Ineradicable system vulnerabilities in the anesthesia pre-filled syringe medication management process

Yushi Yang, A. Joy Rivera, Christopher Fortier, James Abernathy

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

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.

Original languageEnglish (US)
Title of host publication2014 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
PublisherHuman Factors an Ergonomics Society Inc.
Pages180-184
Number of pages5
ISBN (Electronic)9780945289456
DOIs
StatePublished - Jan 1 2014
Externally publishedYes
Event58th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014 - Chicago, United States
Duration: Oct 27 2014Oct 31 2014

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume2014-January
ISSN (Print)1071-1813

Other

Other58th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
CountryUnited States
CityChicago
Period10/27/1410/31/14

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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