TY - GEN
T1 - Ineradicable system vulnerabilities in the anesthesia pre-filled syringe medication management process
AU - Yang, Yushi
AU - Rivera, A. Joy
AU - Fortier, Christopher
AU - Abernathy, James
N1 - Publisher Copyright:
Copyright 2014 Human Factors and Ergonomics Society.
PY - 2014
Y1 - 2014
N2 - Pre-filled medication syringes (PFS) are injection devices that were recently introduced into the anesthesia medication management process to enhance safety, affordability, and convenience. However, it is still uncertain how well PFS integrate within the process and whether they effectively eliminate the system vulnerabilities (SV) associated with the traditional self-filled medication syringe (SFS) process. Two Human Factors Engineers conducted observations of 17 general surgery cases with either SFS or PFS. Aggregating the observation data, four ineradicable SV in the process with PFS were identified. Participants rated these ineradicable SV based on their occurrence, their severity to patients, and the disruptiveness to the operating room (OR) workflow. Results show that while PFS resolve SV to some degree, they are not panacea to all the problems in the anesthesia medication management process. Organizational-level interventions are needed for the elimination of all SV.
AB - Pre-filled medication syringes (PFS) are injection devices that were recently introduced into the anesthesia medication management process to enhance safety, affordability, and convenience. However, it is still uncertain how well PFS integrate within the process and whether they effectively eliminate the system vulnerabilities (SV) associated with the traditional self-filled medication syringe (SFS) process. Two Human Factors Engineers conducted observations of 17 general surgery cases with either SFS or PFS. Aggregating the observation data, four ineradicable SV in the process with PFS were identified. Participants rated these ineradicable SV based on their occurrence, their severity to patients, and the disruptiveness to the operating room (OR) workflow. Results show that while PFS resolve SV to some degree, they are not panacea to all the problems in the anesthesia medication management process. Organizational-level interventions are needed for the elimination of all SV.
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U2 - 10.1177/1541931214581038
DO - 10.1177/1541931214581038
M3 - Conference contribution
AN - SCOPUS:84957615959
T3 - Proceedings of the Human Factors and Ergonomics Society
SP - 180
EP - 184
BT - 2014 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
PB - Human Factors an Ergonomics Society Inc.
T2 - 58th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
Y2 - 27 October 2014 through 31 October 2014
ER -