scholarly journals Analysis of User Preference with N95 and Powered Air-Purifying Respirators in a Healthcare Work Environment

2019 ◽  
Author(s):  
Brittany Renee Carver
Author(s):  
Joshua Biro ◽  
David M. Neyens ◽  
Candace Jaruzel ◽  
Catherine D. Tobin ◽  
Myrtede Alfred ◽  
...  

Medication errors and error-related scenarios in anesthesia remain an important area of research. Interventions and best practice recommendations in anesthesia are often based in the work-as-imagined healthcare system, remaining under-used due to a range of unforeseen complexities in healthcare work-as- done. In order to design adaptable anesthesia medication delivery systems, a better understanding of clinical cognition within the context of anesthesia work is needed. Fourteen interviews probing anesthesia providers’ decision making were performed. The results revealed three overarching themes: (1) anesthesia providers find cases challenging when they have incomplete information, (2) decision-making begins with information seeking, and (3) attributes such as expertise, experience, and work environment influence anesthesia providers’ information seeking and synthesis of tasks. These themes and the context within this data help create a more realistic view of work-as-done and generate insights into what potential medication error reducing interventions should look to avoid and what they could help facilitate.


Author(s):  
Julien Prud’homme

In the sociology of professions, working with machines is often seen as an obstacle to professional aspirations. This is especially true in healthcare, where a sharp distinction between professionals and technicians has prevailed since the early 20th century. However, only a few studies have documented the meaning of machines and technical skills for healthcare technicians. The purpose of this article is to show how and why two groups of such technicians, hearing prosthetists and respiratory technicians, actually tried to reconcile the use of machines with professionalization projects. It concludes with considerations about what these stories tell us about the history of technical work, about the transformations of the healthcare work environment in the second half of 20th century, and about the place of technical skills in the system of professions


2021 ◽  
pp. 107815522110385
Author(s):  
Silvia Valero García ◽  
María Centelles-Oria ◽  
Tomás Palanques-Pastor ◽  
Nieves Vila Clérigues ◽  
Eduardo López-Briz ◽  
...  

The presence of contamination in the healthcare work environment by one of the types of hazardous drugs, cytostatics, has been found in multiple international studies. Recent studies and guidelines recommend surface monitoring for risk assessment of healthcare professionals’ exposure. The availability of detection techniques is critical to successfully carry out this type of monitoring. The use of new semi-quantitative techniques allows quicker results. The main objective of this study was to determine the existence of hazardous drugs on the working surfaces in different locations of a tertiary hospital using the BD HD Check® semi-quantitative device. The presence of methotrexate, doxorubicin and cyclophosphamide was analysed at 80, 89 and 82 locations in 10, 13 and 11 clinical units, respectively. A total of 251 samples were analysed. The monitoring results were positive for 13.1% of the analysed samples, with 36.3% of the methotrexate samples, 0% of the doxorubicin samples and 4.9% of the cyclophosphamide samples. Mapping the presence of HD in our hospital has allowed us to evaluate the effectiveness of controls established in the hospital to minimise the exposure of healthcare professionals to hazardous drugs. The speed in obtaining results has enabled immediate corrective actions in cases where contaminated surfaces were detected.


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