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围产期护理中的人为因素与差错:护士、机器和工作环境之间的相互作用

Human factors and error in perinatal care: the interplay between nurses, machines, and the work environment.

作者信息

Mahlmeister Laura R

机构信息

Mahlmeister & Associates, San Francisco, California 94002, USA.

出版信息

J Perinat Neonatal Nurs. 2010 Jan-Mar;24(1):12-21. doi: 10.1097/JPN.0b013e3181cdb6e0.

DOI:10.1097/JPN.0b013e3181cdb6e0
PMID:20147826
Abstract

Perinatal nurses work with intricate systems requiring frequent interface with complex technology. This interplay is strongly influenced by the work environment and systems operations. The interplay among worker, technology, and the environment increases the risk of medical error, adverse patient outcomes, and in some instances, healthcare team member injury. Human factors engineering is an applied science that provides the study of the interface between people and machines. Human factors engineers design operations and systems that recognize the capacities and limitations of human beings and make it difficult for errors to occur. This article discusses the role of human factors research in healthcare design and the application of human factors engineering to perinatal settings. Recommendations are offered for the development of ultrasafe, high-reliability operations based on knowledge accrued through human factors research.

摘要

围产期护士工作的系统错综复杂,需要频繁与复杂技术交互。这种相互作用受到工作环境和系统运行的强烈影响。工作人员、技术和环境之间的相互作用增加了医疗差错、不良患者结局的风险,在某些情况下,还会导致医疗团队成员受伤。人因工程学是一门应用科学,研究人与机器之间的交互界面。人因工程师设计的操作和系统能够认识到人类的能力和局限性,使错误难以发生。本文讨论了人因研究在医疗保健设计中的作用以及人因工程学在围产期环境中的应用。基于人因研究积累的知识,为开发超安全、高可靠性的操作提供了建议。

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