4.5 Article

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station

Journal

BMJ QUALITY & SAFETY
Volume 21, Issue 11, Pages 939-947

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjqs-2011-000289

Keywords

-

Funding

  1. National Library of Medicine [T15LM009462]

Ask authors/readers for more resources

Objective: To decrease interruptions around a centrally-located, centralised, open paediatric medication station. Methods: Several established human factors methodologies were used to study paediatric medication administration, including cases with 'walk through' and verbal protocols; semi-structured interviews, including critical incident analysis; hierarchical task analysis; and observation. Results: Inexpensive barriers were constructed that protected the tasks likely to lead to errors if interrupted. Meanwhile, sight lines were maintained preserving a family-friendly sense of accessibility of nurses, staff situation awareness and collegiality. Interruptions were significantly reduced and staff attitudes towards the station were significantly improved. Discussion: Targeted barriers may prove useful in other interruptive and chaotic hospital workspaces. They do not require costly training, can be achieved inexpensively and may reduce distractions and interruptions during tasks vulnerable to error. Additionally, the human factors methodologies employed can be applied to other safety improvement projects.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available