Between choice and chance: the role of human factors in acute care equipment decisions

Journal of Patient Safety
Christopher NemethRichard I Cook

Abstract

We report on a human factors evaluation project at a major urban teaching hospital that was intended to use human factors methods to assist the selection of a new infusion device among 4 commercially available models. The project provided an expert evaluation of the pumps, collected data on programming each pump by a sample of practitioners, tabulated recent adverse event reports in the US Food and Drug Administration Manufacturer and User Device Experience database, and observed actual use in intensive care and hematology/oncology units. Programming by clinicians showed no correlation between clinical experience and ability to program any of the pumps under consideration. Field observations reflected diverse use patterns across services that required ease of use pumps did not offer. Upon review of a final candidate pump, purchasing preferences superceded clinical considerations. Equipment and systems that are intended for use by clinicians must necessarily reflect an understanding of actual clinical practice to be well suited for use at the sharp (operator) end. However, purchase decisions for medical equipment including infusion devices are typically made by hospital staff members who are experienced in administrative and cli...Continue Reading

References

Feb 8, 2005·Journal of Biomedical Informatics·C NemethR Cook

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Citations

Aug 30, 2008·Journal of the Air & Waste Management Association·Saeed AbolhasaniShih-Hao Pang
Mar 12, 2010·International Journal of Medical Informatics·Pascale CarayonTosha B Wetterneck
Apr 7, 2010·Clinics in Perinatology·James Handyside, Gautham Suresh
Nov 20, 2012·Journal of Biomedical Informatics·Jan Maarten Schraagen, Fenne Verhoeven
May 18, 2017·Clinical Nursing Research·Abdoolkarim RezaiaminMalihe Nasiri
Dec 16, 2016·Annals of Emergency Medicine·Robert L Wears
Jul 7, 2017·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Matthew B PerriginoKenneth J Rempher
Aug 26, 2010·Current Opinion in Critical Care·Ken Catchpole, Peter McCulloch
Aug 23, 2011·Archives of Gynecology and Obstetrics·Friederike HoellenMichael K Bohlmann
Aug 23, 2011·Archives of Gynecology and Obstetrics·Friederike HoellenMichael K Bohlmann
Jan 13, 2018·BMC Medical Informatics and Decision Making·Gavan Lintern, Al Motavalli
Dec 22, 2019·International Journal of Nursing Education Scholarship·Joanna Wing Yan Yeung
Dec 12, 2012·Journal of Patient Safety·Saba HinrichsJohn Clarkson
Jan 1, 2016·Cognition, Technology & Work·Ioanna IacovidesJonathan Back

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