다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기
Anesthesiology, v.124 no.4, 2016년, pp.795 - 803
Yang, Yushi (From the Department of Industrial Engineering, Clemson University, Clemson, South Carolina (Y.Y.)) , Rivera, Antonia Joy (Department of Information Management Services, Children’s Hospital of Wisconsin, Milwaukee, Wisconsin (A.J.R.)) , Fortier, Christopher R. (Department of Pharmacy, Massachusetts General Hospital, Boston, Massachusetts (C.R.F.)) , Abernathy III, James H. (and Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina (J.H.A.).)
BACKGROUND:: Prefilled syringes (PFS) have been recommended by the Anesthesia Patient Safety Foundation. However, aspects in PFS systems compared with self-filled syringes (SFS) systems have never been explored. The aim of this study is to compare system vulnerabilities (SVs) in the two systems and understand the impact of PFS on medication safety and efficiency in the context of anesthesiology medication delivery in operating rooms. METHODS:: This study is primarily qualitative research, with a quantitative portion. A work system analysis was conducted to analyze the complicated anesthesia work system using human factors principles and identify SVs. Anesthesia providers were shadowed: (1) during general surgery cases (n = 8) exclusively using SFS and (2) during general surgery cases (n = 9) using all commercially available PFS. A proactive risk assessment focus group was followed to understand the risk of each identified SV. RESULTS:: PFS are superior to SFS in terms of the simplified work processes and the reduced number and associated risk of SVs. Eight SVs were found in the PFS system versus 21 in the SFS system. An SV example with high risk in the SFS system was a medication might need to be “drawn-up during surgery while completing other requests simultaneously.” This SV added cognitive complexity during anesthesiology medication delivery. However, it did not exist in the PFS system. CONCLUSIONS:: The inclusion of PFS into anesthesiology medication delivery has the potential to improve system safety and work efficiency. However, there were still opportunities for further improvement by addressing the remaining SVs and newly introduced complexity.
Ergonomics 56 205 2013 10.1080/00140139.2012.757655 Technologies in the wild (TiW): Human factors implications for patient safety in the cardiovascular operating room.
J Am Med Inform Assoc 9 S58 2002 10.1197/jamia.M1229 Human factors research in anesthesia patient safety: Techniques to elucidate factors affecting clinical task performance and decision making.
Appl Ergon 45 14 2014 10.1016/j.apergo.2013.04.023 Human factors systems approach to healthcare quality and patient safety.
Qual Saf Health Care 15 i50 2006 10.1136/qshc.2005.015842 Work system design for patient safety: The SEIPS model.
Anaesth Intensive Care 29 494 2001 10.1177/0310057X0102900508 The frequency and nature of drug administration error during anaesthesia.
Can J Anaesth 59 562 2012 10.1007/s12630-012-9696-6 Influences observed on incidence and reporting of medication errors in anesthesia.
Anesthesiology 124 25 2016 10.1097/ALN.0000000000000904 Evaluation of perioperative medication errors and adverse drug events.
Curr Opin Anaesthesiol 25 221 2012 10.1097/ACO.0b013e32834f00ec Costs and wastes in anesthesia care.
BMJ Qual Saf 21 357 2012 10.1136/bmjqs-2012-000783 The science of interruption.
Anesth Analg 93 385 2001 10.1213/00000539-200108000-00030 A new, safety-oriented, integrated drug administration and automated anesthesia record system.
Anesthesiology News 39. 2013 In operating room, a switch to prefilled syringes pays off.
Paediatr Anaesth 21 743 2011 10.1111/j.1460-9592.2011.03589.x Medication errors-New approaches to prevention.
APSF Newsletter 25 1 2010 APSF hosts medication safety conference. Consensus group defines challenges and opportunities for improved practice.
Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology) 337 2005 Work system analysis: The key to understanding health care systems
Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory 4th edition 220 2015 Open coding: Identifying concepts
Research Design: Qualitative, Quantitative, and Mixed Methods Approaches 4th edition 155 2013 Qualitative methods
Health Serv Res 34 5 Pt 2 1153 1999 How will we know “good” qualitative research when we see it? Beginning the dialogue in health services research.
Aust Occup Ther J 54 88 2007 10.1111/j.1440-1630.2007.00661.x Appraising the trustworthiness of qualitative studies: Guidelines for occupational therapists.
Handbook of Healthcare Delivery Systems 2011 Patient safety and proactive risk assessment
Jt Comm J Qual Patient Saf 36 376 2010 Involving intensive care unit nurses in a proactive risk assessment of the medication management process.
The Focus Group Guidebook 1st edition 1 1998 Overview: An introduction to focus group
Educ Res 31 28 2002 10.3102/0013189X031007028 Qualitative analysis on stage: Making the research process more public.
Int J Radiat Oncol Biol Phys 71 1 suppl S174 2008 Human factors and systems engineering approach to patient safety for radiotherapy.
Health Serv Res 44 2 Pt 1 422 2009 Impact of performance obstacles on intensive care nurses’ workload, perceived quality and safety of care, and quality of working life.
Anesth Analg 71 354 1990 Measuring the workload of the anesthesiologist.
Attention and Effort 28 1973 Arousal and attention
Engineering Psychology and Human Performance 3rd edition 439 2000 Attention, time-sharing, and workload
Human Error 173 1990 Latent errors and system disasters
Proc Hum Fact Ergon Soc Annu Meet 58 180 2014 10.1177/1541931214581038 Ineradicable system vulnerabilities in the anesthesia pre-filled syringe medication management process.
Appl Ergon 37 81 2006 10.1016/j.apergo.2005.07.006 Macroergonomics: Analysis and design of work systems.
Rev Hum Factors Ergon 8 4 2013 10.1177/1557234X13492976 Macroergonomics in healthcare quality and patient safety.
Qual Saf Health Care 13 388 2004 10.1136/qshc.2004.010322 Beyond usability: Designing effective technology implementation systems to promote patient safety.
Anesthesiology 124 1 2016 10.1097/ALN.0000000000000905 Perioperative medication errors: Building safer systems.
*원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다.
Copyright KISTI. All Rights Reserved.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.