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2021 | OriginalPaper | Buchkapitel

8. Use-Error

verfasst von : Russell J. Branaghan, Joseph S. O’Brian, Emily A. Hildebrand, L. Bryant Foster

Erschienen in: Humanizing Healthcare – Human Factors for Medical Device Design

Verlag: Springer International Publishing

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Abstract

We all make errors, but some medical device designs make errors much more likely than others. Frustratingly, even when an error is made when using a poorly designed device, the user often takes the blame. Accident investigations often assign the blame on user error, a term that is not only overused, but that is just plain wrong. Often, the design poorly matches the capabilities and limitations of the users it was designed for in the first place, making errors more likely. The user is part of a human-device system. Errors result from the interaction of the device and that user, so the proper and honest term is use-error not user error. This chapter discusses the most common types of use-error and how to reduce their likelihood during medical device design.

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Literatur
Zurück zum Zitat Association for the Advancement of Medical Instrumentation. (2009). ANSI/AAMI HE75-2009: Human factors engineering—Design of medical devices. Arlington, VA: Association for the Advancement of Medical Instrumentation. Association for the Advancement of Medical Instrumentation. (2009). ANSI/AAMI HE75-2009: Human factors engineering—Design of medical devices. Arlington, VA: Association for the Advancement of Medical Instrumentation.
Zurück zum Zitat Association for the Advancement of Medical Instrumentation. (2018). ANSI/AAMI HE75:2009/(R)2018 human factors engineering—Design of medical devices. Fairfax, VA: Association for the Advancement of Medical Instrumentation. Association for the Advancement of Medical Instrumentation. (2018). ANSI/AAMI HE75:2009/(R)2018 human factors engineering—Design of medical devices. Fairfax, VA: Association for the Advancement of Medical Instrumentation.
Zurück zum Zitat Barg-Walkow, L. H., Walsh, D. R., & Rogers, W. A. (2012, September). Understanding use errors for medical devices: Analysis of the MAUDE database. In Proceedings of the human factors and ergonomics society annual meeting (Vol. 56, No. 1, pp. 872–876). Sage, CA/Los Angeles, CA: SAGE Publications.. Barg-Walkow, L. H., Walsh, D. R., & Rogers, W. A. (2012, September). Understanding use errors for medical devices: Analysis of the MAUDE database. In Proceedings of the human factors and ergonomics society annual meeting (Vol. 56, No. 1, pp. 872–876). Sage, CA/Los Angeles, CA: SAGE Publications..
Zurück zum Zitat Branaghan, R. J., Hildebrand, E. A., & Foster, L. B. (2020). Designing for medical device safety. In A. Sethumadhavan & F. Sasangohar (Eds.), Design for health (pp. 3–29). Cambridge, MA: Academic Press.CrossRef Branaghan, R. J., Hildebrand, E. A., & Foster, L. B. (2020). Designing for medical device safety. In A. Sethumadhavan & F. Sasangohar (Eds.), Design for health (pp. 3–29). Cambridge, MA: Academic Press.CrossRef
Zurück zum Zitat Fischhoff, B. (1975). Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1(3), 288. Fischhoff, B. (1975). Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1(3), 288.
Zurück zum Zitat International Electrotechnical Commission. (2004). IEC 60601 Part 1–6. Medical electrical equipment: General requirements for safety—Collateral standard: Usability. International Electrotechnical Commission. (2004). IEC 60601 Part 1–6. Medical electrical equipment: General requirements for safety—Collateral standard: Usability.
Zurück zum Zitat Israelski, E. W., & Muto, W. H. (2004). Human factors risk management as a way to improve medical device safety: A case study of the therac 25 radiation therapy system. The Joint Commission Journal on Quality and Safety, 30(12), 689–695.CrossRef Israelski, E. W., & Muto, W. H. (2004). Human factors risk management as a way to improve medical device safety: A case study of the therac 25 radiation therapy system. The Joint Commission Journal on Quality and Safety, 30(12), 689–695.CrossRef
Zurück zum Zitat Leape, L. L. (2004). Human factors meets health care: The ultimate challenge. Ergonomics in Design, 12(3), 6–12.CrossRef Leape, L. L. (2004). Human factors meets health care: The ultimate challenge. Ergonomics in Design, 12(3), 6–12.CrossRef
Zurück zum Zitat Norman, D. (2013). The design of everyday things. New York: Basic Books. Norman, D. (2013). The design of everyday things. New York: Basic Books.
Zurück zum Zitat Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768–770.CrossRef Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768–770.CrossRef
Zurück zum Zitat U.S. Food and Drug Administration. (2002). General principles of software validation: Final guidance for industry and FDA staff. Washington, DC: U.S. Department of Health and Human Services Food and Drug Administration, Center for Devices and Radiological Health, Office of Device Evaluation. U.S. Food and Drug Administration. (2002). General principles of software validation: Final guidance for industry and FDA staff. Washington, DC: U.S. Department of Health and Human Services Food and Drug Administration, Center for Devices and Radiological Health, Office of Device Evaluation.
Zurück zum Zitat Wachter, R. M. (2012). Understanding patient safety (2nd ed.). New York: McGraw-Hill Medical. Wachter, R. M. (2012). Understanding patient safety (2nd ed.). New York: McGraw-Hill Medical.
Metadaten
Titel
Use-Error
verfasst von
Russell J. Branaghan
Joseph S. O’Brian
Emily A. Hildebrand
L. Bryant Foster
Copyright-Jahr
2021
DOI
https://doi.org/10.1007/978-3-030-64433-8_8

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