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人类因素与输液泵综述:采购经验教训

A review of human factors and infusion pumps: lessons for procurement.

作者信息

Herrero Laura, Cano Marina, Ratwani Raj, Sánchez Laura, Sánchez Blanca, Sancibrián Ramón, Peralta Galo

机构信息

Innovation Support Unit, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain.

MedStar Health National Center for Human Factors in Healthcare, Georgetown University School of Medicine, Washington, DC, United States.

出版信息

Front Digit Health. 2025 Feb 4;7:1425409. doi: 10.3389/fdgth.2025.1425409. eCollection 2025.

Abstract

Integrating advanced technologies like medical devices in healthcare is crucial for addressing critical challenges, but patient safety must remain the top priority. In modern clinical settings, medical devices, such as infusion devices used to administer fluids and drugs, carry risks from use errors, requiring a focus on usability and human factors engineering (HFE). Despite the significance of integrating HFE into technology selection processes, it is often overlooked. A review of five key articles demonstrates how applying HFE principles in procurement strategies can enhance device usability and patient safety. Although designed to reduce medication errors, infusion devices can still cause over-infusion or delays, indicating the need for improved safety features that must be considered in the context of sociotechnical systems. The reviewed studies suggest incorporating HFE in design, purchasing, and implementation to address these issues. The studies highlight various HFE methodologies, showing a wide variation in design, deployment, interpretation, and reporting. This comprehensive examination underscores the importance of standardised evaluations to ensure safer and more effective medical devices, emphasizing the essential role of HFE in advancing patient safety within healthcare settings.

摘要

将医疗设备等先进技术整合到医疗保健中对于应对关键挑战至关重要,但患者安全必须始终是首要任务。在现代临床环境中,诸如用于输注液体和药物的输液设备等医疗设备存在因使用错误而带来的风险,这就需要关注可用性和人因工程学(HFE)。尽管将人因工程学纳入技术选择过程很重要,但它常常被忽视。对五篇关键文章的综述表明,在采购策略中应用人因工程学原理如何能够提高设备可用性和患者安全。尽管输液设备旨在减少用药错误,但仍可能导致输液过量或延误,这表明需要改进安全功能,而这些功能必须在社会技术系统的背景下加以考虑。经审查的研究建议在设计、采购和实施过程中纳入人因工程学以解决这些问题。这些研究突出了各种人因工程学方法,显示出在设计、部署、解释和报告方面存在很大差异。这种全面审查强调了标准化评估对于确保医疗设备更安全、更有效的重要性,强调了人因工程学在提高医疗保健环境中患者安全方面的重要作用。

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本文引用的文献

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