electronic patient care report human factors

Key human factor approaches that drive higher levels of EMR usability and satisfaction are associated with EMR training and follow-up education, an emphasis on helping clinicians use EMR personalisation tools to improve care delivery workflow efficiency and establishing a culture of teamwork between the IT staff and the clinicians for effectively supporting and enhancing EMR capabilities.

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What is the human factors engineering paradigm for patient safety?

A human factors engineering paradigm for patient safety: Designing to support the performance of the healthcare professional. Quality & Safety in Health Care. 2006;15:i59–i65. [PMC free article][PubMed] [Google Scholar]

What is electronic patient care reporting (EPCR)?

Electronic patient care reporting, more commonly known as ePCR, is rapidly replacing the paper forms many of us still use. ePCR not only improves the accuracy and legibility of documentation, but also allows EMS providers to sort and summarize prehospital data in many ways.

What is human factors in healthcare?

Background: Human factors is a discipline established in most safety critical industries and uses knowledge about human behaviour in the analysis and design of complex systems, yet it is relatively new to many in healthcare.

How a medical device manufacturer implemented a human factors approach?

A medical device manufacturer implemented a human factors approach after a number of events occurred and various pressures were put on the company. The events included several programming errors with a patient-controlled analgesia (PCA) pump sold by the company; some of the errors led to over deliveries of analgesic and patient deaths.

What are the three 3 factors that affect EMR?

The interviewees at the hospital identified three main reasons for adopting the system: the need for information within the organization, to integrate information from different systems, and to improve value for end users and patients.

What are the 5 components of the electronic medical record?

Electronic Health Records: The Basics Administrative and billing data. Patient demographics. Progress notes. Vital signs.

What are human factors in healthcare?

Human factors are those things that affect an individual's performance. A human factors approach is key to safer healthcare. It will become part of the core curricula of all health professionals. Training needs to be co-ordinated along interprofessional lines.

What are the four key components of an electronic health record EHR?

The main components of electronic health record are registration, admissions, discharge, and transfer (RADT) data.

What are the 12 main components of the medical record?

12-Point Medical Record Checklist : What Is Included in a Medical...Patient Demographics: Face sheet, Registration form. ... Financial Information: ... Consent and Authorization Forms: ... Release of information: ... Treatment History: ... Progress Notes: ... Physician's Orders and Prescriptions: ... Radiology Reports:More items...•

What is an example of an electronic health record?

EHRs include information like your age, gender, ethnicity, health history, medicines, allergies, immunization status, lab test results, hospital discharge instructions, and billing information.

What are the 12 human factors?

The List1. Lack of communication5. Complacency9. Lack of knowledge2. Distraction6. Lack of teamwork10. Fatigue3. Lack of resources7. Pressure11. Lack of assertiveness4. Stress8. Lack of awareness12. Norms

What are examples of human factors?

What are human factors?Tasks, workload and work patterns.Working environment and workplace design.Workplace culture and communication.Leadership and resources.Policies, programs and procedures.Worker competency and skill.Employee attitude, personality and risk tolerance.

Why applying human factors is important for patient safety?

o Human-human interactions: Knowledge of human factors allows better understanding of the impact of fatigue, stress, poor communication, disruption and inadequate knowledge and skills on health professionals. It helps to understand predisposing characteristics that may be associated with adverse events and errors.

What are the five main functions that are performed by an electronic health record?

EHRs are a vital part of health IT and can: Contain a patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Allow access to evidence-based tools that providers can use to make decisions about a patient's care.

What is the difference between EMR and EHR?

Although some clinicians use the terms EHR and EMR interchangeably, the benefits they offer vary greatly. An EMR (electronic medical record) is a digital version of a chart with patient information stored in a computer and an EHR (electronic health record) is a digital record of health information.

What are the three main components of a fully developed electronic health record EHR according to the Institute of Medicine?

An EHR system includes (1) longitudinal collection of electronic health information for and about persons, where health information is defined as information pertaining to the health of an individual or health care provided to an individual; (2) immediate electronic access to person- and population-level information by ...

What is human factors in healthcare?

In health care, human factors specialists seek to improve people-system interactions for everyone involved – health care professionals, patients and family members. Their work can be focused on enhancing the safety and usability of a single product – such as a medical device – or on improving an entire care delivery process or organizational structure (e.g. leadership, supply-chain management, etc.). These specialists seek to understand the myriad factors that affect performance of the system — the physical environment; tasks, tools and technologies involved; and the organizational conditions in which the work occurs — and then redesign systems to improve patient safety and team performance.

What is the most highly trained, driven, and conscientious profession?

Health care professionals are among the most highly trained, driven and conscientious professionals. So, how is it that medical errors are a major public health problem and patients do not consistently receive evidence-based care?

Why is human factors important in health care?

This is the focus of human factors, a scientific discipline that aims to help people do their best work, improve resilience and overall system performance, and minimize errors. Human factors-based solutions make it “easy ...

Do insulin pens need to be in a medication room?

Multidose insulin pens are required to be placed in patient-specific containers in a medication room, per both Johns Hopkins and Joint Commission requirements. However, patient needs, physician requests, phone calls and other interruptions often caused nurses to put the pens in their pockets and make a mental note to return them later. This practice led to medication errors.

Can a touch screen infusion pump cause accidental changes?

There were instances in which the tubing from an infusion pump would come into contact with the pump’s touch screen, leading to accidental changes in the rate of infusion. Working with a human factors engineer, the team added a Plexiglas, see-through guard that enables clinicians to move the tubing without accidentally changing the pump’s settings.

