Human factors engineering approaches to patient identification armband design

Probst, C. Adam; Wolf, Laurie; Bollini, Mara; Xiao, Yan

doi:10.1016/j.apergo.2015.06.018

Cited by 8 publications

(9 citation statements)

References 20 publications

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“…While standards development and training reinforcement remain the core in OSH management, minimising ergonomic risk factors through design or redesign of equipment is worth further exploration,12 14 15 although it was still uncommon in developed and developing countries. This study described how manual handling related injuries were minimised through innovation in tool modifications.…”

Section: Discussionmentioning

confidence: 99%

“…In concert with several studies demonstrating local intelligence in innovative design of equipment in preventing musculoskeletal injuries,11 12 a descriptive study was conducted in Union Hospital, a private hospital with over 400 beds and 1600 staff in Hong Kong. This study aimed to highlight the approach in handling specific occupational risks in a local context from 2012 to 2014 through the design of four innovative tools, namely, roller transfer plate (RTP), operating table footboard trolley (OTFT), gas cylinder transfer system (GCTS) and carton box opening tool (CBOT).…”

Section: Introductionmentioning

confidence: 99%

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Innovation in tools for safe manual handling in a Hong Kong private hospital

et al. 2016

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Staff in the healthcare industry are susceptible to musculoskeletal injuries due to frequent manual handling procedures. The study describes the systematic approach in proactive risk assessment of occupational safety and innovative design of appropriate tools to minimise the risk of injury to staff in a private hospital in Hong Kong. As a result, 4 tools to cater to specific manual handling procedures were developed by an in-house engineering team. The study highlights the benefits of incorporating innovations in tool (re)design to enhance safe manual handling in a hospital setting.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Innovation in tools for safe manual handling in a Hong Kong private hospital

et al. 2016

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“…A majority of this work has focused on hospital-based care, most notably on medication safety and health information technology,(15) HAIs,(16) patient falls,(17, 18) and patient identification. (19) Another important contribution of HF/SE has been the systematic analysis of safety events, including retrospective and prospective methods such as the Human Factors Analysis Classification System (HFACS),(20, 21) Failure Mode and Effect Analysis (FMEA),(22) and others. (23) Exhibit 1 summarizes common examples of HF/SE approaches used to address important patient safety issues.…”

Section: Introductionmentioning

confidence: 99%

Challenges And Opportunities For Improving Patient Safety Through Human Factors And Systems Engineering

et al. 2018

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Despite progress on patient safety since the Institute of Medicine 1999 report “To Err is Human”, significant problems remain. Human factors and systems engineering (HF/SE) has been increasingly recognized and advocated for its value in understanding, improving, and redesigning processes for safer care, especially for complex interacting sociotechnical systems. Broad awareness and adoption of HF/SE into safety improvement work, however, has been frustratingly slow. We provide an overview of HF/SE, its demonstrated value to a wide range of patient safety problems, in particular medication safety, and challenges to its broader implementation across health care. We propose seven recommendations and policy implications to maximize the spread of HF/SE, including formal and informal education programs, greater adoption of HF/SE by healthcare organizations, expanded funding to foster greater clinician-engineer partnerships, and coordinated national efforts to design and operationalize a system for spreading HF/SE into health care nationally.

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“…Failure to do this may lead to unpredictable and harmful results. 3,4 Patients may undergo unnecessary medical procedures or incorrect drug administration with potentially serious consequences. [5][6][7] The risks of incorrect patient identification have led to an increased focus on preventing such incidents.…”

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confidence: 99%

Evaluating Patient Identification Practices During Intrahospital Transfers: A Human Factors Approach

et al. 2022

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Introduction: Reliable patient identification is essential for safe care, and failures may cause patient harm. Identification can be interfered with by system factors, including working conditions, technology, organizational barriers, and inadequate communications protocols. The study aims to explore systems factors contributing to patient identification errors during intrahospital transfers. Methods:We conducted a qualitative study through direct observation and interviews with porters during intrahospital patient transfers. Data were analyzed using the Systems Engineering Initiative for Patient Safety human factors model. The patient transfer process was mapped and compared with the institutional Positive Patient Identification policy. Potential system failures were identified using a Failure Modes and Effects Analysis.Results: A total of 60 patient transfer handovers were observed. In none of the evaluable cases observed, patient identification was conducted correctly according to the hospital policy at every step of the process. The principal system factor responsible was organizational failure, followed by technology and team culture issues. The Failure Modes and Effects Analysis methodology revealed that miscommunication between staff and lack of key patient information put patient safety at risk. Conclusions:Patient identification during intrahospital patient transfer is a high-risk event because several factors and many people interact. In this study, the disconnect between the policy and the reality of the workplace left staff and patients vulnerable to the consequences of misidentification. Where a policy is known to be substantially different from work as done, urgent revision is required to eliminate the serious risks associated with the unguided evolution of working practice.

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Human factors engineering approaches to patient identification armband design

Cited by 8 publications

References 20 publications

Innovation in tools for safe manual handling in a Hong Kong private hospital

Innovation in tools for safe manual handling in a Hong Kong private hospital

Challenges And Opportunities For Improving Patient Safety Through Human Factors And Systems Engineering

Evaluating Patient Identification Practices During Intrahospital Transfers: A Human Factors Approach

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