scholarly journals Personal protective equipment for infectious diseases preparedness: A human factors analysis

2016 ◽  
Vol 53 ◽  
pp. 136
Author(s):  
T. Herlihey ◽  
S. Gelmi ◽  
C. Flewwelling ◽  
T. Hall ◽  
C. Banez ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Human Factors ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Factors Analysis ◽  
Human Factors Analysis

A Lesson on Human Factors in Airway Management Learnt From the Death of George Washington

2020 ◽  
Vol 163 (5) ◽  
pp. 1000-1002
Author(s):  
Ahmad K. Abou-Foul
Keyword(s):  
Human Factors ◽  
Airway Management ◽  
Situational Awareness ◽  
Resistance To Change ◽  
Change Leadership ◽  
Acute Epiglottitis ◽  
George Washington ◽  
Leadership Model ◽  
Factors Analysis ◽  
Human Factors Analysis

On December 14, 1799, 3 prominent physicians—Craik, Brown, and Dick—gathered to examine America’s first president, George Washington. He was complaining of severe throat symptoms and was being treated with bloodletting, blistering, and enemas. Dick advised performing an immediate tracheotomy to secure the airway. Both Craik and Brown were not keen on trying tracheotomy and overruled that proposal. Washington was not involved in making that decision. He most likely had acute epiglottitis that proved to be fatal at the end. If Dick had prevailed, a tracheotomy could have saved Washington’s life. Human factors analysis of these events shows that his physicians were totally fixated on repeating futile treatments and could not comprehend the need for a radical alternative, like tracheotomy. That was aggravated by an impaired situational awareness and significant resistance to change. Leadership model was also based on hierarchy instead of competency, which might have also contributed to Washington’s death.

scholarly journals Rapid implementation of Inpatient eConsult Programme addresses new challenges for patient care during COVID-19 pandemic

2021 ◽  
pp. bmjinnov-2020-000557
Author(s):  
Sharon Rikin ◽  
Eric J Epstein ◽  
Inessa Gendlina
Keyword(s):  
Palliative Care ◽  
Infectious Diseases ◽  
Patient Care ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Qualitative Feedback ◽  
The Usa ◽  
New Challenges ◽  
Science Framework ◽  
Context Specific

IntroductionAt the early epicentre of the COVID-19 crisis in the USA, our institution saw a surge in the demand for inpatient consultations for areas impacted by COVID-19 (eg, infectious diseases, nephrology, palliative care) and shortages in personal protective equipment (PPE). We aimed to provide timely specialist input for consult requests during the COVID-19 pandemic by implementing an Inpatient eConsult Programme.MethodsWe used the reach, effectiveness, adoption, implementation and maintenance implementation science framework and run chart analysis to evaluate the reach, adoption and maintenance of the Inpatient eConsult Programme compared with traditional in-person consults. We solicited qualitative feedback from frontline physicians and specialists for programme improvements.ResultsDuring the study period, there were 46 available in-person consult orders and 21 new eConsult orders. At the peak of utilisation, 42% of all consult requests were eConsults, and by the end of the study period, utilisation fell to 20%. Qualitative feedback revealed subspecialties best suited for eConsults (infectious diseases, nephrology, haematology, endocrinology) and influenced improvements to the ordering workflow, documentation, billing and education regarding use.DiscussionWhen offered inpatient eConsult requests as an alternative to in-person consults in the context of a surge in patients with COVID-19, frontline physicians used eConsult requests and decreased use of in-person consults. As the demand for consults decreased and PPE shortages were no longer a major concern, eConsult utilisation decreased, revealing a preference for in-person consultations when possible.ConclusionsLessons learnt can be used to develop and implement inpatient eConsults to meet context-specific challenges at other institutions.

Evaluating the Reliability of the Human Factors Analysis and Classification System

2015 ◽  
Vol 86 (8) ◽  
pp. 728-735 ◽  
Author(s):  
Tara N. Cohen ◽  
Douglas A. Wiegmann ◽  
Scott A. Shappell
Keyword(s):  
Human Factors ◽  
Classification System ◽  
Factors Analysis ◽  
Human Factors Analysis

A Human Factors Analysis of an EMS Crew's Exposure to Carbon Monoxide

2012 ◽  
Vol 27 (3) ◽  
pp. 297-298
Author(s):  
Matthew J. Levy ◽  
Kevin G. Seaman ◽  
J. Lee Levy
Keyword(s):  
Carbon Monoxide ◽  
Human Factors ◽  
Safety Data ◽  
Error Reduction ◽  
Factors Analysis ◽  
Safety Incident ◽  
Prehospital Emergency ◽  
Ambulance Crew ◽  
Incident Analysis ◽  
Human Factors Analysis

AbstractThe safety of personnel and resources is considered to be a cornerstone of prehospital Emergency Medical Services (EMS) operations and practice. However, barriers exist that limit the comprehensive reporting of EMS safety data. To overcome these barriers, many high risk industries utilize a technique called Human Factors Analysis (HFA) as a means of error reduction. The goal of this approach is to analyze processes for the purposes of making an environment safer for patients and providers. This report describes an application of this approach to safety incident analysis following a situation during which a paramedic ambulance crew was exposed to high levels of carbon monoxide.Levy MJ, Seaman KG, Levy JL. A human factors analysis of an EMS crew's exposure to carbon monoxide. Prehosp Disaster Med. 2012;27(3):1-2.

Human Factors Goes to the Polls: The Voting Process as a Man-Machine System

1977 ◽  
Vol 21 (6) ◽  
pp. 545-547
Author(s):  
Tyler Blake
Keyword(s):  
Human Factors ◽  
Systems Analysis ◽  
Voter Behavior ◽  
Human Engineering ◽  
Machine System ◽  
Factors Analysis ◽  
Points Of Interest ◽  
And Performance ◽  
Critical Aspects ◽  
Human Factors Analysis

With the advent of voting machines and computers, the voting process has evolved into a complex man-machine system. However, to date no comprehensive human factors analysis of the voting process has been conducted. A systems analysis of the voting process yielded four major functions which impact critically on voter behavior and performance: (a) Design of voting instructions (b) Display of crucial voting information (c) Human engineering of voting equipment and procedures (d) Distribution of voting machines and personnel across and within voting districts. Some critical aspects of each area are discussed, and some additional points of interest to human factors specialists interested in researching this area are mentioned.

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