniques. We hypothesized that, as in some other domains, a better integration of use and users in informatics systems could improve the usefulness of the cooperative tool.

User-centred, multidimensional assessment method of Clinical Information Systems: a case-study in anaesthesiology.

This paper describes a multi-dimensional assessment method to support the choice and acquisition process for Clinical Information Systems. The method addresses three different dimensions: (1) Quality management, which evaluates the fulfillment of Users Requirements, and the Users' satisfaction with the existing functions; (2) Usability assessment, which includes a Usability inspection, and a Usability test; (3) Performance evaluation, which assesses the exhaustiveness and quality of documentation. The method is illustrated using the case study of a Clinical Information System (CIS) acquisition for anaesthesiology.

A usability study of CPOE's medication administration functions: impact on physician-nurse cooperation.

Implementation of CPOE systems in Healthcare Institutions has proven efficient in reducing medication errors but it also induces hidden side-effects on Doctor-Nurse cooperation. We propose a usability engineering approach to this problem. An extensive activity analysis of the medication ordering and administration process was performed in several departments of 3 different hospitals.

Multidimensional evaluation of a Clinical Information System for anaesthesiology: quality management, usability, and performances.

This paper describes a multi-dimensional assessment methodology to support the choice and selection process of Clinical Information Systems. The methodology includes 4 evaluation components: Fulfilment of Users Requirements, Usability Inspection, Usability Testing and Performance Evaluation. The methodology is illustrated with the case study of a selection of a CIS for anaesthesiology.