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Volumn 2, Issue 1, 2006, Pages 33-38

Three key levers for achieving resilience in medication delivery with information technology

Author keywords

Bar coding; CPOE; Human factor; Medical informatics; Medication error

Indexed keywords


EID: 33748306095     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: None     Document Type: Review
Times cited : (21)

References (60)
  • 1
    • 0012228799 scopus 로고    scopus 로고
    • Cognitive engineering: Issues in user-centered system design
    • Marciniak J, ed. New York: Wiley-Interscience, John Wiley and Sons
    • Roth EM, Patterson ES, Mumaw RJ. Cognitive engineering: issues in user-centered system design. In: Marciniak J, ed. Encyclopedia of Software Engineering, 2nd ed. New York: Wiley-Interscience, John Wiley and Sons; 2001.
    • (2001) Encyclopedia of Software Engineering, 2nd Ed.
    • Roth, E.M.1    Patterson, E.S.2    Mumaw, R.J.3
  • 2
    • 0038032329 scopus 로고
    • Steps toward a cognitive engineering
    • University of California at San Diego;. Technical Report
    • Norman DA. Steps toward a cognitive engineering. Program in Cognitive Science. University of California at San Diego; 1981. Technical Report.
    • (1981) Program in Cognitive Science
    • Norman, D.A.1
  • 3
    • 0024065439 scopus 로고
    • Cognitive engineering: Human problem solving with tools
    • Woods DD, Roth EM. Cognitive engineering: human problem solving with tools. Hum Factors. 1988;30:415-430.
    • (1988) Hum Factors , vol.30 , pp. 415-430
    • Woods, D.D.1    Roth, E.M.2
  • 4
    • 0010032360 scopus 로고    scopus 로고
    • Comments on 'Conception of the cognitive engineering design problem' by John Dowell and John Long
    • Hollnagel E. Comments on 'Conception of the cognitive engineering design problem' by John Dowell and John Long. Ergonomics. 1998;41(2):160-162.
    • (1998) Ergonomics , vol.41 , Issue.2 , pp. 160-162
    • Hollnagel, E.1
  • 7
    • 33748317411 scopus 로고
    • French Government Seeks A320 Changes Following Air Inter Crash Report
    • March 2
    • Lenorovitz JM. French Government Seeks A320 Changes Following Air Inter Crash Report. Aviation Week and Space Technology. March 2, 1992:30-31.
    • (1992) Aviation Week and Space Technology , pp. 30-31
    • Lenorovitz, J.M.1
  • 9
    • 0034533481 scopus 로고    scopus 로고
    • Teamplay with a powerful and independent agent: A full-mission simulation study
    • Sarter NB, Woods DD. Teamplay with a powerful and independent agent: a full-mission simulation study. Hum Factors. 2000;42(3):390-402.
    • (2000) Hum Factors , vol.42 , Issue.3 , pp. 390-402
    • Sarter, N.B.1    Woods, D.D.2
  • 10
    • 14544305532 scopus 로고    scopus 로고
    • Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review
    • Garg AX, Adhikari NKJ, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005;293(10):1223-1228.
    • (2005) JAMA , vol.293 , Issue.10 , pp. 1223-1228
    • Garg, A.X.1    Adhikari, N.K.J.2    McDonald, H.3
  • 11
    • 85008852538 scopus 로고    scopus 로고
    • Anticipating the effects of technological change: A new era of dynamics for human factors
    • Woods DD, Dekker S. Anticipating the effects of technological change: a new era of dynamics for human factors. Theor Issues Ergon Science. 2000;1(3):1-11.
    • (2000) Theor Issues Ergon Science , vol.1 , Issue.3 , pp. 1-11
    • Woods, D.D.1    Dekker, S.2
  • 13
    • 0026942150 scopus 로고
    • The complex role of perceptual organization in visual display design theory
    • Sanderson PM, Haskell I, Flach J. The complex role of perceptual organization in visual display design theory. Ergonomics. 1992;35:1199-1210.
