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Volumn 2, Issue 3, 2006, Pages 124-131

Time to get off this pig's back? The human factors aspects of the mismatch between device and real-world knowledge in the health care environment

Author keywords

Cognition; Human factors; Incident reporting; Infusion pumps; Medical devices; Patient safety

Indexed keywords


EID: 33749842131     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/01.jps.0000233827.90690.97     Document Type: Article
Times cited : (10)

References (21)
  • 1
    • 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;293:1197-1203.
    • (2005) JAMA , vol.293 , pp. 1197-1203
    • Koppel, R.1    Metlay, J.P.2    Cohen, A.3
  • 2
    • 33644699125 scopus 로고    scopus 로고
    • Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system
    • Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005;116:1506-1512.
    • (2005) Pediatrics , vol.116 , pp. 1506-1512
    • Han, Y.Y.1    Carcillo, J.A.2    Venkataraman, S.T.3
  • 3
    • 0030469985 scopus 로고    scopus 로고
    • Users as designers: How people cope with poor HCI design in computer-based medial devices
    • Obradovich JH, Woods DD. Users as designers: how people cope with poor HCI design in computer-based medial devices. Human Factors. 1996;38:574-592.
    • (1996) Human Factors , vol.38 , pp. 574-592
    • Obradovich, J.H.1    Woods, D.D.2
  • 4
    • 0029962109 scopus 로고    scopus 로고
    • Implications of automation surprises in aviation for the future of total intravenous anesthesia (TIVA)
    • Cook RI, Woods DD. Implications of automation surprises in aviation for the future of total intravenous anesthesia (TIVA). J Clin Anesth. 1996;8:29S-37S.
    • (1996) J Clin Anesth , vol.8
    • Cook, R.I.1    Woods, D.D.2
  • 5
    • 85052440163 scopus 로고
    • Operating at the sharp end: The complexity of human error
    • Bogner MS, ed. Mahwah, NJ: Lawrence Earlbaum
    • Cook RI, Woods DD. Operating at the sharp end: the complexity of human error. In: Bogner MS, ed. Human Error In Medicine. Mahwah, NJ: Lawrence Earlbaum; 1994:255-310.
    • (1994) Human Error in Medicine , pp. 255-310
    • Cook, R.I.1    Woods, D.D.2
  • 6
    • 39049179051 scopus 로고    scopus 로고
    • Mapping cognitive work: The way out of healthcare IT system failures
    • Paper presented at the Washington, DC
    • Nemeth C, O'Connor MO, Klock PA, et al. Mapping cognitive work: the way out of healthcare IT system failures. Paper presented at the AMIA 2005 Annual Symposium, Washington, DC.
    • AMIA 2005 Annual Symposium
    • Nemeth, C.1    O'Connor, M.O.2    Klock, P.A.3
  • 7
    • 0032586333 scopus 로고    scopus 로고
    • Cognitive systems engineering: New wine in new bottles
    • Hollnagel E, Woods DD. Cognitive systems engineering: new wine in new bottles. Int J Human Comput Stud. 1999;51:339-356.
    • (1999) Int J Human Comput Stud , vol.51 , pp. 339-356
    • Hollnagel, E.1    Woods, D.D.2
  • 8
    • 0036513173 scopus 로고    scopus 로고
    • Safety technology: Solutions or experiments?
    • Cook RI. Safety technology: solutions or experiments? Nurs Econ. 2002;20:80-82.
    • (2002) Nurs Econ , vol.20 , pp. 80-82
    • Cook, R.I.1
  • 9
    • 84975215141 scopus 로고    scopus 로고
    • Observations on RISKS and risks
    • Cook RI. Observations on RISKS and risks. Commun ACM. 1997;40:122.
    • (1997) Commun ACM , vol.40 , pp. 122
    • Cook, R.I.1
  • 10
    • 14944351088 scopus 로고    scopus 로고
    • A controlled trial of smart infusion pumps to improve medication safety in critically ill patients
    • Rothschild JM, Keohane CA, Cook EF, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33:533-540.
    • (2005) Crit Care Med , vol.33 , pp. 533-540
    • Rothschild, J.M.1    Keohane, C.A.2    Cook, E.F.3
  • 11
    • 17144413786 scopus 로고    scopus 로고
