Using human factors engineering to improve the effectiveness of infection prevention and control

Anderson, Judith; Gosbee, Laura Lin; Bessesen, Mary; Williams, Linda

doi:10.1097/ccm.0b013e3181e6a058

Cited by 61 publications

(48 citation statements)

References 26 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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“…An HFE approach does not incorporate training as its primary element although it is important that staff receive training in the systems of work and work equipment to (hopefully) be able to respond when things go wrong. For predictable challenges, an HFE system will be designed to respond and be resilient to all conditions, for example, in infection prevention and control 'design systems, the workplace, and devices that influence correct, compliant human behavior and make it easy and efficient to do the right thing at the right time' (Anderson et al 2010).…”

Section: Resultsmentioning

confidence: 99%

More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England?

et al. 2016

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What prevents the delivery of effective, high quality and safe health care in the National Health Service (NHS) in England? This paper presents 760 challenges which 330 NHS staff reported as preventing the delivery of effective, high quality and safe care. Some problems have been known for over 25 years (staff shortages, finance and patient complexity) but other challenges raise questions about the commitment of the NHS to patient and staff safety. Practitioner Summary: 760 challenges to the quality, effectiveness and safety of health care were identified at Human Factors/Ergonomics taster workshops in England. These are used to challenge health care providers to think about a Human Factors Integration (HFI systems) approach for safety, well-being and performance for all people involved in providing and receiving health care.

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“…The physical environment acts as a direct antecedent of behavior through enabling and restricting characteristics and is directly accessible to engineering. Human factors design [131], as a cross-field domain, could provide the necessary knowledge-base but has not yet been fully employed, despite success in other domains such as aviation and the nuclear power industry [132]. On an individual level, disgust and the perception of dirt seems to reliably induce an intrinsic hand hygiene behavior [79,133].…”

Section: Behavior Changementioning

confidence: 99%

Back to the Future: Rising to the Semmelweis Challenge in Hand Hygiene

et al. 2011

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Hand hygiene is the single most important intervention for reducing healthcare associated infections and preventing the spread of antimicrobial resistance. This sentence begins most publications regarding hand hygiene in the medical literature. But why - as we mark 150 years since the publication of Ignaz Semmelweis' landmark monograph on the subject - do we continue to repeat it? One might be tempted to regard it as a truism. However, while tremendous progress has certainly been made in this field, a significant amount of work is yet to be done in both strengthening the evidence regarding the impact of hand hygiene and maximizing its implementation. Hand hygiene cannot yet be taken for granted. This article summarizes historical perspectives, dynamics of microbial colonization and efficacy of hand cleansing methods and agents, elements and impacts of successful hand hygiene promotion, as well as scale-up and sustainability. We also explore hand hygiene myths and current challenges such as monitoring, behavior change, patient participation and research priorities.

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Using human factors engineering to improve the effectiveness of infection prevention and control

Cited by 61 publications

References 26 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

More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England?

Back to the Future: Rising to the Semmelweis Challenge in Hand Hygiene

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