2021_Book_TextbookOfPatientSafetyAndClin

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32 Digital Technology and Usability and Ergonomics of Medical Devices 463 Technological advancement, as far as medical instruments are concerned, opens up obvious and serious problems, difficulties that clearly pose a challenge that has yet to be solved. However, the most innovative medical devices are also those that promise hitherto unexpected possibilities and benefits for the health of patients and broaden the horizon for the development of novel methods that will ensure proper usability [32]. References 1. International Organization of Standards. ISO 9241- 11. Guidance on usability. Geneva, Switzerland: International Organization of Standards; 1998. 2. Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. J Am Med Inform Assoc. 2013;20(e1):e2–8. https://doi. org/10.1136/amiajnl-2012-001458. 3. Gardner RL, Cooper E, Haskell J, Harris DA, Poplau S, Kroth PJ, Linzer M. Physician stress and burnout: the impact of health information technology. J Am Med Inform Assoc. 2019;26(2):106–14. https://doi. org/10.1093/jamia/ocy145. 4. U.S. Food and Drug Administration. Draft guidance for industry and food and drug administration staff – applying human factors and usability engineering to optimize medical device design. Rockville, MD: Center for Devices and Radiological Health - Office of Device Evaluation; 2011. http://www.fda.gov/ MedicalDevices/DeviceRegulationandGuidance/ GuidanceDocuments/ucm259748.htm. 5. Powell-Cope G, Nelson AL, Patterson ES. Patient care technology and safety. In: Hughs RG, editor. Patient safety and quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008. 6. Reed TL, Kaufman-Rivi D. Management & technology. FDA adverse event problem codes: standardizing the classification of device and patient problems associated with medical device use. Biomed Instrum Technol. 2010;44(3):248–56. 7. Meissner B, Nelson W, Hicks R, Sikirica V, Gagne J, Schein J. The rate and costs attributable to intravenous 2013 International Symposium on Human Factors and Ergonomics in Health Care: advancing the cause 129 patient-controlled analgesia errors. Hosp Pharm. 2009;44(4):312–24. https://doi.org/10.1310/ hpj4404-312. 8. Hicks RW, Sikirica V, Nelson W, Schein JR, Cousins DD. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429– 40. https://doi.org/10.2146/ajhp070194. 9. Cassano C, Colantuono A, De Simone G, Giani A, Liston PM, Marchigiani E, Talla G, Parlangeli O. Developments and problems in the man-machine relationship in computed tomography (CT). In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018), Advances in intelligent systems and computing. Cham: Springer; 2019. p. 822. https://doi. org/10.1007/978-3-319-96077-7_52. 10. Schaeffer NE, Parks LJ, Verhoef ET, Bailey TS, Schorr AB, Davis T, Halford J, Sulik B. Usability and training differences between two personal insulin pumps. J Diabetes Sci Technol. 2015;9(2):221–30. https://doi.org/10.1177/1932296814555158. 11. Isaković M, Sedlar U, Bešter JJ. Usability pitfalls of diabetes mHealth apps for the elderly. J Diabetes Res. 2016;2016:1604609. https://doi. org/10.1155/2016/1604609. 12. Bridgeman B, Peery S, Anand S. Interaction of cognitive and sensorimotor maps of visual space. Percept Psychophys. 1997;59:456–69. 13. Guidi S, Parlangeli O, Bettella S, Roncato S. Features of the selectivity for contrast polarity in contour integration revealed by a novel tilt illusion. Perception. 2011;40:1357–75. 14. Fairbanks R, Shah M, Caplan S, Marks A, Bishop P. Defibrillator usability study among paramedics. Proc Hum Factors Ergonom Soc Annu Meeting. 2004;48:1768. https://doi. org/10.1177/154193120404801530. 15. Bond RR, Finlay DD, Nugent CD, Moore G, Guldenring D. A usability evaluation of medical software at an expert conference setting. Comput Methods Prog Biomed. 2014;113(1):383–95. https:// doi.org/10.1016/j.cmpb.2013.10.006. 16. Parlangeli O, Liston PM, Marchigiani E, Bracci M, Giani A. Perceptions and use of computed tomography in a hospital emergency department: technicians’ perspectives. Hum Factors. 2019;62:5. https://doi. org/10.1177/0018720819841758. 17. Wiklund M, Kendler J, Strochlic A. Usability testing of medical devices. Boca Raton, FL: CRC Press, Taylor & Francis Group; 2016. 18. Norman DA, Draper S. User centered system design: new perspectives on human-computer interaction. Mahwah, NJ: Lawrence Erlbaum Associates; 1986. 19. Norman DA. The invisible computer. Cambridge, MA: The MIT Press; 1999. 20. Luczak H. Task analysis. In: Salvendy G, editor. The handbook of human factors and ergnomonics. New York, NY: Wiley; 1997. p. 340–416. 21. Nielsen J, Molich R. Heuristic evaluation of user interfaces. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems: empowering people, Seattle, WA; 1990. p. 249–56. 22. Cockton G, Lavery D, Woolrych A. Inspectionbased methods. In: Jacko JA, Sears A, editors. The human-computer interaction handbook. Mahwah, NJ: Lawrence Erlbaum Associates; 2003. p. 1118–38.