    • Insights from the sharp end of intravenous medication errors: Implications for infusion pump technology
    • Husch M, Sullivan D, Rooney D, et al. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Qual Saf Health Care. 2005;14:80-86.
    • (2005) Qual Saf Health Care , vol.14 , pp. 80-86
    • Husch, M.1    Sullivan, D.2    Rooney, D.3
  • 12
    • 19444382841 scopus 로고    scopus 로고
    • Human factors engineering: A tool for medical device evaluation in hospital procurement decision-making
    • Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38:213-219.
    • (2005) J Biomed Inform , vol.38 , pp. 213-219
    • Ginsburg, G.1
  • 13
    • 0142240233 scopus 로고    scopus 로고
    • Causes of intravenous medication errors: An ethnographic study
    • Taxis K, Barber N. Causes of intravenous medication errors: an ethnographic study. Qual Saf Health Care. 2003;12:343-347.
    • (2003) Qual Saf Health Care , vol.12 , pp. 343-347
    • Taxis, K.1    Barber, N.2
  • 14
    • 7444255413 scopus 로고    scopus 로고
    • Heuristic evaluation of infusion pumps: Implications for patient safety in intensive care units
    • Graham MJ, Kubose TK, Jordan D, et al. Heuristic evaluation of infusion pumps: implications for patient safety in intensive care units. Int J Med Inform. 2004;73:771-779.
    • (2004) Int J Med Inform , vol.73 , pp. 771-779
    • Graham, M.J.1    Kubose, T.K.2    Jordan, D.3
  • 15
    • 0034681866 scopus 로고    scopus 로고
    • Gaps in the continuity of care and progress on patient safety
    • Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320:791-794.
    • (2000) BMJ , vol.320 , pp. 791-794
    • Cook, R.I.1    Render, M.2    Woods, D.D.3
  • 16
    • 7444246918 scopus 로고    scopus 로고
    • Lost in menuspace: User interactions with complex medical devices. Special on studies in healthcare technical work
    • Nunnally M, Nemeth C, Brunetti V, et al. Lost in menuspace: user interactions with complex medical devices. Special on studies in healthcare technical work. IEEE Trans Syst Man Cybern Part A Syst Humans. 2004;34:736-742.
    • (2004) IEEE Trans Syst Man Cybern Part A Syst Humans , vol.34 , pp. 736-742
    • Nunnally, M.1    Nemeth, C.2    Brunetti, V.3
  • 17
    • 0035567897 scopus 로고    scopus 로고
    • Patient safety, potential adverse drug events, and medical device design: A human factors engineering approach
    • Lin L, Vicente KJ, Doyle DJ. Patient safety, potential adverse drug events, and medical device design: a human factors engineering approach. J Biomed Inform. 2001;34:274-284.
    • (2001) J Biomed Inform , vol.34 , pp. 274-284
    • Lin, L.1    Vicente, K.J.2    Doyle, D.J.3
  • 18
    • 33749865203 scopus 로고    scopus 로고
    • Making information technology a team player in safety: The case of infusion devices
    • Henricksen K, Battles JB, Marks E, Lewin DI, eds. Washington, DC: Agency for Healthcare Research and Quality
    • Nemeth CP, Nunnally ME, O'Connor MF, et al. Making information technology a team player in safety: the case of infusion devices. In: Henricksen K, Battles JB, Marks E, Lewin DI, eds. Advances in Patient Safety: From Research to Implementation. Vol 1. Washington, DC: Agency for Healthcare Research and Quality; 2005:319-330.
    • (2005) Advances in Patient Safety: From Research to Implementation. Vol 1 , pp. 319-330
    • Nemeth, C.P.1    Nunnally, M.E.2    O'Connor, M.F.3
  • 20
    • 0038805213 scopus 로고    scopus 로고
    • Programming errors contribute to death from patient-controlled analgesia: Case report and estimate of probability
    • Vicente KJ, Kada-Bekhaled K, Hillel G, et al. Programming errors contribute to death from patient-controlled analgesia: case report and estimate of probability. Can J Anaesth. 2003;50:328-332.
    • (2003) Can J Anaesth , vol.50 , pp. 328-332
    • Vicente, K.J.1    Kada-Bekhaled, K.2    Hillel, G.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.