Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-26T07:45:16.110Z Has data issue: false hasContentIssue false

Chapter 3 - Using Human-Centered Design to Create a Safer Anesthesia Workspace

from Section 1 - Design and Simulation

Published online by Cambridge University Press:  27 July 2023

By
Eliot Grigg  and
Axel Roesler
Edited by
Sally E. Rampersad  and
Cindy B. Katz
Sally E. Rampersad
Affiliation:
University of Washington School of Medicine, Seattle
Cindy B. Katz
Affiliation:
Seattle Children’s Hospital, Washington
Get access

Summary

The design of the anesthesia workspace can have an enormous impact on errors, patient safety, and outcomes. Human-centered design (HCD) is a multidisciplinary field focused on how to design spaces and tools to maximize human performance. Bringing the lessons from HCD to the anesthesia workspace can improve patient safety and make clinicians more effective. Two medication safety projects at Seattle Children’s Hospital, new medication trays and a medication template, help to demonstrate how to deploy design principles in the operating room. Future improvements in patient safety in anesthesia will rely upon how providers interact with information systems, clinical tools, and one another, and the quality of these interactions is profoundly influenced by how these systems are designed.

Keywords

human factorspatient safetyinteraction designmedicationscognitive loaddesignsafetyquality
Type
Chapter
Information
Patient Safety and Quality Improvement in Anesthesiology and Perioperative Medicine , pp. 10 - 24
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Proctor, RW and Van Zandt, T. Human Factors in Simple and Complex Systems, 2nd ed., Boca Raton, Taylor & Francis Group, 2008.CrossRefGoogle Scholar
Salas, E, Jentsch, F, and Maurino, D, eds. Human Factors in Aviation, 2nd ed., Burlington, Academic Press, 2010.CrossRefGoogle Scholar
Kosslyn, SM. Aspects of a cognitive neuroscience of mental imagery. Science. 1988;240:1621–1626.CrossRefGoogle Scholar
Lidwell, W, Holden, K, and Butler, J. Universal Principles of Design. Beverly, Rockport, 2010.Google Scholar
Leveson, NG and Turner, CS. An investigation of the Therac-25 accidents. IEEE Computer. 1993;26:18–41.CrossRefGoogle Scholar
Norman, DA. The Design of Everyday Things: Revised and Expanded Edition. New York, Basic Books, 2013.Google Scholar
Guastello, SJ. Human Factors Engineering and Ergonomics: A Systems approach. 2nd ed., Boca Raton, Taylor & Francis, 2014.Google Scholar
Gibson, JJ. The Ecological Approach to Visual Perception. Hillsdalen, Lawrence Erlbaum Associates Inc., 1986.Google Scholar
Gallo, C. The Innovation Secrets of Steve Jobs: Insanely Different Principles for Breakthrough Success. New York, McGraw-Hill, 2011.Google Scholar
Norman, DA. Emotional Design: Why We Love (or Hate) Everyday Things. New York, Basic Books, 2004.Google Scholar
Reason, J. Human Error. Cambridge, Cambridge University Press, 1990.CrossRefGoogle Scholar
Paries, J, Wreathall, J, and Hollnagel, E, eds., Resilience Engineering in Practice: A Guidebook. Boca Raton, Taylor & Francis, 2011.Google Scholar
Tsuda, Y. Implications of foolproofing in the manufacturing process. Quality through Engineering Design. Kuo, W., ed., New York, Elsevier, 1993.Google Scholar
Degani, A, Wiener, EL. On the design of flight deck procedures. NASA Ames Research Center. NASA Contractor Report 177642, 1994.Google Scholar
Klein, G, Moon, B, and Hoffman, RF. Making sense of sensemaking I: Alternative perspectives. IEEE Intelligent Systems. 2006a;21:70–73.CrossRefGoogle Scholar
Klein, G, Moon, B, and Hoffman, RF. Making sense of sensemaking II: A macrocognitive model. IEEE Intelligent Systems. 2006b;21:88–92.CrossRefGoogle Scholar
Stonemetz, J and Ruskin, K, eds. Anesthesia Informatics. London, Springer-Veralong, 2008.Google Scholar
Drui, AB, Behm, RJ, and Martin, WE. Predesign investigation of the anesthesia operational environment. Anesthesia & Analgesia. 1973;52:584–591.CrossRefGoogle Scholar
Martin, LD, Grigg, E, and Verma, S, et al. Outcomes of a failure mode and effects analysis for medication errors in pediatric anesthesia. Pediatric Anesthesia. 2017;27:571–580.CrossRefGoogle Scholar
Miller, GA. The magical number seven, plus or minus two: Some limits on our capacity for processing information. Psychological Review. 1956;63:81–97.CrossRefGoogle Scholar
Treisman, A. Features and objects: The fourteenth Bartlett memorial lecture. The Quarterly Journal of Experimental Psychology. 1988;40A:201–237.CrossRefGoogle Scholar
Grigg, E, Martin, L, Ross, F, et al. Assessing the impact of the anesthesia medication template on medication errors during anesthesia: A prospective study. Anesthesia & Analgesia. 2017;124:1617–1625.CrossRefGoogle Scholar
Hutchins, E. Cognition in the Wild. Cambridge, MA, MIT Press, 1995.Google Scholar
Zhang, J and Norman, DA. Representations in distributed cognitive tasks. Cognitive Science. 1994;18:87–122.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×