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The effect of relaxing music on driving anger and performance in a simulated car-following task 轻松音乐对驾驶愤怒和模拟跟车任务表现的影响
IF 2.2 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-23 DOI: 10.1002/hfm.21031
Qian Zhang, Yan Ge, Weina Qu

Studies have focused on the negative effects of anger on driving performance, but insufficient research has addressed intervention methods to reduce these emotional effects. This research investigated how music mitigates the deterioration of driving performance associated with angry emotions in a simulated car-following task. Forty-three licensed drivers participated in this study, and they were randomly separated into two groups: an intervention group and a control group. First, all the participants completed a car-following task involving neutral arousal. Then, both groups completed the car-following task after the anger arousal task. The intervention group drove while listening to relaxing music, but the control group did not. Driving performance and electrocardiographic data were recorded. The results showed that participants who listened to relaxing music had significantly shorter braking reaction times and greater heart rate variability (HRV) than did those who did not listen to music. Relaxing music can reduce driving anger and improve driving behavior.

研究主要集中在愤怒对驾驶表现的负面影响上,但对减少这些情绪影响的干预方法研究不足。本研究调查了在模拟跟车任务中,音乐如何减轻与愤怒情绪相关的驾驶性能下降。43 名持证驾驶员参加了这项研究,他们被随机分为两组:干预组和对照组。首先,所有参与者都完成了一项涉及中性唤醒的跟车任务。然后,两组人都在愤怒唤醒任务之后完成了跟车任务。干预组一边听着轻松的音乐一边开车,而对照组则不听。对驾驶表现和心电图数据进行了记录。结果显示,与不听音乐的人相比,听轻松音乐的人刹车反应时间明显更短,心率变异性(HRV)更大。放松的音乐可以减少驾驶时的愤怒情绪,改善驾驶行为。
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引用次数: 0
A dynamic system-based model for analyzing human factors: Enhanced AcciMap with spherical fuzzy dynamic Bayesian network approach 基于动态系统的人为因素分析模型:采用球形模糊动态贝叶斯网络方法的增强型 AcciMap
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-21 DOI: 10.1002/hfm.21029
Kosar Tohidizadeh, Esmaeil Zarei, Mehran Ghalenoei, Mohammad Yazdi, Kamran Kolivand

In today's interconnected global economy, maritime trade is a pillar of prosperity, yet maritime accidents loom as a formidable challenge. The intricate nature of these accidents, coupled with rapid technological advancements, necessitates the evolution of systematic analysis methods. Conventional systemic approaches, while valuable, struggle to encapsulate the intricate web of mutual and dynamic dependencies inherent in these incidents. Furthermore, the call for more quantitative support in decision-making and the ability to account for emergent factors has become increasingly imperative. This study aims to analyze maritime accidents by introducing a quantitative and dynamic model. The endeavour begins with establishing an extended Accident Map-based model, a robust framework that unveils a sophisticated accident causation model. This preliminary action establishes the groundwork for integrating an innovative Spherical Fuzzy Set, navigating the complex landscape of knowledge acquisition. The subsequent phase charts a transformative course by mapping the model onto a dynamic Bayesian Network to conduct a forward and backward analysis. The essence of the model lies in its dynamic nature, allowing for real-time updates that reflect the evolving maritime accidents risk factors. The approach is validated through a partial benchmark exercise, a reality check, an independent peer review, and a sensitivity analysis. The model can explore emerging contributing factors, reduce uncertainty, and consider relationships between factors that yield designing more effective safety measures.

在当今相互联系的全球经济中,海上贸易是繁荣的支柱,但海上事故也是一个严峻的挑战。这些事故的性质错综复杂,再加上技术的飞速发展,因此有必要发展系统分析方法。传统的系统分析方法虽然很有价值,但却难以囊括这些事故所固有的错综复杂的相互和动态依赖关系。此外,要求为决策提供更多量化支持以及考虑突发因素的能力已变得越来越迫切。本研究旨在通过引入定量动态模型来分析海上事故。这项工作从建立基于事故地图的扩展模型开始,该模型是一个强大的框架,揭示了复杂的事故因果模型。这一初步行动为整合创新的球形模糊集奠定了基础,并在复杂的知识获取过程中起到导航作用。随后的阶段通过将模型映射到动态贝叶斯网络上,进行前向和后向分析,描绘了一条变革之路。该模型的精髓在于其动态性质,允许实时更新,以反映不断变化的海事事故风险因素。该方法通过部分基准练习、现实检查、独立同行评审和敏感性分析进行验证。该模型可以探索新出现的促成因素,减少不确定性,并考虑各因素之间的关系,从而设计出更有效的安全措施。
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引用次数: 0
The effect of in-vehicle agent embodiment on drivers' perceived usability and cognitive workload: Evidence from subjective reporting, ECG, and fNIRS 车载代理体现对驾驶员感知可用性和认知工作量的影响:来自主观报告、心电图和 fNIRS 的证据
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-20 DOI: 10.1002/hfm.21030
Zenggen Ren, Fu Guo, Mingming Li, Wei Lyu, Vincent G. Duffy

