Given the continuing deployment of total quality control and total quality management initiatives by organizations, employees have seen changes in their work environment. Furthermore, the impact of downsizing has resulted in operators becoming responsible for the quality of their own processes. This study tested the impact of various display alternatives of control chart data on decision performance and mental workload.  The control charts were shown as multiple two dimensional displays, a composite two dimensional display, and a composite three dimensional perspective display. Multiple two dimensional displays were found to have significantly higher decision accuracy and decision confidence ratings than either composite displays. No significant difference in decision accuracy and decision confidence ratings was found among the composite displays. The type of display did not have a significant effect on decision time. Mental workload was also found to be significantly affected by the type of display used. Multiple two dimensional displays imposed significantly lower levels of mental workload than either composite display. No significant difference in mental workload was found among the composite displays. These results indicated that multiple two dimensional displays should be used when control chart data from multiple processes must be displayed. / Master of Science

Through significant federal investment and incentives, Electronic Health Records have become ubiquitous in modern hospitals. Over the past decade, these computer support systems have provided healthcare operations with new safety nets, and efficiency increases, but also introduce new problems when they suddenly go offline. These downtime events are chaotic and dangerous for patients. With the safety systems clinicians have become accustomed to offline, patients are at risk from errors and delays. This work applies the Macroergonomic methodology to facilitate an exploratory study into the issues related to patient care during downtime events. This work uses data from existing sources within the hospital, such as the electronic health record itself. Data collection mechanisms included interviews, downtime paper reviews, and workplace observations. The triangulation of data collection mechanisms facilitated a thorough exploration of the issues of downtime. The Macroergonomic Analysis and Design (MEAD) methodology was used to guide the analysis of the data, and identify variances and shifts in responsibility due to downtime. The analysis of the data supports and informs developing potential intervention strategies to enable hospitals to better cope with downtime events. Within MEAD, the assembled data is used to inform the creation of a simulation model which was used to test the efficacy of the intervention strategies. The results of the simulation testing are used to determine the specific parameters of the intervention suggestions as they relate to the target hospitals. The primary contributions of this work are an exploratory study of electronic health record downtime and impacts to patient safety, and an adaptation of the Macroergonomic Analysis and Design methodology, employing multiple data collection methods and a high-fidelity simulation model. The methodology is intended to guide future research into the downtime issue, and the direct findings can inform the creation of better downtime contingency strategies for the target hospitals, and possibly to offer some generalizability for all hospitals. / Ph. D. / Hospitals experience periodic outages of their computerized work support systems from a variety of causes. These outages can range from partial communication and or access restrictions to total shutdown of all computer systems. Hospitals operating during a computerized outage or downtime are potentially unable to access computerized records, procedures and conduct patient care activities which are facilitated by computerized systems. Hospitals are in need of a means to cope with the complications of downtime and the loss of computerized support systems without risking patient care. This dissertation assesses downtime preparedness and planning through the application of Macroergonomics which has incorporated discrete event simulation. The results provide a further understanding of downtime risks and deficiencies in current planning approaches. The study enhances the application of Macroergonomics and demonstrates the value of discrete event simulation as a tool to aid in Macroergonomic evaluations. Based on the Macroergonomic Analysis and Design method, downtime improvement strategies are developed and tested, demonstrating their potential efficacy over baseline. Through this dissertation, the deficiencies in current contingency plans are examined and exposed and further the application of Macroergonomics in healthcare.

