Application of the HEART method to enhance patient safety in the intensive care unit.

IF 2.4 3区 工程技术 Q2 ENGINEERING, INDUSTRIAL Cognition Technology & Work Pub Date : 2022-05-25 DOI:10.3233/wor-205338
Mohammad Beirouti, M. Kamalinia, H. Daneshmandi, A. Soltani, P. Dehghani, M. Fararooei, Syed Abolfazl Zakerian, Z. Zamanian
{"title":"Application of the HEART method to enhance patient safety in the intensive care unit.","authors":"Mohammad Beirouti, M. Kamalinia, H. Daneshmandi, A. Soltani, P. Dehghani, M. Fararooei, Syed Abolfazl Zakerian, Z. Zamanian","doi":"10.3233/wor-205338","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nThe intensive care unit (ICU) is a complex, dynamic, high stress and time-sensitive place. While a variety of rules and regulations provided to reduce medication errors in recent years, many studies have emphasized that medication errors still happen.\n\n\nOBJECTIVE\nThe purpose of this investigation is to predict, reveal and assess medication errors among surgical intensive care unit (SICU) nurses.\n\n\nMETHODS\nThis study was performed in one of the public hospitals in Shiraz, namely Shahid Faghihi hospital. The human error assessment and reduction technique (HEART) method was adopted to measure and assess medication errors in the ICU.\n\n\nRESULTS\nFindings indicate that ICU nurses perform 27 main tasks and 125 sub-tasks. The results also showed that setting and using DC shock task has the highest human error probability value, and assessment of patients by a nutritionist has the lowest human error probability value.\n\n\nCONCLUSION\nMedical errors are key challenges in the ICU. Therefore, alternative solutions to mitigate medication errors and enhance patient safety in the ICU are necessary. Although the technique can be used in healthcare; there is a need to localize the coefficients and definitions to achieve more accurate results and take appropriate controls. Employing experienced people and providing conditions that reduce the possibility of errors in nurses, increasing the number of staff, and developing specialized and simulated training were identified as the most important control strategies to reduce errors in nurses.","PeriodicalId":49090,"journal":{"name":"Cognition Technology & Work","volume":null,"pages":null},"PeriodicalIF":2.4000,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cognition Technology & Work","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.3233/wor-205338","RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENGINEERING, INDUSTRIAL","Score":null,"Total":0}
引用次数: 0

Abstract

BACKGROUND The intensive care unit (ICU) is a complex, dynamic, high stress and time-sensitive place. While a variety of rules and regulations provided to reduce medication errors in recent years, many studies have emphasized that medication errors still happen. OBJECTIVE The purpose of this investigation is to predict, reveal and assess medication errors among surgical intensive care unit (SICU) nurses. METHODS This study was performed in one of the public hospitals in Shiraz, namely Shahid Faghihi hospital. The human error assessment and reduction technique (HEART) method was adopted to measure and assess medication errors in the ICU. RESULTS Findings indicate that ICU nurses perform 27 main tasks and 125 sub-tasks. The results also showed that setting and using DC shock task has the highest human error probability value, and assessment of patients by a nutritionist has the lowest human error probability value. CONCLUSION Medical errors are key challenges in the ICU. Therefore, alternative solutions to mitigate medication errors and enhance patient safety in the ICU are necessary. Although the technique can be used in healthcare; there is a need to localize the coefficients and definitions to achieve more accurate results and take appropriate controls. Employing experienced people and providing conditions that reduce the possibility of errors in nurses, increasing the number of staff, and developing specialized and simulated training were identified as the most important control strategies to reduce errors in nurses.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
应用心脏方法提高重症监护病房的病人安全。
重症监护病房(ICU)是一个复杂、动态、高压力和时间敏感的场所。虽然近年来出台了各种规章制度来减少用药错误,但许多研究都强调,用药错误仍然时有发生。目的对外科重症监护病房(SICU)护士用药错误进行预测、揭示和评估。方法本研究在设拉子公立医院Shahid Faghihi医院进行。采用人为错误评估与减少技术(HEART)方法对ICU用药错误进行测量和评估。结果ICU护士共完成27项主要任务和125项次要任务。结果还显示,设置和使用直流电击任务的人为错误概率值最高,由营养师评估患者的人为错误概率值最低。结论医疗差错是ICU面临的主要挑战。因此,减少用药错误和提高ICU患者安全的替代解决方案是必要的。虽然该技术可用于医疗保健;有必要对系数和定义进行本地化,以获得更准确的结果并采取适当的控制。雇用经验丰富的人员,提供条件,减少护士差错的可能性,增加人员数量,开展专业和模拟培训是减少护士差错的最重要的控制策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Cognition Technology & Work
Cognition Technology & Work ENGINEERING, INDUSTRIAL-
CiteScore
6.90
自引率
7.70%
发文量
26
审稿时长
>12 weeks
期刊介绍: Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions. The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors. The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective. The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.
期刊最新文献
The effect of moderate broadband noise on cognitive performance: a systematic review Should prohibition signs always be designed as bar-over-pictogram in traffic and non-traffic contexts? Sustainable employability, technology acceptance and task performance in workers collaborating with cobots: a pilot study The dual impact of technological tools on health and technostress among older workers: an integrative literature review Influence of whole-body vibration on the cognitive ability of reasoning
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1