464 23. Parlangeli O, Mengoni G, Guidi S. The effect of system usability and multitasking activities in distance learning. In: Proceedings of the CHItaly conference, 13–16 September. Alghero: ACM Library; 2011. p. 59–64. 24. Wharton C, Rieman J, Lewis C, Polson P. The cognitive walkthrough: a practitioner’s guide. In: Nielsen J, Mack L, editors. Usability inspections methods. New York: Wiley; 1994. p. 105–40. 25. Goldman K, Gross P, Heeren C, Herman G, Kaczmarczyk L, Loui MC, Zilles C. Identifying important and difficult concepts in introductory computing courses using a Delphi process. ACM SIGCSE Bull. 2008;40(1):256–60. 26. Holtzblatt K, Wendell JB, Wood S. Rapid contextual design: a how-to guide to key techniques for user- centered design. San Francisco, CA: Morgan Kaufmann; 2005. 27. Dumas J, Redish J. A practical guide to usability testing (Revised edition). Exeter, UK: Intellect; 1999. F. Ranzani and O. Parlangeli 28. Rubin J, Chisnell D. Handbook of usability testing (2nd Edition): how to plan, design, and conduct effective tests. New York: Wiley; 2008. 29. Krueger RA, Casey MA. Focus groups: a practical guide for applied research. 3rd ed. Thousand Oaks, CA: Sage Publications; 2000. 30. Caratozzolo MC, Bagnara S, Parlangeli O. Use of ICT to supply health-care services to nomadic patients: an explorative survey. Behav Inform Technol. 2008;27(4):354–0. 31. Campoe KR. Medical device usability analyses: an integrative review. Proc Int Symp Hum Factors Ergonom Health Care. 2013;2(1):123–30. https://doi. org/10.1177/2327857913021024. 32. Vincent CJ, Niezen G, O’Kane AA, Stawarz K. Can standards and regulations keep up with health technology? JMIR Mhealth Uhealth. 2015;3(2):e64. https://doi.org/10.2196/mhealth.3918. Open Access This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
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Textbook of Patient Safety and Clin
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Liam Donaldson • Walter Ricciardi
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Foreword As a member of the 17th le
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Preface Despite the extensive atten
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Acknowledgements The volume editors
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xii Contents 11 Adverse Event Inves
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Part I Introduction
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4 explain how to prepare and update
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6 considered preventable) [11]. Fur
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8 W. Ricciardi and F. Cascini the l
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10 W. Ricciardi and F. Cascini inte
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12 maximized or perhaps even realiz
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14 steps in obtaining, managing, an
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16 quality improvement methodologie
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18 99. Morciano C, et al. Policies
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20 Reason travelled the world makin
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22 For each hospital unit, other do
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24 As head of clinical risk managem
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26 R. Tartaglia Table 2.1 Differenc
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28 R. Tartaglia Open Access This ch
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30 otherwise efficient brains lead
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32 • A routine violation is basic
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34 Table 3.1 Framework of contribut
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36 H. Higham and C. Vincent The con
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38 H. Higham and C. Vincent recogni
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40 H. Higham and C. Vincent Table 3
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42 assessment and prevention was no
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44 of human error, 2nd: 1983: Bella
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46 ment of theories on how to deliv
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48 all times, not only when there i
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50 healthcare, pursued by enthusias
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52 15. National Academies of Scienc
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54 In this chapter, I will reflect
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56 hospital, there may be 50 indivi
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58 medicals, these are part of the
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60 facility and could therefore bec
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62 health. It is hoped that the Che
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64 Medication Without Harm, invites
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66 21. World Alliance for Patient S
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68 death of my late husband, Pat, f
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70 S. Sheridan et al. test. A separ
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72 enced some kind of harm due to h
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74 S. Sheridan et al. member of The
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76 6.7.1 Example: Canada 6.7.1.1 Wo
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78 All stakeholders must accept, va
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Human Factors and Ergonomics in Hea
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7 Human Factors and Ergonomics in H
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Patient Safety in the World Neelam
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8 Patient Safety in the World 95 8.
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8 Patient Safety in the World adopt
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Infection Prevention and Control An