In 2008, there were more than 5,200 workplace fatalities in the United States (BLS, 2010b). During the same time period, U.S. employees missed almost 1.1 million days from work (BLS, 2010c). Accidents are unexpected outcomes that result not only from individuals' behaviors, but from contextual factors (Krause, 1997; Reason, 1990). Therefore, unsafe behaviors have to be interpreted according to a combination of what is occurring in the environment and what the individual is doing in that environment. The present study sought to create a more comprehensive model of safety by means of macroergonomics. Macroergonomics utilizes sociotechnical systems theory to posit that a work system is composed of a personnel subsystem (i.e., ways individuals perform tasks), a technological subsystem (i.e., tasks to be performed), and external factors (Hendrick, 2002a). Perceived control over work hours, an aspect of the technological subsystem, was examined as an antecedent of work-family conflict. Supervisor instrumental support, an aspect of the personnel subsystem, was examined as a moderator of the relationships between perceived control over work hours and work-family conflict. Supervisors have an imperative role in employees' perception of control over their work hours (Kelly & Moen, 2007). Supervisor instrumental support was also hypothesized to moderate the relationships between work-family conflict and safety performance. Supervisors who support their employees in their work-family matters exceed mandatory requirements set forth to protect workers' safety and health (Mearns, Hope, Ford, & Tetrick, 2010). A majority of the 360 participants in the present study were grocery store employees who worked in the front end of the store as cashiers. Job tenure in this particular grocery store chain was an average of 7 years (SD = 5.96) and the average number of hours worked per week was 31 (SD = 8.55). The employees were an average age of 38 years old (SD = 15.25). Two hundred and sixty-two (73%) of the participants were female, 330 (92%) were White, 196 (55%) employees were married or living as married, 146 (41%) employees identified themselves as parents with children living at home, and 58 (16%) employees provided elder care. The data were analyzed using a moderated mediation model. An employee's perceived control over his/her work hours was negatively associated with work-to-family and family-to-work conflict. Work-to-family conflict was not significantly associated with either safety compliance or participation. In contrast, family-to-work conflict was significantly associated with both safety compliance and participation. These findings replicate Cullen and Hammer's (2007) findings that family-to-work conflict, but not work-to-family conflict, is negatively associated with safety compliance and participation. The replication of these significant findings gives support to macroergonomics' assertion that external forces (i.e., family) can affect the safety of employees. All of the meditating and moderating relationships proposed in this dissertation were not significant. I conducted post hoc analyses to determine other possible significant paths in the model examined. The FSSB dimension of supervisor instrumental support was found to positively affect both safety compliance and participation. Supervisor instrumental support was also found to directly affect work-to-family conflict. Overall FSSB and its subdimensions demonstrated similar patterns in the hypothesized relationships and in additional relationships examined. Numerous implications can be recognized from this dissertation. First, interdisciplinary approaches to safety research are emerging and important in the pursuit of safer work environments. Macroergonomics and I/O psychology have commonalities that lend themselves to a good partnership where researchers can learn from each other and collaborate to advance the study of safety. Second, organizations need to focus on the stressors their employees experience as part of their safety programs, and numerous studies, including this dissertation, have found that family-to-work conflict impacts safety compliance and participation. Future safety research may incorporate macroergonomics, which emphasizes that focusing on one adverse aspect of the system may not be enough to create valuable change if there are other adverse factors still creating demands elsewhere in the system. This will allow for a more comprehensive model that ensures certain aspects of the system are not neglected, which can reduce effectiveness of constructs used to create positive changes.

Human Systems Integration Capstone / Approved for public release;distribution is unlimited. / In the United States Air Force (USAF), a system is generally thought of in terms of technology; but there are other types of systems supporting our warfighters. A system is “a group of related parts that move or work together” (Merriam-Webster, 2014), suggesting that systems can also be a compilation of human activities and interactions. One such system is the Air Force Medical Service (AFMS). The AFMS has been charged with the delivery of healthcare for the USAF. It is an organization within which there are many workplaces, and these are prototypical of workplaces in the USAF. The USAF currently has no framework for developing organizations. This capstone project took an inside look into the organizational structure of the Keesler Air Force Base’s Base Operational Medicine Cell (BOMC). By conducting a macroergonomic analysis, I was able to make recommendations for an effective and fully harmonized organizational design. Human systems integration (HSI) played a pivotal role in the evaluation of the Keesler BOMC, as Manpower, Personnel, and Training (MPT) are key drivers in the development of organizations. The results of this analysis lead to the development of BOMC requirements and subsequently HSI requirements for organizations, or an HSI Framework for Organizations.

