Criteria for Evaluation of Human Factors methods: Interviews with Experts (Preprint)

Published: March 2, 2025

Human factors (HF) or ergonomics, which explores the interaction between humans and systems, has been used to support design in safety critical industries such as aviation, transportation, nuclear power manufacturing. HF methods have potential safe of health information technology (HIT) however evaluation determine their effectiveness feasibility this context limited. The aim study was identify criteria for evaluating when applied real world projects use these propose a framework method evaluation. practitioners were recruited via purposive sampling conjunction with snowball invited participate semi-structured interview discuss how they should be evaluated. Results reviewed thematically analysed. A total 21 participants took part, interviews lasted on average 52 minutes (range 39 – 103 minutes). Participants explained that did not routinely evaluate methods, outlined range Overall, 5 28 sub-criteria identified. High level included effectiveness, efficiency, ease acceptability, impact solution. from HIT projects. could provide organisations valuable optimise application outcomes build capability within particularly where may lacking. N/A

Language: Английский

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Closing the Loop for Controlled Substances Surveillance: A Field Study of the Usability and User Experience of an Integrated Electronic Narcotic Consumption

Communications in computer and information science, Journal Year: 2024, Volume and Issue: unknown, P. 93 - 109

Published: Jan. 1, 2024

Abstract The distribution and handling of controlled substances (CSs), i.e., narcotics, is strictly regulated to decrease the risk abuse drug diversion. In Finland, hospital pharmacies are mandated keep records CS consumption in healthcare through a labor-intensive paper-based process. After implementing new electronic health record (EHR) system, large university started streamline process by transferring documentation from paper digital format. Although benefits archiving, surveillance, monitoring self-evident pharmacy’s perspective advantages at wards remain less explored. Therefore, our goal was explore usability user experience (UX) recently implemented narcotic card (eNCC) solution built into EHR related workflows nurses, pharmacists, physicians. field study consisted two parts conducted using observation, interviews, survey methods wards. Our findings suggest that digitalized enables reliable real-time CSs improves efficiency, particularly for oral tablets capsules. Considering diverse end-users’ perspectives crucial when assessing practical newly solutions targeted several professional groups. This approach broader understanding UX; supports development efforts, including improvements; facilitates implementation. More research needed analyze long-term impacts CSs’ workflow surveillance different units.

Language: Английский

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Effect of a closed-loop medication order executive system on safe medication administration at a tertiary hospital: a quasi-experimental study

Therapeutic Advances in Drug Safety, Journal Year: 2024, Volume and Issue: 15

Published: Jan. 1, 2024

Background: Closed-loop electronic medication management systems are effective measures for preventing errors (MEs). However, there is limited evidence supporting this, and few studies have evaluated the long-term effects of these on safe medication. Objective: To evaluate implementing a closed-loop order executive system clinical use medications. Design: A quasi-experimental design. Method: Data from 2017 to 2023 were extracted retrospectively analyzed. The primary outcome indicator was ME rate. Secondary indicators accuracy verification patient identification implementation rate fresh medicine dispensing. autoregressive integrated moving average (ARIMA) model in time-series analysis used level trend changes rates using SPSS 25.0 before after implementation. Root cause descriptive statistics assess types, stages, causes rates. independent samples t-test analyze secondary outcomes. Results: Overall, 295 MEs reported with mean 0.26 ± per month during 2017–2023. ARIMA showed decrease implementation, no statistically significant long term, drop short medium term ( p < 0.01). Nurses’ administration accounted more than 60% post-implementation, lack communication prominent factor. dispensing all increased Conclusion: Adopting beneficial ensuring safety, but single does not completely eliminate MEs. Optimizing functionalities applying structured handoff tools recommended meet needs enhance usability.

Language: Английский

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Root causes behind patient safety incidents in the emergency department and suggestions for improving patient safety – an analysis in a Finnish teaching hospital

BMC Emergency Medicine, Journal Year: 2024, Volume and Issue: 24(1)

Published: Nov. 7, 2024

Adverse events occur frequently at emergency departments (ED) because of several risk factors related to varying conditions. It is still unclear, which lead patient safety incident reports. The aim this study was explore the root causes behind ED-associated incidents reported by personnel, and based on findings, suggest learning objectives for improving safety. material included reports (n = 340) concerned ED a teaching hospital over one year. We used mixed method combining quantitative descriptive statistics qualitative research inductive content analysis deductive Ishikawa cause analysis. Most (76.5%) were after transfer from ED. Nurses 70% physicians 7.4%. Of reports, 40% information flow or management. Incidents evaluated as no harm (29.4%), mild (46%), moderate (19.7%), severe (1.2%) patient. main consequences organization reputation loss (44.1%) extra work (38.9%). In analysis, nine specific problem groups found: insufficient introduction, adherence guidelines protocols, human resources, deficient professional skills, medication management deficiencies, incomplete ED, language proficiency, unprofessional behaviour, identification error, patient-dependent problems. Six organizational themes identified: medical staff orientation, onboarding competence requirements; resources; electronic records transfer; documentation system; interprofessional collaboration; resources such geriatric, mental health, patients with substance abuse disorder. Entirely factor-related could not be defined their associations system complex multifaceted. Individual addressed, proper use instructions adequate onboarding. System caused most concerning introduction training -processes elementary, multiprofessional collaboration. More needed about teamwork special needs non-critical patients, reporting incidents.

Language: Английский

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Market of Electronic Document Management Systems for Contemporary Business

Lecture notes in civil engineering, Journal Year: 2023, Volume and Issue: unknown, P. 261 - 265

Published: Jan. 1, 2023

Language: Английский

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Effect of an electronic medication administration record application on patient safety: A literature review

HOLISTIK JURNAL KESEHATAN, Journal Year: 2023, Volume and Issue: 17(8), P. 776 - 783

Published: Dec. 30, 2023

Background: Electronic medication administration records (e-MAR) is a one of information technology utilized by nurses. The transition from paper-based to electronic methods requires consideration the benefits and risks.Purpose: Identifies effect implementing e-MAR on patient safety.Method: Literature study articles published in 2013-2023, English, full.Results: 5 retrieved systematic search Proquest ScienceDirect databases, 1 article was obtained through hand searching, total 6 were reviewed study.Conclusion: implementation has been proven reduce risk process errors carried out nurses thereby increasing safety while undergoing treatment at health service facilities.Keywords: Medication Administration Records; Error; Nurse; Patient Safety.Pendahuluan: Pendokumentasian proses medikasi berbasis elektronik atau (electronic merupakan bentuk pemanfaatan teknologi informasi oleh perawat. Transisi dari metode kertas ke perlu dipertimbangkan manfaat dan risikonya.Tujuan: Mengidentifikasi pengaruh implementasi terhadap keselamatan pasien.Metode: Menggunakan literature review. Penelusuran artikel akademik melalui Online Database diantaranya ProQuest ScienceDirect. Dan didapatkan yang sesuai.studi literatur pada terpublikasi 2013- 2023, berbahasa Inggris, lengkap.Hasil: hasil penelusuran sistematis database , diperoleh searching sehingga teridentifikasi ditelaah dalam studi ini.Simpulan: Implementasi record terbukti dapat menurunkan risiko kesalahan dilakukan perawat meningkatkan pasien selama menjalani perawatan di fasilitas pelayanan kesehatan.

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