    • (1992) Ergonomics , vol.35 , pp. 1199-1210
    • Sanderson, P.M.1    Haskell, I.2    Flach, J.3
  • 14
    • 0021493615 scopus 로고
    • Visual momentum: A concept to improve the cognitive coupling of person and computer
    • Woods DD. Visual momentum: a concept to improve the cognitive coupling of person and computer. Int J Man-Mach Stud. 1984;21:229-244.
    • (1984) Int J Man-Mach Stud. , vol.21 , pp. 229-244
    • Woods, D.D.1
  • 16
    • 0022046121 scopus 로고
    • An approach to the formal analysis of user complexity
    • Kieras DE, Poison PG. An approach to the formal analysis of user complexity. Int J Man-Mach Stud. 1985;22:365-94.
    • (1985) Int J Man-Mach Stud. , vol.22 , pp. 365-394
    • Kieras, D.E.1    Poison, P.G.2
  • 17
    • 0002819250 scopus 로고
    • Issues in cognitive and social ergonomics: From our house to Bauhaus
    • Brown JS, Newman S. Issues in cognitive and social ergonomics: from our house to Bauhaus. Hum-Comput Interact. 1985;1:359-91.
    • (1985) Hum-Comput Interact. , vol.1 , pp. 359-391
    • Brown, J.S.1    Newman, S.2
  • 18
    • 0020112113 scopus 로고
    • Design rules based on analyses of human error
    • Norman DA. Design rules based on analyses of human error. Commun ACM. 1983;26:254-258.
    • (1983) Commun ACM , vol.26 , pp. 254-258
    • Norman, D.A.1
  • 20
    • 0001943882 scopus 로고
    • Coping with complexity: The psychology of human behavior in complex systems
    • Goodstein LP, Andersen HB, Olsen SE, eds.. London: Taylor and Francis
    • Woods DD. Coping with complexity: the psychology of human behavior in complex systems. In: Goodstein LP, Andersen HB, Olsen SE, eds. Mental Models, Tasks and Errors. London: Taylor and Francis; 1988:128-148.
    • (1988) Mental Models, Tasks and Errors , pp. 128-148
    • Woods, D.D.1
  • 21
    • 0002614978 scopus 로고
    • Representations in distributed cognitive tasks
    • Zhang J, Norman DA. Representations in distributed cognitive tasks. Cogn Sci. 1994;18:87-122.
    • (1994) Cogn Sci. , vol.18 , pp. 87-122
    • Zhang, J.1    Norman, D.A.2
  • 23
    • 33748289018 scopus 로고    scopus 로고
    • Mistaking error
    • Youngberg BJ, Hatlie M, eds.. Sudbury, MA: Jones and Bartlett
    • Woods DD, Cook RI. Mistaking error. In: Youngberg BJ, Hatlie M, eds. The Patient Safety Handbook. Sudbury, MA: Jones and Bartlett; 2004.
    • (2004) The Patient Safety Handbook
    • Woods, D.D.1    Cook, R.I.2
  • 25
    • 0025499736 scopus 로고
    • The role of error in organizing behavior
    • Rasmussen J. The role of error in organizing behavior. Ergonomics. 1990;33:1185-1199.
    • (1990) Ergonomics , vol.33 , pp. 1185-1199
    • Rasmussen, J.1
  • 26
    • 0025705937 scopus 로고
    • Human error and the problem of causality in analysis of accidents
    • Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B. 1990;327:449-462.
    • (1990) Philos Trans R Soc Lond B , vol.327 , pp. 449-462
    • Rasmussen, J.1
  • 27
    • 0011243622 scopus 로고
    • Risk management, adaptation, and design for safety
    • Brehmer B, Sahlin NE, eds.. Dordrecht: Kluwer Academic
    • Rasmussen J. Risk management, adaptation, and design for safety. In: Brehmer B, Sahlin NE, eds. Future Risks and Risk Management. Dordrecht: Kluwer Academic; 1994.