In the fall of 1996, the Computer Science Department at Virginia Tech initiated a joint project with a local school district, to determine how ready access to networked computing in the fifth grade would affect students. Called the PCs for Families (PCF) project, its goal was to learn what could be achieved if technology access, support, and curriculum integration could be eliminated as obstacles or constraints in the classroom and at home. A technology-rich classroom was created, with the classroom teacher trained in constructivist teaching practices and technology integration by a master teacher. Network computers were found on every desktop, with scanners, digital cameras, and other technologies scattered throughout the room. A computer was sent home with each child and teacher, and as much support as necessary was provided to all program participants, including parents. As part of this research, a yearlong field experiment was undertaken to explore the effects of the PCF intervention on the third cohort of students participating in the project. Macroergonomics served as the theoretical framework for the experiment, which focused on the in-depth, systematic assessment of those quantitative changes that resulted from exposure to the PCF fifth-grade network classroom. Students participating in the field research were randomly selected from the larger pool of students eligible for the PCF project at the school. Selected students were randomly assigned to either to the PCF fifth-grade classroom or the standard fifth-grade classroom, which served as a control group. To first-time visitors walking into the PCF network classroom, the classroom bore little resemblance to its more traditional counterparts. However, the functioning of the PCF classroom was in many ways indistinguishable from that of its traditional counterparts. The yearly average for computer use in the PCF classroom was 4.275 hours, with computer use in the PCF classroom exceeding the three hours of computer laboratory time allotted to the control class only during the last 12 weeks of school. When used, the technology functioned as an electronic replacement for materials commonly found in traditional settings. Observers reported the pedagogy remained steadfastly teacher-centered and didactic. Despite limited utilization of the computer during classroom hours, analysis of individual, academic measures indicated PCF students made significantly greater gains than control students only on standardized writing tests. PCF students also performed significantly better than control students on measures related to technology skills. Boys in the PCF classroom also made greater improvements in their attitudes towards school than boys in the control classroom. At home, PCF students were found to interact with computer technology more often than their control counterparts. Despite lower overall home use, control students reported spending more time playing computer games than PCF students. Correlational analyses indicated significant linear relationships between changes in student performance, student entry characteristics, and home computer use variables. Student previous achievement was by far the strongest predictor of student SOL test performance, with computer use only linked to student standardized test performance on the writing and mathematics sections. As the number of email messages sent by the student increased, their writing performance increased with email usage accounting for almost ten percent of the total variance in the writing score. The only other computer use measure significantly associated with test performance was student self-reports of computer use, which accounted for less than four percent of the total variance in mathematics test performance. Computer use was associated more strongly with changes in student motivation. Student self-reports of home computer use accounted for fully 30 percent of the variance in changes on the school motivation survey. Analyses of data from the PCF proxy server suggest that student web browsing overshadows other home Internet activities, with email taking precedence over chat. Further, unlike chat or email, family web usage was sustained long after students left the PCF classroom. Over 68 percent of family web usage each week was attributable to student, not family, characteristics suggesting students play a large role in determining family usage. Academic information finding provides a plausible explanation for these results, with family web usage declining somewhat during summer months when students were not in school. Stability of both web and email use was relatively high among students. In keeping with critical mass theory, student email use increased when other students used email. However, social variables were not found to have a significant effect on web usage. Girls were found to make greater use of email than boys, with this research suggesting highly visual students used email more often. The field research also found a significant increase in student self-reports of musculoskeletal problems among the PCF students. A year-end examination of workstation fit found seat and monitor heights an average of two inches higher than the corresponding student dimensions. A participatory design study was used to elicit conceptions of computer workstations from PCF students, teachers, and parents. Children were interested in gaining greater control over the workstation, both in terms of individual technology and adjustability of furniture. Parents, however, focused on improving the richness of an individual student's workspace and de-emphasized collaborative work. Teacher opinions diverged more than other groups with designs strongly influenced by pedagogic beliefs. Results from the field study provide evidence that macroergonomic methodologies for analysis and design of work systems are extensible to classroom systems, and provide a systematic framework for examining issues related to the introduction of classroom computing technology. A critical element of any successful effort to integrate technology into the curriculum is access to adequate classroom technology and support; however, as this research illustrates, they are not sufficient to ensure successful integration. This research demonstrates other forces are at work, and in keeping with macroergonomic theory, key to the success of such an effort is the "fit" between the new technology and the characteristics of the classroom system, especially those of the teacher who effectively functions as the gatekeeper for the technology. / Ph. D.