To improve the interaction between drivers and the in-vehicle information system (IVIS), various intelligent agents, such as robot agents, virtual agents, and voice-only agents, have been integrated into vehicles. However, it is not yet clear which type of in-vehicle agent is best suited to the driving context. This study aims to investigate the effect of in-vehicle agent embodiment on drivers' perceived usability and cognitive workload. In a within-subject simulated driving experiment, 22 participants interacted with three different in-vehicle agents (smartphone agent, robot agent, and virtual agent). Functional near-infrared spectroscopy and electrocardiogram (ECG) were used to record prefrontal cortex activation and electrical changes associated with cardiac activity during simulated driving, respectively. The results show that the smartphone agent had the lowest perceived usability scores, oxygenated hemoglobin concentration variation (ΔHbO), and maximum ECG signal variation compared to baseline. There were no statistical differences in cognitive workload, perceived usability scores, brain area activation, and ECG signals between the robot agent and the virtual agent. The research findings demonstrate the positive effects of the anthropomorphic appearance of in-vehicle agents on perceived usability and contribute to improving the design of in-vehicle intelligent agents.

为了改善驾驶员与车载信息系统(IVIS)之间的互动,各种智能代理,如机器人代理、虚拟代理和纯语音代理,已被集成到车辆中。然而,目前还不清楚哪种类型的车载代理最适合驾驶环境。本研究旨在调查车载代理的体现对驾驶员感知可用性和认知工作量的影响。在主体内模拟驾驶实验中,22 名参与者与三种不同的车载代理(智能手机代理、机器人代理和虚拟代理)进行了互动。在模拟驾驶过程中,使用功能性近红外光谱和心电图(ECG)分别记录前额叶皮层的激活和与心脏活动相关的电变化。结果显示,与基线相比,智能手机代理的感知可用性得分、氧合血红蛋白浓度变化(ΔHbO)和最大心电图信号变化最低。机器人代理和虚拟代理在认知工作量、感知可用性得分、脑区激活和心电图信号方面没有统计学差异。研究结果表明,车载代理的拟人化外观对感知可用性有积极影响,有助于改进车载智能代理的设计。
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引用次数: 0
Human factors analysis of coal mine gas accidents based on improved HFACS model 基于改进的 HFACS 模型的煤矿瓦斯事故人为因素分析
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-14 DOI: 10.1002/hfm.21028
Mengjiao Zhang, Hongxia Li, Heqiong Xia, Qian Zhang, Yanlin Chen, Yuchen Liu, Haoran Xu

Gas accidents represent a crucial domain of coal mine safety research, as they result in substantial property damage, environmental pollution, and even loss of life compared to other types of accidents. Particularly, human factors play a significant role in the majority of mining accidents. The objective of this paper is to enhance the quality of coal mine safety management, minimize the occurrence of adverse human factors in gas accidents, and analyze the factors influencing coal mine gas accidents using the Human Factors Analysis and Classification System (HFACS). To commence, this paper has devised a human factor influence index system based on the enhanced HFACS for coal mine gas accidents. Subsequently, the Decision-making Trial and Evaluation Laboratory (DEMATEL) method has been employed to quantitatively delineate the causal relationships among these factors. Lastly, this paper utilized the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) comprehensive evaluation method to evaluate the importance of factors influencing coal mine gas accidents. The research findings indicate that through the utilization of the DEMATEL methodology for centrality and causal relationship calculations, the centrality and causality values associated with poor organizational management emerge as the foremost among all factors. This underscores the pivotal role that poor organizational management plays in the human factors influencing coal mine gas accidents. Furthermore, a meticulous examination using TOPSIS identified the top five indicators of influence capability: cognitive errors > habitual violations > operational management > management process > resource management. The analysis of human factors in coal mine gas accidents can provide enhanced theoretical support for the management of production safety in coal mines, as well as the prevention of gas accidents.

