scholarly journals Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic

2021 ◽  
Author(s):  
Valentina Della Torre ◽  
Flavio E. Nacul ◽  
Peter Rosseel ◽  
Heather Baid ◽  
Kaushik Bhowmick ◽  
...  
Keyword(s):  
Intensive Care ◽  
Human Factors ◽  
Intensive Care Units ◽  
Improve Performance ◽  
Human Factors And Ergonomics

Human Factors and Ergonomics in Intensive Care Units

2011 ◽  
pp. 693-708 ◽  
Author(s):  
Ayse Gurses ◽  
Bradford Winters ◽  
Priyadarshini Pennathur ◽  
Pascale Carayon ◽  
Peter Pronovost
Keyword(s):  
Intensive Care ◽  
Human Factors ◽  
Intensive Care Units ◽  
Human Factors And Ergonomics

Human factors and computerisation in intensive care units: a review

1991 ◽  
Vol 8 (3) ◽  
pp. 167-178 ◽  
Author(s):  
C. A. Green ◽  
K. J. Gilhooly ◽  
R. Logie ◽  
D. G. Ross
Keyword(s):  
Intensive Care ◽  
Human Factors ◽  
Intensive Care Units

scholarly journals Exploring the human factors of prescribing errors in paediatric intensive care units

2019 ◽  
Vol 104 (6) ◽  
pp. 588-595 ◽  
Author(s):  
Adam Sutherland ◽  
Darren M Ashcroft ◽  
Denham L Phipps
Keyword(s):  
Intensive Care ◽  
Human Factors ◽  
Intensive Care Units ◽  
Information Transfer ◽  
Paediatric Intensive Care ◽  
Contributory Factor ◽  
Prescribing Error ◽  
Psychological Burden ◽  
Knowledge Based ◽  
Paediatric Intensive Care Units

ObjectiveTo explore the factors contributing to prescribing error in paediatric intensive care units (PICUs) using a human factors approach based on Reason’s theory of error causation to support planning of interventions to mitigate slips and lapses, rules-based mistakes and knowledge-based mistakes.MethodsA hierarchical task analysis (HTA) of prescribing was conducted using documentary analysis. Eleven semistructured interviews with prescribers were conducted using vignettes and were analysed using template analysis. Contributory factors were identified through the interviews and were related to tasks in the HTA by an expert panel involving a PICU clinician, nurse and pharmacist.ResultsPrescribing in PICU is composed of 30 subtasks. Our findings indicate that cognitive burden was the main contributory factor of prescribing error. This manifested in two ways: physical, associated with fatigue, distraction and interruption, and poor information transfer; and psychological, related to inexperience, changing workload and insufficient decision support information. Physical burden was associated with errors of omission or selection; psychological burden was linked to errors related to a lack of knowledge and/or awareness. Social control through nursing staff was the only identified control step. This control was dysfunctional at times as nurses were part of an informal mechanism to support decision making, was ineffective.ConclusionsCognitive burden on prescribers is the principal latent factor contributing to prescribing error. This research suggests that interventions relating to skill mix, and communication and presentation of information may be effective at mitigating rule and knowledge-based mistakes. Mitigating fatigue and standardising procedures may minimise slips and lapses.

scholarly journals Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units

2013 ◽  
Vol 23 (1) ◽  
pp. 56-65 ◽  
Author(s):  
Pascale Carayon ◽  
Tosha B Wetterneck ◽  
Randi Cartmill ◽  
Mary Ann Blosky ◽  
Roger Brown ◽  
...  
Keyword(s):  
Intensive Care ◽  
Observational Study ◽  
Human Factors ◽  
Intensive Care Units ◽  
Medication Safety
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