It is time to talk about people: a human-centered healthcare system

Examining vulnerabilities within our current healthcare system we propose borrowing two tools from the fields of engineering and design: a) Reason's system approach [1] and b) User-centered design [2,3]. Both approaches are human-centered in that they consider common patterns of human behavior when analyzing systems to identify problems and generate solutions. This paper examines these two human-centered approaches in the context of healthcare. We argue that maintaining a human-centered orientation in clinical care, research, training, and governance is critical to the evolution of an effective and sustainable healthcare system

Soil moisture from Operational Meteorological Satellites

In recent years, unforeseen advances in monitoring soil moisture from operational satellite platforms have been made, mainly due to improved geophysical retrieval methods. In this study, four recently published soil-moisture datasets are compared with in-situ observations from the REMEDHUS monitoring network located in the semi-arid part of the Duero basin in Spain. The remotely sensed soil-moisture products are retrieved from (1) the Advanced Microwave Scanning Radiometer (AMSR-E), which is a passive microwave sensor on-board NASA's Aqua satellite, (2) European Remote Sensing satellite (ERS) scatterometer, which is an active microwave sensor on-board the two ERS satellites and (3) visible and thermal images from the METEOSAT satellite. Statistical analysis indicates that three satellite datasets contribute effectively to the monitoring of trends in surface soil-moisture conditions, but not to the estimation of absolute soil-moisture values. These sensors, or rather their successors, will be flown on operational meteorological satellites in the near future. With further improvements in processing techniques, operational meteorological satellites will increasingly deliver high-quality soil-moisture data. This may be of particular interest for hydrogeological studies that investigate long-term processes such as groundwater recharge. © Springer-Verlag 2006

Helping Teams Work: A Research Agenda for Effective Team Adaptation in Healthcare

Although membership changes within teams are a common practice, research into this phenomenon is relatively nascent (Summers et al.; Acad Manag J 55:314–338, 2012). The small literature base, however, does provide insight into skills required for effective adaptation. The purpose of this effort is to provide a brief research synopsis, leading to research hypotheses about medical team training. By generalizing previous scientific findings regarding skills required for effective membership adaptation in different kinds of teams, we posit mechanisms whereby teamwork training might also support adaptation among medical teams (Burke et al.; Qual & Saf Health Care 13:i96–i104, 2004 and Salas et al.; Theor Issues Ergon Sci 8:381–394, 2007). We provide an overview of the membership change literature. Drawing upon literature from both within and outside of the medical domain, we suggest a framework and research propositions to aid in research efforts designed to determine the best content for helping to create adaptable medical teams through team training efforts. For effective adaptation, we suggest ad hoc teams should be trained on generalizable teamwork skills, to share just “enough” and the “right” information, to engage in shared leadership, and to shift from explicit to implicit coordination. Our overarching goal was to present what is known from the general research literature on successful team adaptation to membership changes, and to propose a research agenda to evaluate whether findings generalize to member changes in medical teams