瓦斯事故是煤矿安全研究的一个重要领域,因为与其他类型的事故相比,瓦斯事故会造成巨大的财产损失、环境污染甚至生命损失。尤其是人为因素在大多数矿难中起着重要作用。本文旨在提高煤矿安全管理质量,最大限度地减少瓦斯事故中不良人为因素的发生,并利用人为因素分析与分类系统(HFACS)分析煤矿瓦斯事故的影响因素。首先,本文基于增强型 HFACS 设计了煤矿瓦斯事故人为因素影响指标体系。随后,本文采用决策试验和评估实验室(DEMATEL)方法,定量分析了这些因素之间的因果关系。最后,本文利用与理想解相似度排序偏好技术(TOPSIS)综合评价法对煤矿瓦斯事故影响因素的重要性进行了评价。研究结果表明,通过利用 DEMATEL 方法进行中心性和因果关系计算,与组织管理不善相关的中心性和因果关系值在所有因素中居首位。这凸显了组织管理不善在影响煤矿瓦斯事故的人为因素中的关键作用。此外,利用 TOPSIS 方法进行了细致的研究,确定了影响能力的五大指标:认知错误 > 习惯性违章 > 运营管理 > 管理流程 > 资源管理。通过对煤矿瓦斯事故中人为因素的分析,可以为煤矿安全生产管理以及瓦斯事故的预防提供更有力的理论支持。
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引用次数: 0
Characterization and classification of EEG signals evoked by different CAD models 不同 CAD 模型诱发的脑电信号的特征和分类
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-13 DOI: 10.1002/hfm.21027
Hongwei Niu, Jia Hao, Zhiyuan Ming, Xiaonan Yang, Lu Wang

The past two decades have witnessed dramatic advancement in computer-aided design (CAD). However, development of human–computer interfaces (HCI) for CAD have not kept up with these advances. Windows, Icons, Menus, Pointer (WIMP) is still the mainly used interface for CAD applications which limits the naturalness and intuitiveness of the CAD modeling process. As a novel interface, Brain–computer interfaces (BCIs) have great potential in the application of CAD modeling. Utilizing BCIs, the user can create CAD models just by thinking about it in principle, because BCIs provide an end-to-end interaction channel between users and CAD models. However, current related studies are mainly limited to the existing BCIs paradigms, while ignoring the relationship between electroencephalogram (EEG) signals and CAD models, which largely increases the cognitive load on the users. In this study, we aimed to explore the potential of using BCI to create CAD models directly independent of the classical BCIs paradigms. For this purpose, EEG signals evoked by six basic CAD models (i.e., point, square, trapezoid, line, triangle, and circle) were collected from 28 participants. After preprocessing and sub-trial principal components analysis (st-PCA) of recorded data, the peak, mean and time-frequency energy features were extracted from EEG signals. By applying the one-way repeated measures analysis of variance, we demonstrated that there were significant differences among these EEG features evoked by different CAD models. These features from EEG electrode channels ranked by mutual information were then used to train a discriminant classifier of genetic algorithm-based support vector machine. The empirical result showed that this classifier can discriminate the CAD models with an average accuracy of about 72%, which turns out that EEG based model generation is feasible, and provides the technical and theoretical basis for building a novel BCI for CAD modeling.