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9 Infection Prevention and Control
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The Patient Journey Elena Beleffi,
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10 The Patient Journey 119 End of e
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10 The Patient Journey 121 Fig. 10.
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10 The Patient Journey advocates) i
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10 The Patient Journey Table 10.2 T
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10 The Patient Journey 7. Internati
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130 from these interactions that pe
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132 Data integration is certainly t
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134 organizational processes, such
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136 Table 11.3 Scheme of contributo
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138 tocol requires one or more exte
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140 system failure. Quantification
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142 8. Carayon P, editor. Handbook
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144 similar industries, in terms of
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146 (2002) argue is a more effectiv
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148 for research in patient safety
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150 hospital in Kenya with focus on
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152 Haines et al. (2002) proposed a
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154 G. Dagliana et al. Fast Track -
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156 G. Dagliana et al. 11. Jha AK,
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Part III Patient Safety in the Main
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162 development of new receptor ant
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164 Physician burnout and the psych
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166 S. Damiani et al. Fig. 13.1 In
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168 mortality and has rapidly becom
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170 ing to patient safety and share
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172 ability to cope with the workin
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174 2. Vlayen A, Verelst S, Bekkeri
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Safe Surgery Saves Lives Francesco
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14 Safe Surgery Saves Lives manner
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14 Safe Surgery Saves Lives not yet
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14 Safe Surgery Saves Lives In a su
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14 Safe Surgery Saves Lives 14.15.1
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14 Safe Surgery Saves Lives • Tea
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Emergency Department Clinical Risk
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15 Emergency Department Clinical Ri
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206 • Pragmatic: in a healthcare
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208 Risks associated with pregravid
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210 Table 16.1 Common and Recurrent
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212 improved clinical surveillance
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214 (only IM wards or all medical w
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216 M. L. Regina et al. Table 17.1
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218 Table 17.2 Types and preventabi
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220 nicians were certain resulted w
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224 Table 17.6 “Debiasing questio
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226 in care. At a minimum, medicati
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228 cation rates there substantiall
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230 well-structured, concise, focus
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232 M. L. Regina et al. Fig. 17.3 W
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236 Table 17.14 Risk factors for as
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238 Table 17.16 Common risk factors
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240 In patients with kidney disease
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242 Table 17.19 Clinical response t
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244 stones. Giordano’s test posit
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246 in practice. Swiss Med Wkly. 20
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248 procedures done by general inte
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250 tion: a systematic review and m
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252 162. Improvement IfH. What is a
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254 and therapeutic strategies, all
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256 direct effect of radiotherapy o
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258 obtaining treatment consent and
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260 A. Marcolongo et al. Table 18.1
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262 A. Marcolongo et al. Toxicities
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264 nies that are aimed at building
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266 A. Marcolongo et al. tissues. B
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268 and breast cancer) and can be r
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270 happened during the first three
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272 40. World Health Organization (
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Patient Safety in Orthopedics and T
