Time to accelerate integration of human factors and ergonomics in patient safety: Table 1

Gürses, Ayşe P.; Ozok, A. Ant; Pronovost, Peter J.

doi:10.1136/bmjqs-2011-000421

Cited by 169 publications

(145 citation statements)

References 20 publications

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“…Over the past decade, human factors design has been increasingly recognized as a tool for optimizing healthcare, particularly in the field of patient safety and infection prevention. [11][12][13][14][15][16][17][18] The concept of mental models is an important design tool for human factors engineers.…”

Section: Mental Models At the Core Of Human Factors Design In Healthcarementioning

confidence: 99%

Mental models: a basic concept for human factors design in infection prevention

Sax

Clack

2015

Journal of Hospital Infection

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Much of the effort devoted to promoting better hand hygiene is based on the belief that poor hand hygiene reflects poor motivation. We argue, however, that automatic unconscious behaviour driven by 'mental models' is an important contributor to what actually happens. Mental models are concepts of reality-imaginary, often blurred, and sometimes unstable. Human beings use them to reduce mental load and free up capacity in the conscious mind to focus on deliberate activities. They are pragmatic solutions to the complexity of life. Knowledge of such mental processes helps healthcare designers and clinicians overcome barriers to behavioural change. This article reviews the concept of mental models and considers how it can be used to improve hand hygiene and patient safety.

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Section: Mental Models At the Core Of Human Factors Design In Healthcarementioning

confidence: 99%

Mental models: a basic concept for human factors design in infection prevention

Sax

Clack

2015

Journal of Hospital Infection

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“…The technology should be adapted to the people who use it, rather than expecting people to adapt to the technology. Such an approach is grounded in human factors, a field that is making contributions in the area of patient safety, 4 and that could also play a larger role in the area of health information technology. 5 …”

mentioning

confidence: 99%

Capsule Commentary on Ancker et al., Rapid Growth in Use of Personal Health Records in New York, 2012–2013

Witteman

2014

J GEN INTERN MED

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T his study by Ancker and colleagues 1 reports findings from two recent consecutive years of random-digit dial public surveys in the state of New York. Within a longer survey, respondents answered four questions about their use of a personal health record or patient portal (grouped together under the term personal health records) in the past year. This study provides insight as to how the meaningful use program and other forces might be encouraging implementation of electronic health records. The proportion of people reporting having used a personal health record increased over the 1-year time period: from 11 to 17 %.This represents a notable increase; however, the overall proportion remains small. Moreover, usage was lower among certain groups, for example, people with less education or who did not use the Internet or email daily. These findings are in line with what is already known about the digital divide, and highlight the importance of paying particular attention to the needs of more vulnerable populations in the implementation of personal health records 2 in order to ensure that these tools are useful to and usable by the people who stand to benefit most from them. 3 More broadly, further research is needed to understand the contextual details of the design, development and implementation of personal health records, especially as they are used in diverse settings and with different design features. For example, although both serve valuable purposes, a personal health record that supports and encourages communication between rural patients and health care providers is fundamentally different from one that enables patients at an academic medical center to log in and view their laboratory results.In this vein, when evaluating, designing or choosing an electronic health record, it is important to consider whose goals the system is designed to meet. The technology should be adapted to the people who use it, rather than expecting people to adapt to the technology. Such an approach is grounded in human factors, a field that is making contributions in the area of patient safety, 4 and that could also play a larger role in the area of health information technology. 5 Conflict of Interest: The author declares that she does not have a conflict of interest.

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“…Despite this there remains a gap between the medical field and other high-risk industries in the integration of HFE methods into healthcare practice [11,12,21]. This may in part be due to the fact that health professionals, without expertise or support of experts on HFE, are often asked to explore the usefulness of devices and/or to prevent and report device induced adverse events in the field [22].…”

Section: Introductionmentioning

confidence: 99%

“…Gurses et al [11] identified that healthcare professionals and researchers are not fully aware of the methods and principles of human factors and ergonomics (HFE). HFE is the multidisciplinary science in which human behaviour, capacities and engineering principles are used to explore why errors occur, and how to reduce the likelihood of preventable harm to individuals, with the specific aim to support human performance and safety [12].…”

Section: Introductionmentioning

confidence: 99%

Why you need to include human factors in clinical and empirical studies ofin vitropoint of care devices? Review and future perspectives

Borsci

Buckle

Hanna

2016

Expert Review of Medical Devices

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Use of in-vitro point of care devices -intended as tests performed out of laboratories and near patient -is increasing in clinical environments. International standards indicate that interaction assessment should not end after the product release, yet human factors methods are frequently not included in clinical and empirical studies of these devices. Whilst the literature confirms some advantages of bed-side tests compared to those in laboratories there is a lack of knowledge of the risks associated with their use. This article provides a review of approaches applied by clinical researchers to model the use of in-vitro testing. Results suggest that only a few studies have explored human factor approaches. Furthermore, when researchers investigated peopledevice interaction these were predominantly limited to qualitative and not standardised approaches. The methodological failings and limitations of these studies, identified by us, demonstrate the growing need to integrate human factors methods in the medical field.

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Time to accelerate integration of human factors and ergonomics in patient safety: Table 1

Cited by 169 publications

References 20 publications

Mental models: a basic concept for human factors design in infection prevention

Mental models: a basic concept for human factors design in infection prevention

Capsule Commentary on Ancker et al., Rapid Growth in Use of Personal Health Records in New York, 2012–2013

Why you need to include human factors in clinical and empirical studies ofin vitropoint of care devices? Review and future perspectives

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