过去二十年,计算机辅助设计(CAD)取得了突飞猛进的发展。然而,计算机辅助设计(CAD)人机交互界面(HCI)的发展并没有跟上这些进步。Windows、图标、菜单、指针(WIMP)仍然是 CAD 应用程序的主要界面,这限制了 CAD 建模过程的自然性和直观性。作为一种新型界面,脑机接口(BCI)在 CAD 建模应用中具有巨大潜力。利用 BCI,用户原则上只需思考即可创建 CAD 模型,因为 BCI 为用户和 CAD 模型之间提供了端到端的交互通道。然而,目前的相关研究主要局限于现有的 BCIs 范例,而忽略了脑电图(EEG)信号与 CAD 模型之间的关系,这在很大程度上增加了用户的认知负荷。在本研究中,我们旨在探索利用 BCI 直接创建 CAD 模型的潜力,而不依赖于经典的 BCI 范例。为此,我们收集了 28 名参与者由六个基本 CAD 模型(即点、正方形、梯形、线、三角形和圆)诱发的脑电信号。在对记录数据进行预处理和子试验主成分分析(st-PCA)后,从脑电信号中提取了峰值、平均值和时频能量特征。通过应用单向重复测量方差分析,我们证明了不同 CAD 模型诱发的这些脑电图特征之间存在显著差异。然后,利用这些按互信息排序的脑电图电极通道特征来训练基于遗传算法的支持向量机判别分类器。实证结果表明,该分类器可以对 CAD 模型进行判别,平均准确率约为 72%,这证明基于脑电图的模型生成是可行的,并为构建用于 CAD 建模的新型 BCI 提供了技术和理论基础。
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引用次数: 0
Exploration of multimodal alarms for civil aircraft flying task: A laboratory study 民用飞机飞行任务的多模式警报探索:实验室研究
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-06 DOI: 10.1002/hfm.21026
Wenzhe Cun, Suihuai Yu, Jianjie Chu, Yanhao Chen, Jianhua Sun, Hao Fan

Owing to the increasing amount of information presented in the cockpit, the visual and hearing channels are unable to adequately transmit information, which may increase the mental load on pilots. This study explores the benefits of multimodal alarms under high and low residual capacities during take-off in civil aircrafts in a quasi-experimental study. The performance of two modes of multimodal (visual and auditory [VA], and visual, auditory, and tactile [VAT]) alarms were tested. The results showed that the VAT alarms were superior to the VA alarms in terms of choice response times (CRTs) when the participants were exposed to low residual capacities of vision and hearing. However, this effect was not observed when the participants had high residual capacities for vision and hearing. Thus, we considered that an additional tactile alarm could play a significant role in the CRTs when VA resources were consumed. There was no significant difference in the number of response errors between the three multimodal alarm modes. This study provides a key comparison of the two modes of multimodal alarms, indicating that VAT alarms are ideal for use in alarm design strategies for next-generation civil cockpits.

由于驾驶舱内呈现的信息量越来越大,视觉和听觉通道无法充分传递信息,这可能会增加飞行员的精神负担。本研究通过一项准实验研究,探讨了民用飞机起飞时在高剩余容量和低剩余容量情况下多模态警报的益处。测试了两种多模式(视觉和听觉 [VA] 以及视觉、听觉和触觉 [VAT])警报的性能。结果表明,当参与者的视觉和听觉残余能力较低时,就选择反应时间(CRT)而言,VAT 警报优于 VA 警报。然而,当参与者的视觉和听觉残余能力较高时,则没有观察到这种效果。因此,我们认为,在消耗 VA 资源的情况下,额外的触觉警报可能会对选择反应时间起到重要作用。三种多模态警报模式的反应错误次数没有明显差异。本研究对两种多模态警报模式进行了重要比较,表明 VAT 警报是下一代民用驾驶舱警报设计策略的理想选择。
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引用次数: 0
Use of cross-training in human–robot collaborative rescue 在人机协作救援中使用交叉训练
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-02-05 DOI: 10.1002/hfm.21025
Dan Pan, Di Zhao, Youchen Pu, Liang Wang, Yijing Zhang

Human–robot collaboration has been widely used in postdisaster investigation and rescue. Human–robot team training is a good way to improve the team rescue efficiency and safety; two common training methods, namely, procedural training and cross-training, are explored in this study. Currently, relatively few studies have explored the impact of cross-training on human–robot collaboration in rescue tasks. Cross-training will be novel to most rescuers and as such, an evaluation of cross-training in comparison with more conventional procedural training is warranted. This study investigated the effects of these two training methods on rescue performance, situation awareness and workload. Forty-two participants completed a path-planning and a photo-taking task in an unfamiliar simulated postdisaster environment. The rescue performance results showed that cross-training method had significant advantages over procedural training for human–robot collaborative rescue tasks. During the training process, compared with procedural training, participants were more likely to achieve excellent photo-taking performance after cross-training; after training, the length of the route planned by the cross-training group was significantly shorter than that of the procedural-training group. In addition, procedural-training marginal significantly increased the emotion demand, which proves that cross-training can well control the emotions of the operators and make them more involved in the rescue task. The study also found that arousal level increased significantly after the first cross-training session, and decreased to the same level as procedural training after multiple sessions. These results contribute to the application of cross-training in human–robot collaborative rescue teams.

