Mistake proofing: changing designs to reduce error

Mistake proofing: changing designs to reduce error
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DOI:
10.1136/qshc.2005.016030
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发表时间:
2006-12-01
影响因子:
--
通讯作者:
Grout, J. R.
Grout, J. R.
中科院分区:
其他
文献类型:
--
作者:
Grout, J. R.

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防错使用过程的物理设计中的变化来减少人为错误。它可用于以防止错误发生的方式更改设计,在错误发生后但在伤害发生前检测错误,允许过程安全失败,或改变工作环境以减少错误的机会。有效的防错设计变更最初应该有效地减少危害,成本低廉,易于实施。随着时间的推移,这些设计变化应该使生活更容易,并加快这一进程。理想情况下,设计变更应增加患者和访客对流程的理解。这些设计本身应该是防错的,并遵循其他学科的良好设计实践。
Mistake proofing uses changes in the physical design of processes to reduce human error. It can be used to change designs in ways that prevent errors from occurring, to detect errors after they occur but before harm occurs, to allow processes to fail safely, or to alter the work environment to reduce the chance of errors. Effective mistake proofing design changes should initially be effective in reducing harm, be inexpensive, and easily implemented. Over time these design changes should make life easier and speed up the process. Ideally, the design changes should increase patients' and visitors' understanding of the process. These designs should themselves be mistake proofed and follow the good design practices of other disciplines.