    • (1994) Future Risks and Risk Management
    • Rasmussen, J.1
  • 28
    • 0002418191 scopus 로고    scopus 로고
    • The concept of human error: Is it useful for the design of safe systems in health care?
    • Vincent C, deMoll B, eds.. London: Elsevier
    • Rasmussen J. The concept of human error: is it useful for the design of safe systems in health care? In: Vincent C, deMoll B, eds. Risk and Safety in Medicine. London: Elsevier; 1999.
    • (1999) Risk and Safety in Medicine
    • Rasmussen, J.1
  • 30
    • 7444239243 scopus 로고    scopus 로고
    • Examining the complexity behind a medication error: Generic patterns in communication
    • Patterson ES, Cook RI, Woods DD, et al. Examining the complexity behind a medication error: generic patterns in communication. IEEE Trans Syst Man Cybern A Syst Humans. 2004;34(6):749-756.
    • (2004) IEEE Trans Syst Man Cybern A Syst Humans , vol.34 , Issue.6 , pp. 749-756
    • Patterson, E.S.1    Cook, R.I.2    Woods, D.D.3
  • 31
    • 37549042094 scopus 로고    scopus 로고
    • Creating Foresight: How Resilience Engineering Can Transform NASA's Approach to Risky Decision Making
    • John McCain, Chair, Washington D.C, October 29
    • Woods DD. Creating Foresight: How Resilience Engineering Can Transform NASA's Approach to Risky Decision Making. Testimony on The Future of NASA to Senate Committee on Commerce, Science and Transportation, John McCain, Chair, Washington D.C, October 29, 2003.
    • (2003) Testimony on the Future of NASA to Senate Committee on Commerce, Science and Transportation
    • Woods, D.D.1
  • 32
    • 0032699873 scopus 로고    scopus 로고
    • Safe operation as a social construct
    • Rochlin GI. Safe operation as a social construct. Ergonomics. 1999;42(11):1549-1560.
    • (1999) Ergonomics , vol.42 , Issue.11 , pp. 1549-1560
    • Rochlin, G.I.1
  • 33
    • 33745366421 scopus 로고    scopus 로고
    • Hollnagel E, Woods DD, Leveson N, eds.. Aldershot, UK: Ashgate. In press
    • Hollnagel E, Woods DD, Leveson N, eds. Resilience Engineering. Aldershot, UK: Ashgate. In press.
    • Resilience Engineering
  • 34
    • 0011757903 scopus 로고    scopus 로고
    • Accident and incident analysis based on the accident evolution and barrier function model
    • Svenson O. Accident and incident analysis based on the accident evolution and barrier function model. Cognition, Technology, and Work. 2001;3:42-52.
    • (2001) Cognition, Technology, and Work , vol.3 , pp. 42-52
    • Svenson, O.1
  • 35
    • 0034938647 scopus 로고    scopus 로고
    • Human factor in cardiac surgery: Errors and near misses in a high technology medical domain
    • Carthey J, deLeval MR, Reason JT. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72(1):300-305.
    • (2001) Ann Thorac Surg. , vol.72 , Issue.1 , pp. 300-305
    • Carthey, J.1    Deleval, M.R.2    Reason, J.T.3
  • 37
    • 0002545284 scopus 로고    scopus 로고
    • Distant supervision - Local action given the potential for surprise cognition
    • Woods DD, Shattuck LG. Distant supervision - local action given the potential for surprise cognition. Technology and Work. 2000;2:86-96.
    • (2000) Technology and Work. , vol.2 , pp. 86-96
    • Woods, D.D.1    Shattuck, L.G.2
  • 38
    • 0002810129 scopus 로고    scopus 로고
    • Organizing for high reliability: Processes of collective mindfulness
    • Weick KE, Sutcliffe KM, Obstfeld D. Organizing for high reliability: processes of collective mindfulness. Res Organ Behav. 1999;21:81-123.
