Adherence engineering: A new approach to increasing adherence to protocols

Ergonomics in Design

Volumn 21, Issue 4, 2013, Pages 19-25

  Drews, Frank A ^a  

^a NONE

Author keywords

adherence engineering; checklists; health care; protocols

Indexed keywords

CHECKLISTS; CLINICAL TASKS; CONCEPTUAL FRAMEWORKS; HUMAN PERFORMANCE; NEW APPROACHES; PATIENT SAFETY;

ENGINEERING; ERGONOMICS; NETWORK PROTOCOLS;

HEALTH CARE;

EID: 84886825940     PISSN: 10648046     EISSN: None     Source Type: Journal    
DOI: 10.1177/1064804613497957     Document Type: Article

References (50)

1. Alonso-Echanove J., Edwards J. R., Richards M. J., Brennan P., Venezia R. A., Keen J.,... Gaynes R. P.. Effect of nurse staffing and antimicrobial- impregnated central venous catheters on the risk for bloodstream infections in intensive care units. Infection Control and Hospital Epidemiology. 2003 ; 24: 916-925
2. Bakdash J. Z., Drews F. A.. Using knowledge in the world to improve patient safety: Designing affordances in health care equipment to specify a sequential checklist. Human Factors and Ergonomics in Manufacturing & Service Industries. 2012 ; 22: 7-20
3. Boorman D. J.. Today's electronic checklists reduce the likelihood of crew errors and help prevent mishaps. ICAO Journal. 2001 ; 1: 17-22
4. Bosk C. L., Dixon-Woods M., Goeschel C. A., Pronovost P. J.. Reality check for checklists. Lancet. 2009 ; 374: 444-445
5. Guidelines for hand hygiene in health-care settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Morbidity and Mortality Weekly Report. 2002 ; 51 ( No. RR-16 ):
6. Degani A., Wiener E.. Cockpit checklists: Concepts, design, and use. Human Factors and Ergonomics in Manufacturing & Service Industries. 1993 ; 35: 345-359
7. DeLucia P. R., Ott T., Palmieri P. Reviews of Human Factors and Ergonomics. Santa Monica, CA: Human Factors and Ergonomics Society." ; 2009: 1-40.
8. Drews F. A.. Adherence engineering: Improving protocol adherence by design. 2013 ;:
9. Drews F. A., Musters A., Samore M. Advances in patient safety: From research to implementation. Rockville, MD: Agency for Healthcare Research and Quality ; 2008
10. Durso F., Drews F. A.. Healthcare, aviation, and ecosystems: A socio-natural systems perspective. Current Directions in Psychological Science. 2010 ; 19: 71-75
11. Fiske S. T., Taylor S. E. Social cognition. Reading, MA: Addison-Wesley ; 1984
12. Gawande A.. A challenge for practitioners worldwide: WHO safe surgery saves lives. Journal of Perioperative Practice. 2009 ; 19: 312
13. Grundgeiger T., Sanderson P.. Interruptions in healthcare: Theoretical views. International Journal of Medical Informatics. 2009 ; 78: 293-307
14. Grundgeiger T., Sanderson P., MacDougall H. G., Venkatesh B.. Interruption management in the intensive care unit: Predicting resumption times and assessing distributed support. Journal of Experimental Psychology: Applied. 2010 ; 16: 317-334
15. Gurses A. P., Seidl K. L., Vaidya V., Bochicchio G., Harris A. D., Hebden J., Xiao Y.. Systems ambiguity and guideline compliance: A qualitative study of how intensive care units follow evidence-based guidelines to reduce healthcare-associated infections. Quality & Safety in Health Care. 2008 ; 17: 351-359
16. Hales B. M., Pronovost P. J.. The checklist: A tool for error management and performance improvement. Journal of Critical Care. 2006 ; 21: 231-235
17. Harrahill M., Bartkus E.. Preparing the trauma patient for transfer. Journal of Emergency Nursing. 1990 ; 16: 25-28
18. Hart E. M., Owen H.. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesthesia & Analgesia. 2005 ; 101: 246-250
19. Helmreich R. L.. On error management: Lessons from aviation. BMJ. 2000 ; 320: 781-785
20. Hobbs A. Human factors in aircraft maintenance: A study of incident reports. Canberra, Australia: Bureau of Air Safety Investigation ; 1997
21. Resilience engineering in practice: A guidebook. Hollnagel E., ed. Aldershot, UK: Ashgate ; 2011
22. Hollnagel E., Woods D. D., Leveson N. Resilience engineering: Concepts and precepts. Burlington, VT: Ashgate ; 2006
23. Jarvis W. R.. Selected aspects of the socioeconomic impact of nosocomial infections: Morbidity, mortality, cost, and prevention. Infection Control and Hospital Epidemiology. 1996 ; 17: 552-557
24. Johnson E. J., Goldstein D.. Medicine: Do defaults save lives?. Science. 2003 ; 302: 1338-1339
