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药物转换:需要人为因素和工效学关注的易变过渡期

Medication transitions: Vulnerable periods of change in need of human factors and ergonomics.

机构信息

Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA; Indiana University Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA; Center for Health Innovation and Implementation Science, Indiana University School of Medicine, Indianapolis, IN, USA.

Purdue University College of Pharmacy, West Lafayette, IN, USA.

出版信息

Appl Ergon. 2021 Jan;90:103279. doi: 10.1016/j.apergo.2020.103279. Epub 2020 Oct 10.

DOI:10.1016/j.apergo.2020.103279
PMID:33049545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7606579/
Abstract

We present a novel view of transitions from the lens of patient ergonomics (the "science of patient work"), which posits that patients and other non-professionals perform effortful work towards health-related goals. In patient work transitions, patients experience changes in, for example, health, task demands, work capacity, roles and responsibilities, knowledge and skills, routines, needs and technologies. Medication transitions are a particularly vulnerable type of patient work transitions. We describe two cases of medication transitions-new medications and medication deprescribing-in which the patient work lens reveals many accompanying changes, vulnerabilities, and opportunities for human factors and ergonomics.

摘要

我们从患者工效学(“患者工作的科学”)的角度提出了一种看待转变的新观点,即患者和其他非专业人员为实现与健康相关的目标而付出努力。在患者工作的转变中,患者会经历例如健康状况、任务需求、工作能力、角色和责任、知识和技能、常规、需求和技术的变化。药物转换是一种特别脆弱的患者工作转变类型。我们描述了两种药物转换情况——新药物和药物减量——在这两种情况下,患者工作视角揭示了许多伴随的变化、脆弱性和人为因素与工效学的机会。

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Patient Work and Their Contexts: Scoping Review.患者工作及其背景:范围综述
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Appl Ergon. 2020 Sep;87:103107. doi: 10.1016/j.apergo.2020.103107. Epub 2020 Apr 15.
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What influences the selection of contextual cues when starting a new routine behaviour? An exploratory study.当开始新的常规行为时,哪些因素会影响情境线索的选择?一项探索性研究。
BMC Psychol. 2020 Mar 30;8(1):29. doi: 10.1186/s40359-020-0394-9.
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SEIPS 3.0: Human-centered design of the patient journey for patient safety.SEIPS 3.0:以患者安全为中心的患者就医流程的人因工程设计。
Appl Ergon. 2020 Apr;84:103033. doi: 10.1016/j.apergo.2019.103033. Epub 2020 Jan 10.
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