    • (1999) Res Organ Behav. , vol.21 , pp. 81-123
    • Weick, K.E.1    Sutcliffe, K.M.2    Obstfeld, D.3
  • 39
    • 14544304095 scopus 로고    scopus 로고
    • Role of computerized physician order entry systems in facilitating medication errors
    • Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-1203.
    • (2005) JAMA. , vol.293 , Issue.10 , pp. 1197-1203
    • Koppel, R.1    Metlay, J.P.2    Cohen, A.3
  • 40
    • 3042765729 scopus 로고    scopus 로고
    • Impacts of computerized physician documentation in a teaching hospital: Perceptions of faculty and resident physicians
    • July-August
    • Embi PJ, Yackel TY, Logan J, et al. Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians. J Am Med Inform Assoc. July-August 2004;11(4):300-309.
    • (2004) J Am Med Inform Assoc. , vol.11 , Issue.4 , pp. 300-309
    • Embi, P.J.1    Yackel, T.Y.2    Logan, J.3
  • 41
    • 0036715703 scopus 로고    scopus 로고
    • Improving patient safety by identifying side effects from introducing bar coding in medication administration
    • Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-553.
    • (2002) J Am Med Inform Assoc. , vol.9 , Issue.5 , pp. 540-553
    • Patterson, E.S.1    Cook, R.I.2    Render, M.L.3
  • 42
    • 0027001270 scopus 로고
    • Tasks-in-interaction: Paper and screen based documentation in collaborative activity
    • Luff P, Heath C, Greatbatch D. Tasks-in-interaction: paper and screen based documentation in collaborative activity. CSCW '92 Proceedings. 1992:163-170.
    • (1992) CSCW '92 Proceedings , pp. 163-170
    • Luff, P.1    Heath, C.2    Greatbatch, D.3
  • 43
    • 0002683301 scopus 로고
    • The self-designing high-reliability organization, aircraft carrier flight operations at sea
    • Rochlin GI, La Porte TR, Roberts KH. The self-designing high-reliability organization, aircraft carrier flight operations at sea. Naval War Coll Rev. 1987:76-90.
    • (1987) Naval War Coll Rev. , pp. 76-90
    • Rochlin, G.I.1    La Porte, T.R.2    Roberts, K.H.3
  • 44
    • 85025384616 scopus 로고    scopus 로고
    • Is paper safer? the role of paper flight strips in air traffic control
    • Mackay WE. Is paper safer? The role of paper flight strips in air traffic control. ACM Trans Camp-Human Interact. 2000;6(4):311-40.
    • (2000) ACM Trans Camp-Human Interact. , vol.6 , Issue.4 , pp. 311-340
    • Mackay, W.E.1
  • 48
    • 0023923996 scopus 로고
    • Aiding human performance I: From cognitive analysis to support systems
    • Roth EM, Woods DD. Aiding human performance I: from cognitive analysis to support systems. Le Travail Humain. 1988;51(1):39-64.
    • (1988) Le Travail Humain , vol.51 , Issue.1 , pp. 39-64
    • Roth, E.M.1    Woods, D.D.2
  • 49
    • 0001962027 scopus 로고
    • Cognitive task analysis: An approach to knowledge acquisition for intelligent system design
    • Guida G, Tasso C, eds.. New York: Elsevier Science Publishers BV (North-Holland)
    • Roth EM, Woods DD. Cognitive task analysis: an approach to knowledge acquisition for intelligent system design. In: Guida G, Tasso C, eds. Topics in Expert System Design. New York: Elsevier Science Publishers BV (North-Holland); 1990:233-264.
