Human factors perspectives on a systemic approach to ensuring a safer medication delivery process.
Human factors perspectives on a systemic approach to ensuring a safer medication delivery process.
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人为因素视角下的系统方法可确保更安全的药物输送过程。
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
A. Easty
中科院分区：
文献类型：
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作者：
J. Cafazzo;P. Trbovich;A. Cassano;A. Chagpar;P. Rossos;K. J. Vicente;A. Easty
目前，解决药物输送安全问题的普遍方法是在故障点应用解决方案，并进行直接的局部补救。这些措施包括计算机化的医嘱输入，以解决转录和处方问题，高大的人刻字的标签清晰度和智能泵系统，以解决编程使用错误。我们讨论了缺乏一个系统的，整体的方法来解决药物输送问题，导致支离破碎的解决方案，不解决问题的预期和引入新的，意想不到的患者安全问题。我们使用最近的案例研究，除了我们自己的实验数据，从人为因素的调查，以显示如何全面的人为因素的方法可以应用到解决系统性错误的药物输送。只有确定（1）子系统如何互连，（2）信息流，（3）护理提供者如何沟通，以及（4）用户如何受到影响，医疗保健组织和系统供应商才能够完全解决药物输送中的错误。对各组织的要求主要是超越医疗、药房和护理的组织界限，建立一个提供服务的系统，确保采取综合办法，满足所有利益攸关方的需要。
The current, prevailing approach to addressing medication delivery safety issues has been to apply solutions at the point of failure with direct, local remediation. These include computerized physician order entry to address transcription and prescribing problems, tall man lettering for label clarity and smart pump systems to address programming use errors. We discuss the lack of a systemic, holistic approach to addressing medication delivery issues that has led to fragmented solutions that do not address the problem as intended and introduce new, unintended patient safety issues. We use recent case studies in addition to our own experimental data from human factors investigations to show how a comprehensive human factors approach can be applied to address systemic error in medication delivery. Only by identifying how (1) subsystems interconnect, (2) information flows, (3) care providers communicate and (4) users are impacted will healthcare organizations and system vendors be able to fully address error in medication delivery. Much of what is required from organizations is to transcend the organizational boundaries of medicine, pharmacy and nursing to produce a delivery system that ensures an integrated approach that addresses all stakeholders' needs.
DOI：
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发表时间：
2012
期刊：
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影响因子：
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作者：
Trung C. Nguyen;H. Bayır;R. Orr;Y. Han;J. Carcillo;S. Venkataraman
通讯作者：
Trung C. Nguyen;H. Bayır;R. Orr;Y. Han;J. Carcillo;S. Venkataraman
DOI：
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发表时间：
2007-10
期刊：
AMIA ... Annual Symposium proceedings. AMIA Symposium
影响因子：
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作者：
Emily M. Campbell;Dean F. Sittig;Kenneth P. Guappone;R. H. Dykstra;J. Ash
通讯作者：
Emily M. Campbell;Dean F. Sittig;Kenneth P. Guappone;R. H. Dykstra;J. Ash