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19 Patient Safety in Orthopedics an
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Patient Safety and Risk Management
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20 Patient Safety and Risk Manageme
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Patient Safety in Pediatrics Sara A
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21 Patient Safety in Pediatrics eve
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21 Patient Safety in Pediatrics of
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21 Patient Safety in Pediatrics Cri
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21 Patient Safety in Pediatrics of
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Patient Safety in Radiology Mahdieh
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22 Patient Safety in Radiology The
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22 Patient Safety in Radiology indu
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22 Patient Safety in Radiology CA a
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22 Patient Safety in Radiology Refe
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Organ Donor Risk Stratification in
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23 Organ Donor Risk Stratification
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23 Organ Donor Risk Stratification
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326 M. Plebani et al. Fig. 24.1 The
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328 ical laboratory and the definit
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330 • Findings of external accred
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332 M. Plebani et al. Fig. 24.2 Mod
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334 laboratory medicine professiona
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336 (WHO) website on the incidence
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338 54. Magnezi R, Hemi A, Hemi R.
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340 In 2010 this condition represen
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342 which should be slightly smalle
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344 needed by the pulse waveform to
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346 washed properly prior to steril
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348 ocular reaction without infecti
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350 large retrospective cohort stud
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352 • Lack of appropriate skills.
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354 scription [126]. Furthermore, a
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356 time and knowledge to young doc
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358 48. Barry P, Gettinby G, Lees F
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360 implant versus intravitreal ant
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Part IV Healthcare Organization
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366 causes of safety incidents and
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368 • Human factors such as teamw
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370 access to the Emergency Room. F
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372 that many doctors simply choose
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374 E. Alti and A. Mereu Open Acces
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376 components (people, technology,
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378 J. Braithwaite et al. Hence, cl
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380 stakeholders to figure out how
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382 J. Braithwaite et al. Clinician
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384 27.5.3 Social Networks in a War
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386 J. Braithwaite et al. Fig. 27.9
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388 representations the essential l
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390 21. Pomare C, Churruca K, Ellis
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Measuring Clinical Workflow to Impr
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28 Measuring Clinical Workflow to I
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Shiftwork Organization Giovanni Cos
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29 Shiftwork Organization influenci
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29 Shiftwork Organization Many epid
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29 Shiftwork Organization quences o
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Page 411 and 412: Non-technical Skills in Healthcare
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Page 433 and 434: Medication Safety Hooi Cheng Soon,
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Page 445 and 446: 31 Medication Safety quently when m
Page 447 and 448: 31 Medication Safety 31.5 Final Rec
Page 449 and 450: 31 Medication Safety 451 ity and im
Page 451 and 452: 31 Medication Safety 453 Open Acces
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Page 455 and 456: 458 F. Ranzani and O. Parlangeli in
Page 457 and 458: 460 Any difficulty encountered by t
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Page 465 and 466: 468 33.2 The Meaning of “No-Fault
Page 467 and 468: 470 S. Ushiro et al. figure of 2.3
Page 469 and 470: 472 S. Ushiro et al. Childbirth fac
Page 471 and 472: 474 • When cerebral palsy is caus
Page 473 and 474: 476 (c) (d) (e) (f) (g) (h) (i) (j)
Page 475 and 476: 478 115 bpm to 80 bpm and complete
Page 477 and 478: 480 • It is desirable that system
Page 479 and 480: 482 cific monitoring procedures (1)
Page 481 and 482: 484 Res. 2019;45(3):493-513. https:
Page 483 and 484: 486 19. In the most severe cases, t
Page 485 and 486: 488 Phases 3 and 4, strong emphasis
Page 487 and 488: 490 Phases 5 and 6 focus is on the
Page 489 and 490: 492 during a pandemic to promote tr
Page 491 and 492: 494 M. Tanzini et al. the mother, p
Page 493: 496 All four abilities are necessar
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