ArticleIISE transactions on healthcare systems engineering2018
Quantifying the Qualitative with Epistemic Network Analysis: A Human Factors Case Study of Task-Allocation Communication in a Primary Care Team.
Article in IISE transactions on healthcare systems engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
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- From communication to action: using ordered network analysis to model team performance in clinical simulation.BMC medical education · 2025Article
- Observational
- Team Cognition in Handoffs: Relating System Factors, Team Cognition Functions and Outcomes in Two Handoff Processes.Human factors · 2024Article
- Iron quantification in basal ganglia using quantitative susceptibility mapping in a patient with ALS: a case report and literature review.Frontiers in neuroscience · 2023Article
- Quantifying the qualitative: exploring epistemic network analysis as a method to study work system interactions.Ergonomics · 2022Article
- Adoption of a Data-Driven Bayesian Belief Network Investigating Organizational Factors that Influence Patient Safety.Risk analysis : an official publication of the Society for Risk Analysis · 2022Article
- Care transition of trauma patients: Processes with articulation work before and after handoff.Applied ergonomics · 2022Article
- It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Epistemic Network Analyses of Economics Students' Graph Understanding: An Eye-Tracking Study.Sensors (Basel, Switzerland) · 2020Article
- Taking a Closer Look: An Exploratory Analysis of Successful and Unsuccessful Strategy Use in Complex Problems.Frontiers in psychology · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
Health care is fundamentally about people, and therefore, engineering approaches for studying healthcare systems must consider the perspective, concepts and methods offered by the human factors and ergonomics (HFE) discipline. HFE analysis is often qualitative to provide in-depth description of work systems and processes. To deepen our understanding of care processes, we propose the next level of analysis, i.e. quantification of qualitative data. Here, we describe epistemic network analysis (ENA) as a novel method to quantify qualitative data and present a case study applying ENA to assess communication in a primary care team. One high-performing primary care team consisting of a physician, nurse, medical assistant and unit clerk was observed for 15 hours. We analyzed task-allocation communications and identified the sender, receiver, synchronicity and acceptance. We used logistic regression and ENA to evaluate sender, receiver and synchronicity impact on task acceptance. The physician and unit clerk were most successful allocating tasks. Future work should consider the role of synchronous, interruptive communication as potentially useful in time-critical tasks and further investigate the role of the unit clerk. HFE researchers should consider ENA as a tool to expand and deepen their understanding of care processes by quantifying qualitative data.
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Registered trials
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