Journal article
Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room
Ergonomics, Vol.56(2), pp.205-219
02/01/2013
DOI: 10.1080/00140139.2012.757655
PMID: 23384283
Abstract
We describe different sources of hazards from cardiovascular operating room (CVOR) technologies, how hazards propagate in the CVOR and their impact on cognitive processes. Previous studies have examined hazards from poor design of a specific CVOR technology. However, the impact of different CVOR technologies functioning in context is not clearly understood. In addition, the impact of non-design hazards in technology devices is unclear. Our study identified hazards from organisational, physical/environmental elements, in addition to design of technology in a CVOR. We used observations, follow-up interviews and photographs. With qualitative analyses, we categorised the different hazard sources and their potential impact on cognitive processes. Patient safety can be built into technologies by incorporating user needs in design, decision-making and implementation of medical technologies.
Practitioner summary: Effective design and implementation of technology in a safety-critical system requires prospective understanding of technology-related hazards. Our research fills this gap by studying different technologies in context of a CVOR using observations. Qualitative analyses identified different sources for technology-related hazards besides design, and their impact on cognitive processes.
Details
- Title: Subtitle
- Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room
- Creators
- Priyadarshini R Pennathur - Department of Mechanical and Industrial Engineering , University of IowaDavid Thompson - Armstrong Institute for Patient Safety and Quality , Johns Hopkins University School of MedicineJames H Abernathy - Division of Cardiothoracic Anesthesiology , Medical University of South CarolinaElizabeth A Martinez - Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital , Harvard Medical School, Boston, MA, USAPeter J Pronovost - School of Nursing , Johns Hopkins UniversityGeorge R Kim - Division of Health Sciences Informatics , Johns Hopkins University School of MedicineLaura C Bauer - Department of Anesthesiology and Critical Care Medicine , Johns Hopkins University School of MedicineLisa H Lubomski - Armstrong Institute for Patient Safety and Quality , Johns Hopkins University School of MedicineJill A Marsteller - Department of Health Policy and Management , Bloomberg School of Public HealthAyse P Gurses - Division of Health Sciences Informatics , Johns Hopkins University School of Medicine
- Resource Type
- Journal article
- Publication Details
- Ergonomics, Vol.56(2), pp.205-219
- Publisher
- Taylor & Francis Group
- DOI
- 10.1080/00140139.2012.757655
- PMID
- 23384283
- ISSN
- 0014-0139
- eISSN
- 1366-5847
- Language
- English
- Date published
- 02/01/2013
- Academic Unit
- Industrial and Systems Engineering; Internal Medicine
- Record Identifier
- 9984094750302771
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