Can human error theory explain non-adherence?
Can human error theory explain non-adherence?
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DOI：
10.1007/s11096-005-0355-7
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发表时间：
2005-08-01
影响因子：
--
通讯作者：
Franklin, BD
中科院分区：
文献类型：
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作者：
Barber, N;Safdar, A;Franklin, BD
目的：应用人为错误理论来解释非依从性，并检查它是否符合...方法：正在服用慢性药物的患者打电话，询问他们是否一直坚持他们的药物，如果没有的原因进行了探讨和分析，根据人为错误theory.Results：105例患者中，87人通过电话联系，他们参加了这项研究。42例患者回忆称未依从，其中17例发生在过去7天内; 42例患者中有11例故意未依从。这些错误可以用人为错误理论来描述，它很好地解释了无意的不遵守，但在考虑错误时，“规则”的应用是困难的。考虑到错误产生的条件和潜在的故障也揭示了有用的影响因素。人为错误理论提供了一个新的和有价值的方式来理解不遵守，并可以告知干预。然而，该理论需要进一步发展，以解释故意不遵守。
Objective: To apply human error theory to explain non-adherence and examine how well it fits.Method: Patients who were taking chronic medication were telephoned and asked whether they had been adhering to their medicine, and if not the reasons were explored and analysed according to a human error theory.Results: Of 105 patients, 87 were contacted by telephone and they took part in the study. Forty-two recalled being non-adherent, 17 of them in the last 7days; 11 of the 42 were intentionally non-adherent. The errors could be described by human error theory, and it explained unintentional non-adherence well, however, the application of 'rules' was difficult when considering mistakes. The consideration of error producing conditions and latent failures also revealed useful contributing factors.Conclusion. Human error theory offers a new and valuable way of understanding non-adherence, and could inform interventions. However, the theory needs further development to explain intentional non-adherence.