Linking User Error to Lab & Field Study of Medical I.T.

该项目将识别和描述输液装置的特性、环境条件和操作员对促进“用户错误”的认知。这项研究将把事故分析与设备的实验室和现场研究结合起来，以便产生可用于评估现有设备和拟议设计的情景。这些场景将提供环境特性、设备特性和操作员认知性质的直接表示，这些特性结合在一起会产生“用户错误”。研究结果将通过互联网直接获得。该研究的用户将能够追踪事件和情景之间的联系，并看到将它们联系起来的研究工作。通过展示设备、环境和用户特征之间的联系，该项目将促进对医疗差错和患者安全的基本理解。通过探索和展示特定信息技术如何参与严重后果故障的细节，该项目将提供一个模板，可用于监测和评估新的和不断发展的医疗保健技术。

The project will identify and characterize properties of infusion devices, environmental conditions, and operator cognition that promote "user error". The research will combine incident analysis with laboratory and field studies of devices in order to generate scenarios that can be used for assessments of existing devices and proposed designs. These scenarios will provide direct representations of the environmental characteristics, device features, and nature of operator cognition that combine to produce "user error". The research results will be directly available via the internet. users of the research will be able to trace the connection between incidents and scenarios and see the research work that links them. By demonstrating the links between characteristics of the devices, environments, and users, the project will advance the basic understanding of medical errors and patient safety. By exploring and presenting the details of how a particular information technology participates in high consequence failures, the project will provide a template that can be used to monitor and assess new and evolving healthcare technologies.