What is FMEA in healthcare?

FMEA (Failure Modes and Effects Analysis) is one method that can be used to analyze, redesign and improve healthcare processes to meet the Joint Commission’s National Patient Safety Goals. The National Patient Safety Center of the VA has adapted the industrial FMEA method to healthcare ( DeRosier, Stalhandske, Bagian, & Nudell, 2002 ). FMEA or other proactive risk assessment techniques have been applied to a range of healthcare processes, such as blood transfusion ( Burgmeier, 2002 ), organ transplant (Richard I. Cook, et al., 2007 ), medication administration with implementation of smart infusion pump technology ( Wetterneck, et al., 2006 ), and use of computerized provider order entry ( Bonnabry, et al., 2008 ).

What is patient centered care?

Brennan & Safran, 2004 ). Patient centeredness is one of the six improvement aims of the Institute of Medicine ( Institute of Medicine Committee on Quality of Health Care in America, 2001 ): patient-centered care is “care that is respectful of and responsive to individual and patient preferences, needs, and values” and care that ensures “that patient values guide all clinical decisions” (page 6). Patient-centered care is very much related to patient safety. For instance, to optimize information flow and communication, experts recommend families be engaged in a relationship with physicians and nurses that fosters exchange of information as well as decision making that considers family preferences and needs ( Stucky, 2003 ). Patient-centered care may actually be safer care.

What are the different approaches to patient safety?

In this section, we described conceptual frameworks based on models and theories of human error and organizational accidents (section 2.1), focus on patient care process and system interactions (section 2.2), and models that link healthcare professionals’ performance to patient safety (section 2.3). In the last part of this section, we describe the SEIPS [Systems Engineering Initiative for Patient Safety] model of work system and patient safety that integrates many elements of these other models ( Carayon, et al., 2006 ).

How do technologies help in healthcare?

In healthcare, technologies are often seen as an important solution to improve quality of care and reduce or eliminate medical errors (David W. Bates & Gawande, 2003; Kohn, et al., 1999 ). These technologies include organizational and work technologies aimed at improving the efficiency and effectiveness of information and communication processes (e.g., computerized order entry provider and electronic medical record) and patient care technologies that are directly involved in the care processes (e.g., bar coding medication administration). For instance, the 1999 IOM report recommended adoption of new technology, like bar code administration technology, to reduce medication errors ( Kohn, et al., 1999 ). However, implementation of new technologies in health care has not been without troubles or work-arounds (see, for example, the studies by Patterson et al. (2002) and Koppel et al. (2008) on potential negative effects of bar coding medication administration technology). Technologies change the way work is performed ( Smith & Carayon, 1995) and because healthcare work and processes are complex, negative consequences of new technologies are possible ( Battles & Keyes, 2002; R.I. Cook, 2002 ).

What is the challenge of patient safety?

Patient safety is a global challenge that requires knowledge and skills in multiple areas, including human factors and systems engineering . In this chapter, numerous conceptual approaches and methods for analyzing, preventing and mitigating medical errors are described. Given the complexity of healthcare work systems and processes, we emphasize the need for increasing partnerships between the health sciences and human factors and systems engineering to improve patient safety. Those partnerships will be able to develop and implement the system redesigns that are necessary to improve healthcare work systems and processes for patient safety.

Why is patient safety important?

Patient safety is about the patient, but requires that healthcare professionals have the right tools and environment to perform their tasks and coordinate their effort. Therefore, it is important to examine patient safety models that focus on the performance of healthcare professionals.

Who is Pascale Carayon?

Pascale Carayon is Procter & Gamble Bascom Professor in Total Quality and Associate Chair in the Department of Industrial and Systems Engineering and the Director of the Center for Quality and Productivity Improvement (CQPI) at the University of Wisconsin-Madison. She received her Engineer diploma from the Ecole Centrale de Paris, France, in 1984 and her Ph.D. in Industrial Engineering from the University of Wisconsin-Madison in 1988. Her research examines systems engineering, human factors and ergonomics, sociotechnical engineering and occupational health and safety, and has been funded by the Agency for Healthcare Research and Quality, the National Science Foundation, the National Institutes for Health (NIH), the National Institute for Occupational Safety and Health, the Department of Defense, various foundations and private industry. Dr. Carayon leads the Systems Engineering Initiative for Patient Safety (SEIPS) at the University of Wisconsin-Madison ( http://cqpi.engr.wisc.edu/seips_home ).

What are SME in healthcare?

The SMEs described different approaches to doing tasks, shared across personnel such as a primary care or specialist physician, physician assistant, nurse practitioner, intake nurse, nurse educator, case manager, medical assistant (clerk), and even in some cases the patient or family member when paper forms were used.

What is the purpose of safety critical systems?

Most importantly, the purpose of the system should determine how it should be modeled. More safety-critical systems require higher-fidelity modeling and a greater level of subsequent validation/evaluation/testing. Tool selection should maximize benefits, tangible and intangible, for the system and its users.

How can infection control be increased?

Infection control can be increased by shifting around the order of patients to avoid having an immune-compromised patient in the waiting room at the same time as a patient with chicken pox. New patients or particularly complex patients can be scheduled on days with lighter schedules or in the afternoon.

What are the elements of a work system?

The work system is composed of the five main elements from the Systems Engineering Initiative for Patient Safety (SEIPS)36 framework (Figure 1): 1) people (individuals and teams), 2) physical environment, 3) tools and technologies, 4) tasks, and 5) organizational characteristics.