    • (1990) Topics in Expert System Design , pp. 233-264
    • Roth, E.M.1    Woods, D.D.2
  • 50
    • 0002754247 scopus 로고    scopus 로고
    • Bootstrapping multiple converging cognitive task analysis techniques for system design
    • Schraagen JMC, Chipman SF, Shalin VL, eds.. Mahwah, NJ: Lawrence Erlbaum Associates
    • Potter SS, Roth EM, Woods DD, et al. Bootstrapping multiple converging cognitive task analysis techniques for system design. In: Schraagen JMC, Chipman SF, Shalin VL, eds. Cognitive Task Analysis. Mahwah, NJ: Lawrence Erlbaum Associates; 2000:317-340.
    • (2000) Cognitive Task Analysis , pp. 317-340
    • Potter, S.S.1    Roth, E.M.2    Woods, D.D.3
  • 51
    • 0002348108 scopus 로고    scopus 로고
    • Generative tools for co-designing
    • Scrivener S, Ball LJ, Woodcock A, eds.. London: Springer-Verlag
    • Sanders EBN. Generative tools for co-designing. In: Scrivener S, Ball LJ, Woodcock A, eds. Collaborative Design. London: Springer-Verlag; 2000:3-12.
    • (2000) Collaborative Design , pp. 3-12
    • Ebn, S.1
  • 52
    • 0041436159 scopus 로고    scopus 로고
    • Extracting data from the future: Assessment and certification of envisioned systems
    • Dekker S, Hollnagel E, eds.. Ashgate
    • Dekker S, Woods DD. Extracting data from the future: assessment and certification of envisioned systems. In: Dekker S, Hollnagel E, eds. Coping with Computers in the Cockpit. Ashgate: 1999:7-27.
    • (1999) Coping with Computers in the Cockpit
    • Dekker, S.1    Woods, D.D.2
  • 53
    • 0000638928 scopus 로고
    • Information input overload and psychopathology
    • Miller JG. Information input overload and psychopathology. Am J Psychiatr. 1960;116:695-704.
    • (1960) Am J Psychiatr. , vol.116 , pp. 695-704
    • Miller, J.G.1
  • 54
    • 15744364560 scopus 로고    scopus 로고
    • Can we ever escape from data overload? A cognitive systems diagnosis
    • Woods DD, Patterson ES, Roth EM. Can we ever escape from data overload? A cognitive systems diagnosis. Cognition, Technology, and Work. 2002;4(1):22-36.
    • (2002) Cognition, Technology, and Work , vol.4 , Issue.1 , pp. 22-36
    • Woods, D.D.1    Patterson, E.S.2    Roth, E.M.3
  • 55
    • 33745135279 scopus 로고    scopus 로고
    • Predicting vulnerabilities in computer-supported inferential analysis under data overload
    • Patterson ES, Roth EM, Woods DD. Predicting vulnerabilities in computer-supported inferential analysis under data overload. Cognition, Technology, and Work. 2001;3(4):224-237.
    • (2001) Cognition, Technology, and Work , vol.3 , Issue.4 , pp. 224-237
    • Patterson, E.S.1    Roth, E.M.2    Woods, D.D.3
  • 57
    • 0036308191 scopus 로고    scopus 로고
    • Ecological interface design: Progress and challenges
    • Vicente KJ. Ecological interface design: progress and challenges. Hum Factors. 2002;44:62-78.
    • (2002) Hum Factors , vol.44 , pp. 62-78
    • Vicente, K.J.1
  • 58
    • 0028429984 scopus 로고
    • Computer-supported cooperative work: History and focus
    • Grudin J. Computer-supported cooperative work: history and focus. IEEE Computer. 1994;27(5):19-27.
    • (1994) IEEE Computer , vol.27 , Issue.5 , pp. 19-27
    • Grudin, J.1
  • 60
    • 14544294906 scopus 로고    scopus 로고
    • Computer technology and clinical work: Still waiting for Godot
    • Wears RL, Berg M. Computer technology and clinical work: still waiting for Godot. JAMA. 2005;293(10): 1261-1263.
    • (2005) JAMA. , vol.293 , Issue.10 , pp. 1261-1263
    • Wears, R.L.1    Berg, M.2


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