Archive for January, 2011|Monthly archive page

Safety Science

In Patient Safety on January 12, 2011 at 8:28 pm

click to read a great summary on patient safety science from the Josie King* website written by Peter Pronovost:

*While you are there browse the foundation’s website. Josie King was a young child who died as the result of medication errors and miscommuncations as well as ineffective teamwork systems.

Taxonomy vs Taskonomy

In Patient Safety on January 7, 2011 at 5:29 pm

On the hierarchy of safety interventions, system or product redesign falls in the level of highest effectiveness.  For example, if you want to prevent nurses from infusing formula into an IV line, you redesign the formula tubing so that it cannot physically fit into IV devices.

Reorganizing a workspace may be used as a safety intervention.  In the Human Factors blog, they talk about organizing by taxonomy vs taskonomy.

They use the example of making a kitchen more user friendly but this concept of taskonomy can definitely be applied to hospital areas.

go to the site to read this interesting topic

Win a prize!

In Patient Safety on January 1, 2011 at 11:10 am

from HFES:

The Human Factors and Ergonomics Society is proud to announce the Human Factors Prize, established in 2010 by Editor-in-Chief William S. Marras. The prize, which will be presented for the first time in 2011, recognizes excellence in HF/E research through an annual competition in which authors are invited to submit papers on a specific topic for that year. The topic is selected by the editor in chief in consultation with a Board of Referees chaired by Immediate Past Human Factors Editor Nancy J. Cooke. See below for the current year’s topic.

The prize carries a $10,000 cash award and publication of the winning paper in the Society’s flagship journal, Human Factors. The award will be formally conferred at a special session at the HFES Annual Meeting, where the recipient will present his or her work.

2011 Topic
The topic for the inaugural-year Prize is health care ergonomics. Health care ergonomics is broadly defined to include research at the intersection of health care and human factors. Suitable sample topics include human factors aspects of home health care, the ergonomics of laparoscopic equipment and procedures, patient care coordination, usability of electronic health records and informatics, macroergonomics of health care facilities, and use of simulation for health care training.


New Year’s Safety Resolutions

In Patient Safety on January 1, 2011 at 10:51 am

New Years Day is always a time for reflection on the accomplishments of the past year and a stimulus to plan for the upcoming months.

Here’s some Safety new years resolution ideas from the World Health Organization. See how they compare with your organization’s and your own personal safety priorities.

The top three priorities in research for global patient safety:

  • Adverse Drug events and Medication Errors
  • Adverse Medical Device events (the dog smells usability issues in this one)
  • Care of the Frail and Elderly

Others on the list of particular interest to this blog and IO psychologists:

  • 6. Devices that lack “human factors” considerations built into their design and modus of operandi
  • 10. Impact of work pressure on patient safety
  • 12. Inadequate manpower
  • 15. Lack of appropriate knowledge and transfer of knowledge
  • 16. Lack of communication and coordination
  • 23. Procedures that lack human factors consideration built into design and operandi
  • 24. Role of safety culture
  • 26. Stress and Fatigue
  • 27. Surgical errors

WHO has 28 safety research recommendations: Read the rest here

Usability and Safety Redux

In Patient Safety on January 1, 2011 at 10:00 am

I can’t post about this topic enough (usability and safety) and I can’t say it better than Dr. Nancy Staggers from the University of Maryland. Please read her article from the Online Journal of Nursing Informatics. (By the way, this journal is a free online publication that hosts articles from many nursing visionaries. Click to read current issue)

The opening quote from the article:
Usability has a strong, often direct relationship with clinical
productivity, error rate, user fatigue, and user satisfaction–
critical to EMR adoption
(HIMSS, 2009)

Staggers, N. (October, 2010). The Rapidly Emerging National Interest in HIT Usability. Online Journal of Nursing Informatics (OJNI),14 (3).

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