人机协作在灾后调查与救援中得到了广泛应用。人机团队培训是提高团队救援效率和安全性的良好途径,本研究探讨了两种常见的培训方法,即程序培训和交叉培训。目前,很少有研究探讨交叉训练对救援任务中人机协作的影响。交叉培训对大多数救援人员来说都是新鲜事物,因此有必要将交叉培训与更传统的程序培训进行比较评估。本研究调查了这两种训练方法对救援表现、情境意识和工作量的影响。42 名参与者在陌生的模拟灾后环境中完成了路径规划和拍照任务。救援表现结果表明,在人机协作救援任务中,交叉训练法比程序训练法有明显优势。在训练过程中,与程序化训练相比,交叉训练后参与者更容易取得优异的拍照成绩;训练后,交叉训练组规划路线的长度明显短于程序化训练组。此外,程序化训练边际显著增加了情绪需求,这证明交叉训练能很好地控制操作者的情绪,使其更投入到救援任务中。研究还发现,唤醒水平在第一次交叉训练后明显提高,多次训练后下降到与程序训练相同的水平。这些结果有助于交叉训练在人机协作救援团队中的应用。
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引用次数: 0
Why not work with anthropomorphic collaborative robots? The mediation effect of perceived intelligence and the moderation effect of self-efficacy 为什么不与拟人协作机器人合作?感知智能的中介效应和自我效能的调节效应
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-01-08 DOI: 10.1002/hfm.21024
Shilong Liao, Long Lin, Qin Chen, Hairun Pei

Collaborative robots (cobots) are an essential component of intelligent manufacturing. However, employees working alongside them have negative attitudes toward cobots that assist humans' work. To address this industrial human–robot interaction problem, this study adopted the idea of cognitive ergonomics research, invited 323 participants, and conducted an empirical study using an experimental vignette methodology. This study found that (1) perceived intelligence plays a mediating role in the relationship between cobots anthropomorphism and negative attitudes toward cobots; (2) perceived intelligence and perceived threat play a serial mediating role in the relationship between cobots anthropomorphism and negative attitudes toward cobots; (3) robot use self-efficacy plays a moderating role in the relationship between perceived threat and negative attitudes toward cobots. The results provide a mechanistic explanation and related measures to eliminate the negative attitudes toward cobots.

协作机器人(cobots)是智能制造的重要组成部分。然而,与之并肩工作的员工却对辅助人类工作的协作机器人持消极态度。为了解决这一工业人机交互问题,本研究采用了认知工效学的研究思路,邀请了 323 名参与者,并采用实验小插曲的方法进行了实证研究。研究发现:(1)感知智力在机器人拟人化与对机器人的负面态度之间起中介作用;(2)感知智力和感知威胁在机器人拟人化与对机器人的负面态度之间起串联中介作用;(3)机器人使用自我效能在感知威胁与对机器人的负面态度之间起调节作用。研究结果为消除对机器人的负面态度提供了机理解释和相关措施。
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引用次数: 0
The influence of elbow and forearm posture on grip force perception in healthy individuals 肘部和前臂姿势对健康人握力感知的影响
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2024-01-04 DOI: 10.1002/hfm.21022
Huihui Wang, Shengkou Wu, Lin Li

This study aimed to examine the influence of elbow and forearm postures, as well as sex, on the perception of grip force in a sample of individuals without any known health conditions. A total of 21 healthy participants (10 women and 11 men) from college were included and completed a force reproducibility assignment with four elbow and forearm positions (full pronation, supination, and extension, and at 90° of flexion) at three force levels (10%, 30%, and 50% of maximal voluntary isometric contraction [MVIC]). Our results show that participants were more sensitive in detecting variations in their grip force when their elbow was in full supination (14.1 ± 8.5% MVIC, p < .05) and full extension (13.8 ± 10.1% MVIC, p < .01) than when it was at 90° of flexion (19.9 ± 20.1% MVIC). The normalized absolute error exhibited comparable patterns among both male and female participants. Specifically, when the working range of the muscles increased (as indicated by higher maximum voluntary isometric contraction values in males), the accuracy decreased (as reflected by the more significant absolute error in men). Moreover, men exhibited a greater degree of both constant and variable error than women. Recent research indicates that the prevalence of musculoskeletal disorders is higher in women than in males. The results we obtained may contribute to developing strategies to reduce injury risk.