25. Klevens R. M., Edwards J. R., Richards C. L., Horan T. C., Gaynes R. P., Pollock D. A., Cardo D. M.. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Reports. 2007 ; 122: 160-166
26. Krueger G.. Sustained work, fatigue, sleep loss and performance: A review of the issues. Work & Stress. 1989 ; 3: 129-141
27. Lankford M. G., Zemblower T. R., Trick W. E., Hacek D. M., Noskin G. A., Peterson L. R.. Influence of role models and hospital design on hand hygiene of healthcare workers. Emerging Infectious Diseases. 2003 ; 9: 217-223
28. Larson E. L., Cimiotti J., Haas J., Parides M., Nesin M., Della-Latta P., Saiman L.. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. Archives of Pediatrics & Adolescent Medicine. 2005 ; 159: 377-383
29. Laupland K. B., Lee H., Gregson D. B., Manns B. J.. Cost of intensive care unit-acquired bloodstream infections. Journal of Hospital Infection. 2006 ; 63: 124-132
30. Lin L., Vicente K. J., Doyle D. J.. Patient safety, potential adverse drug events, and medical device design: a human factors engineering approach. Journal of Biomedical Informatics. 2001 ; 34: 274-284
31. Mermel L. A.. Prevention of intravascular catheter-related infections. Annals of Internal Medicine. 2000 ; 132: 391-402
32. Morrow D. G., Leirer V. O., Andrassy J. M., Hier C. M., Menard W. E.. The influence of list format and category headers on age differences in understanding medication instructions. Experimental Aging Research. 1998 ; 24: 231-256
33. Norman D. C. The design of everyday things. New York, NY: Basic Books ; 1988
34. Norman D. A. Designing interaction: Psychology at the human computer interface. Carroll J. M., ed. Cambridge, UK: Cambridge University Press ; 1991: 17-38.
35. O'Grady N. P., Alexander M., Dellinger E. P., Gerberding J. L., Heard S. O., Maki D. G.,... Saint S.. Guidelines for the prevention of intravascular catheter-related infections. Infection Control and Hospital Epidemiology. 2002 ; 23: 759-769
36. Parker J., Coiera E.. Improving clinical communication: A view from psychology. Journal of the American Medical Informatics Association. 2000 ; 7: 453-461
37. Pittet D.. Compliance with hand disinfection and its impact on hospital-acquired infections. Journal of Hospital Infection. 2001 ; 48: S40 - S46
38. Pittet D., Mourouga P., Perneger T. V.. Compliance with hand washing in a teaching hospital. Annals of Internal Medicine. 1999 ; 130: 126-130
39. Pronovost P., Needham D., Berenholtz S., Sinopoli D., Chu H., Cosgrove S.,... Goeschel C.. An intervention to decrease catheter-related bloodstream infections in the ICU. New England Journal of Medicine. 2006 ; 355: 2725-2732
40. Reason J. Comprehensive error management in aircraft engineering: A manager guide. Heathrow, UK: British Airways Engineering ; 1995
41. Reason J., Hobbs A. Managing maintenance error. Burlington, VT: Ashgate ; 2003
42. Richards M. J., Edwards J. R., Culver D. H., Gaynes R. P.. Nosocomial infections in combined medical-surgical intensive care units in the United States. Infection Control and Hospital Epidemiology. 2000 ; 21: 510-515
43. Rogers W. A., Mykityshyn A. L., Cambell R. H., Fisk A. D.. Analysis of a "simple" medical device. Ergonomics in Design. 2001 ; 9 (1). 6-14
44. Sax H., Uckay I., Richet H., Allegranzi B., Pittet D.. Determinants of good adherence to hand hygiene among healthcare workers who have extensive exposure to hand hygiene campaigns. Infection Control and Hospital Epidemiology. 2007 ; 28: 1267-1274
45. Shepherd A., Stammers R. B. Evaluation of human work. Wilson J. R. Corlett N., ed. London: Taylor & Francis ; 2005: 129-157.
46. Singh R., Singh A., Fish R., McLean D., Anderson D. R., Singh G.. A patient safety objective structured clinical examination. Journal of Patient Safety. 2009 ; 5: 55-60
47. Thaler R., Sunstein C. R.. Nudge: Improving decisions about health, wealth, and happiness. Journal of Economic Literature. 2008 ; 47: 1137-1140
48. Tversky A., Kahneman D.. Judgment under uncertainty: Heuristics and biases. Science. 1974 ; 185: 1124-1131
49. Vats A., Vincent C. A., Nagpal K., Davies R. W., Darzi A., Moorthy K.. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010 ; 340: b5433
50. WHO guidelines on hand hygiene in health care. Geneva, Switzerland: Author ; 2009