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Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room

机译:野生技术(TiW):人为因素对心血管手术室患者安全的影响

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摘要

We describe different sources of hazards from cardiovascular operating room (CVOR) technologies, how hazards propagate in the CVOR and their impact on cognitive processes. Previous studies have examined hazards from poor design of a specific CVOR technology. However, the impact of different CVOR technologies functioning in context is not clearly understood. In addition, the impact of non-design hazards in technology devices is unclear. Our study identified hazards from organisational, physical/environmental elements, in addition to design of technology in a CVOR. We used observations, follow-up interviews and photographs. With qualitative analyses, we categorised the different hazard sources and their potential impact on cognitive processes. Patient safety can be built into technologies by incorporating user needs in design, decision-making and implementation of medical technologies. Practitioner summary: Effective design and implementation of technology in a safety-critical system requires prospective understanding of technology-related hazards. Our research fills this gap by studying different technologies in context of a CVOR using observations. Qualitative analyses identified different sources for technology-related hazards besides design, and their impact on cognitive processes.
机译:我们描述了来自心血管手术室(CVOR)技术的各种危害源,危害如何在CVOR中传播以及它们对认知过程的影响。先前的研究已经检查了由于特定CVOR技术的不良设计而造成的危害。但是,不清楚在上下文中运行的不同CVOR技术的影响。此外,技术设备中非设计危害的影响尚不清楚。除了CVOR中的技术设计,我们的研究还从组织,物理/环境因素中识别出危害。我们使用了观察,后续采访和照片。通过定性分析,我们对不同的危害源及其对认知过程的潜在影响进行了分类。通过将用户需求纳入医疗技术的设计,决策和实施中,可以将患者安全纳入技术中。从业者摘要:在安全关键系统中有效设计和实施技术需要对技术相关危害有前瞻性了解。我们的研究通过使用观察在CVOR的背景下研究不同的技术来填补这一空白。定性分析确定了除设计以外与技术相关的危害的不同来源,以及它们对认知过程的影响。

著录项

  • 来源
    《Ergonomics》 |2013年第2期|205-219|共15页
  • 作者单位

    Department of Mechanical and Industrial Engineering, University of Iowa, Iowa City, 1A, 52242 USA;

    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

    Division of Cardiothoracic Anesthesiology, Medical University of South Carolina, Charleston, SC, USA;

    Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA,Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Department of Health Policy and Management, Bloomberg School of Public Health, Baltimore, MD, USA,School of Nursing, Johns Hopkins University, Baltimore, MD, USA;

    Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA,School of Nursing, Johns Hopkins University, Baltimore, MD, USA,Department of Pediatrics,Johns Hopkins University School of Medicine, Baltimore, MD, USA,Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Department of Health Policy and Management, Bloomberg School of Public Health, Baltimore, MD, USA;

    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA,Department of Health Policy and Management, Bloomberg School of Public Health, Baltimore, MD, USA,Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    patient safety; technology; hazards; cognition; cardiac operating room;

    机译:患者安全;技术;危害认识;心脏手术室;

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