本研究旨在研究肘部和前臂姿势以及性别对无任何已知健康状况的个体握力感知的影响。共有 21 名来自大学的健康参与者(10 名女性和 11 名男性)参加了这项研究,并在三种力量水平(最大自主等长收缩 [MVIC] 的 10%、30% 和 50%)下完成了四种肘部和前臂姿势(完全前伸、上举、伸直和屈曲 90°)的力量再现性任务。我们的结果表明,肘部完全上举(14.1 ± 8.5% MVIC,p < .05)和完全伸展(13.8 ± 10.1% MVIC,p < .01)时,参与者对握力变化的检测比屈曲 90°(19.9 ± 20.1% MVIC)时更敏感。男性和女性参与者的归一化绝对误差表现出相似的模式。具体来说,当肌肉的工作范围增加时(男性的最大自主等长收缩值更高),准确性就会降低(男性的绝对误差更大)。此外,男性比女性表现出更大程度的恒定误差和可变误差。最近的研究表明,女性肌肉骨骼疾病的发病率高于男性。我们获得的结果可能有助于制定降低受伤风险的策略。
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引用次数: 0
Applying a human factors approach to proning pillows in the ICU: Opportunities for redesign 将人为因素方法应用于重症监护室的枕头:重新设计的机会
IF 2.4 3区 工程技术 Q3 ENGINEERING, MANUFACTURING Pub Date : 2023-12-19 DOI: 10.1002/hfm.21023
Mathilde R. Desselle, Kirsty McLeod, Isabel Byram, Luke Wainwright, Fiona Coyer, Marianne Kirrane

Proning, or turning a patient face down, is a technique used to manage patients with acute respiratory distress in intensive care units (ICUs). Research suggests that the type of pillow used in proning may have a significant impact on patient outcomes and increase the risk of disfiguring pressure injuries to the face. However, there is little evidence surrounding the usability of these pillows in the ICU. The aim of this study was to identify redesign opportunities by understanding how the tools, tasks, people, environment, and organization all interact during proning in the ICU. Thirty-six ICU clinicians from two Australian public metropolitan hospitals completed an online questionnaire regarding their opinions and experiences with proned patients and the prevention of pressure injuries. Seven ICU clinicians then completed journey mapping activities to document the key workflows, critical incidents, considerations, and personnel involved in managing proned patients in the ICU. Several barriers and facilitators to pressure injury prevention were identified, including interactions between the various tools (e.g., proning pillows with one opening limits the management of several medical devices), the tasks (e.g., high frequency of repositioning), the people (e.g., clinical inexperience, patient features), the environment (e.g., limited availability of tools), and the organization (e.g., limited number of staff to support tasks). This holistic approach revealed several opportunities for the redesign of proning pillows and associated systems. Key takeaways include the limitations of a one-size-fits-all approach to proning in the ICU context, and the need for flexibility and customization to improve proning pillows, associated medical devices, prophylactic dressings, aids, and processes.

俯卧或将患者面部朝下是重症监护病房(ICU)中用于处理急性呼吸窘迫患者的一种技术。研究表明,俯卧时使用的枕头类型可能会对患者的预后产生重大影响,并增加面部毁容性压伤的风险。然而,有关这些枕头在重症监护室中的可用性的证据却很少。本研究的目的是通过了解重症监护室中的枕头使用过程中工具、任务、人员、环境和组织是如何相互作用的,从而发现重新设计的机会。来自澳大利亚两家大都市公立医院的 36 名重症监护室临床医生填写了一份在线问卷,内容涉及他们对俯卧病人和预防压伤的看法和经验。随后,七名重症监护室临床医生完成了旅程地图绘制活动,记录了重症监护室管理代偿患者的主要工作流程、关键事件、注意事项和相关人员。确定了预防压伤的几个障碍和促进因素,包括各种工具之间的相互作用(例如,用一个开口固定枕头限制了对多个医疗设备的管理)、任务(例如,高频率的重新定位)、人员(例如,临床经验不足、患者特征)、环境(例如,工具供应有限)和组织(例如,支持任务的员工数量有限)。这种整体方法揭示了重新设计推枕及相关系统的若干机会。主要启示包括:在重症监护室采用 "一刀切 "的方法进行俯卧位操作有其局限性,需要灵活和定制来改进俯卧位枕头、相关医疗设备、预防性敷料、辅助工具和流程。
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引用次数: 0
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