Cognitive analysis of physicians and nurses cooperation in the medication ordering and administration process

Beuscart-Zéphir, Marie-Catherine; Pelayo, Sylvia; Anceaux, Françoise; Maxwell, David; Guerlinger, Sandra

doi:10.1016/j.ijmedinf.2006.05.022

Cited by 41 publications

(33 citation statements)

References 19 publications

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“…11,19 For instance, while a wide range of process models have been used in other safety-critical industries, only a few of them have been used in healthcare. [20][21][22] In healthcare, traditionally, managing patient safety risk to identify hazards and risks is retrospective. 23 It was shown that the use of incident reports and safety walkabouts (also known as safety walkarounds) are the main methods used in healthcare environments to support risk identification.…”

Section: Introductionmentioning

confidence: 99%

A comparison of the methods used to support risk identification for patient safety in one UK NHS foundation trust

Simsekler

Card²,

Ruggeri

et al. 2015

Clinical Risk

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Background: In healthcare, various methods are available to support risk identification in risk management process. However, there is no clear evidence on their contribution to risk identification. In this study, different methods used to support risk identification were therefore analysed to compare their contribution to overall risk identification. Method: The study was conducted at Cambridge University Hospitals Foundation Trust, UK. Three main methods were selected to compare their support in risk identification: incident reports through their Risk Management Information System, risk registers through their Risk Registers system, and safety walkabouts through their internal patient safety assessment process. Where possible, simple comparison tests were run between the different methods of identifying risks as well as by the type of risks identified. Results: It was found that each method has contributed to the risk identification by adding different sets of risk sources despite some overlaps. However, they produced discrete assessments from different aspects and none of them, on its own, could produce adequate results for effective risk identification. Conclusion: In any healthcare setting, having a system to put all risk information in one picture would help maximise the contribution of each method within the scope risk management process. Future studies may benefit from broader use of multiple and system-based risk identification approaches, and coding methods for more powerful analytical test.

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Section: Introductionmentioning

confidence: 99%

A comparison of the methods used to support risk identification for patient safety in one UK NHS foundation trust

Simsekler

Card²,

Ruggeri

et al. 2015

Clinical Risk

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show abstract

“…The study of human factors is an integral part of current safety research [10]. Human error in medicine can range from diagnostic errors to medication errors and has a spectrum of associated cognitive mechanisms [11,12]. Zhang and colleagues describe a hierarchy of the healthcare system that elucidates the role of the individual in the causation of error [13].…”

Section: Introductionmentioning

confidence: 99%

The nature and occurrence of registration errors in the emergency department

Hakimzada

Green

Sayan

et al. 2008

International Journal of Medical Informatics

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Research into the nature and occurrence of medical errors has shown that these often result from a combination of factors that lead to the breakdown of workflow. Nowhere is this more critical than in the emergency department (ED), where the focus of clinical decision is on the timely evaluation and stabilization of patients. This paper reports on the nature of errors and their implications for patient safety in an adult ED, using methods of ethnographic observation, interviews, and think-aloud protocols. Data were analyzed using modified "grounded theory," which refers to a theory developed inductively from a body of data. Analysis revealed four classes of errors, relating to errors of misidentification, ranging from multiple medical record numbers, wrong patient identification or address, and in one case, switching of one patient's identification information with those of another. Further analysis traced the root of the errors to ED registration.These results indicate that the nature of errors in the emergency department are complex, multilayered and result from an intertwined web of activity, in which stress of the work environment, high patient volume and the tendency to adopt shortcuts play a significant role. The need for information technology (IT) solutions to these problems as well as the impact of alternative policies is discussed.

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“…L'introduction de nouveaux outils informatiques, tels que les dossiers médicaux informatisés, a un impact organisationnel car modifiant les modes de coopération entre les opérateurs (notamment médecins et infirmières), ce qui en retour transforme les représentations occurrentes individuelles et partagées qui guident l'activité [9,10]. Cette évolu-tion amène à des modifications du type de contrôle du processus de soins.…”

Section: Missions Du Laboratoireunclassified