The application of SHERPA (Systematic Human Error Reduction and Prediction Approach) in the development of compensatory cognitive rehabilitation strategies for stroke patients with left and right brain damage

Approximately 33% of stroke patients have difficulty performing activities of daily living, often committing errors during the planning and execution of such activities. The objective of this study was to evaluate the ability of the human error identification (HEI) technique SHERPA (Systematic Human Error Reduction and Prediction Approach) to predict errors during the performance of daily activities in stroke patients with left and right hemisphere lesions. Using SHERPA we successfully predicted 36 of the 38 observed errors, with analysis indicating that the proportion of predicted and observed errors was similar for all sub-tasks and severity levels. HEI results were used to develop compensatory cognitive strategies that clinicians could employ to reduce or prevent errors from occurring. This study provides evidence for the reliability and validity of SHERPA in the design of cognitive rehabilitation strategies in stroke populations. Practitioner Summary: This study evaluated SHERPA (Systematic Human Error Reduction and Prediction Approach) as a means for predicting errors during the performance of daily activities in left and right brain-damaged patients. Results demonstrate that SHERPA is a useful technique that can be employed in the design of cognitive rehabilitation strategies.

[1]  Y. Stern,et al.  Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities. , 1994, Journal of neurology, neurosurgery, and psychiatry.

[2]  B Kirwan,et al.  Human error identification in human reliability assessment. Part 1: Overview of approaches. , 1992, Applied ergonomics.

[3]  G. Ekuklu,et al.  Cognitive Evaluation and Functional Outcome After Stroke , 2001, American journal of physical medicine & rehabilitation.

[4]  Guido Gainotti,et al.  Comprehension of symbolic gestures in aphasia , 1976, Brain and Language.

[5]  Michael W. Montgomery,et al.  Analysis of a disorder of everyday action , 1995 .

[6]  Anna-Lisa Osvalder,et al.  Predictive use error analysis – Development of AEA, SHERPA and PHEA to better predict, identify and present use errors , 2014 .

[7]  N. Stanton,et al.  Applying hierarchical task analysis to medication administration errors. , 2006, Applied ergonomics.

[8]  Joost Dekker,et al.  Efficacy of strategy training in left hemisphere stroke patients with apraxia: A randomised clinical trial , 2001 .

[9]  Tomaso Vecchi,et al.  Aging and everyday memory: the beneficial effect of memory training. , 2003, Archives of gerontology and geriatrics.

[10]  A. D. Swain,et al.  Handbook of human-reliability analysis with emphasis on nuclear power plant applications. Final report , 1983 .

[11]  Mark S. Young,et al.  Guide to Methodology in Ergonomics: Designing for Human Use , 1999 .

[12]  Tom Manly,et al.  Rehabilitation of executive dysfunction following brain injury: “Content-free” cueing improves everyday prospective memory performance , 2007, Neuropsychologia.

[13]  A. Spira,et al.  Behavioral interventions for agitation in older adults with dementia: an evaluative review , 2006, International Psychogeriatrics.

[14]  Hans Spinnler,et al.  Perceptual and associative disorders of visual recognition , 1969, Neurology.

[15]  L. Buxbaum,et al.  Naturalistic action impairments in dementia , 2002, Neuropsychologia.

[16]  Barry Kirwan,et al.  Development and application of a human error identification tool for air traffic control. , 2002, Applied ergonomics.

[17]  K M Heilman,et al.  Ecological implications of ideomotor apraxia , 2003, Neurology.

[18]  Mark S. Young,et al.  Predicting design induced pilot error using HET (human error template) – A new formal human error identification method for flight decks , 2006, The Aeronautical Journal (1968).

[19]  Prospective Cognitive Assessment of Stroke Patients before Inpatient Rehabilitation: The Relationship of the Neurobehavioral Cognitive Status Examination to Functional Improvement , 1989, American journal of physical medicine & rehabilitation.

[20]  G. Humphreys,et al.  Disordered action schema and action disorganisation syndrome , 1998 .

[21]  Glyn W Humphreys,et al.  AGNOSIA WITHOUT PROSOPAGNOSIA OR ALEXIA: EVIDENCE FOR STORED VISUAL MEMORIES SPECIFIC TO OBJECTS. , 1998, Cognitive neuropsychology.

[22]  S. Stevenage,et al.  Learning to predict human error: issues of acceptability, reliability and validity. , 1998, Ergonomics.

[23]  A. Luria.  Higher Cortical Functions in Man , 1980, Springer US.

[24]  Janice Redish,et al.  Task analysis , 2002 .

[25]  L. Buxbaum,et al.  Ideational apraxia and naturalistic action. , 1998, Cognitive neuropsychology.

[26]  Karalyn Patterson,et al.  Apraxia, mechanical problem solving and semantic knowledge: contributions to object usage in corticobasal degeneration. , 2002, Journal of neurology.

[27]  C Baber,et al.  Human error identification techniques applied to public technology: predictions compared with observed use. , 1996, Applied ergonomics.

[28]  The planning and execution of everyday actions. , 2001 .

[29]  L. Jongbloed.  Prediction of function after stroke: a critical review. , 1986, Stroke.

[30]  Moritz Tenorth,et al.  Action Sequencing and Error Production in Stroke Patients with Apraxia - Behavioral Modeling using Bayesian Logic Networks , 2013, HEALTHINF.

[31]  K. Poeck,et al.  Ideatory Apraxia in a Left-Handed Patient with Right-Sided Brain Lesion , 1980, Cortex.

[32]  G. Humphreys,et al.  The case of the unfamiliar implement: Schema-based over-riding of semantic knowledge from objects in everyday action , 2007, Journal of the International Neuropsychological Society.

[33]  L. Spazzafumo,et al.  The effects of a rehabilitation program with mnemotechniques on the institutionalized elderly subject. , 1992, Archives of gerontology and geriatrics.

[34]  S Powell,et al.  Effects of choosing academic assignments on a student with attention deficit hyperactivity disorder. , 1997, Journal of applied behavior analysis.

[35]  J. S. Ketchum.  More on ;the 11th myth' about FDA. , 1978, The Western journal of medicine.

[36]  G. Goldenberg,et al.  Tool use and mechanical problem solving in apraxia , 1998, Neuropsychologia.

[37]  Mark S. Young,et al.  Using SHERPA to predict design-induced error on the flight deck , 2005 .

[38]  N. Varney,et al.  Linguistic correlates of pantomime recognition in aphasic patients. , 1978, Journal of neurology, neurosurgery, and psychiatry.

[39]  Gary Herrin,et al.  A guide to practical human reliability assessment , 1996 .

[40]  Re-training gait components for walking in the context of abulia , 1997 .

[41]  J. Evans,et al.  External cueing systems in the rehabilitation of executive impairments of action , 1998, Journal of the International Neuropsychological Society.

[42]  Glyn W. Humphreys,et al.  The organization of sequential actions , 2000 .

[43]  K. Poeck.  Ideational apraxia , 2004, Journal of Neurology.

[44]  D. E. Embrey,et al.  SHERPA: A systematic human error reduction and prediction approach , 2013 .

[45]  K. Furie,et al.  Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. , 2007, Circulation.

[46]  T Shallice,et al.  A Form of Ideational Apraxia as a Delective Deficit of Contention Scheduling , 2001, Cognitive neuropsychology.

[47]  Myrna F. Schwartz,et al.  The Naturalistic Action Test: A standardised assessment for everyday action impairment , 2002 .

[48]  Michael W. Montgomery,et al.  The quantitative description of action disorganisation after brain damage: a case study , 1991 .

[49]  W. H. Burke,et al.  Improving executive function disorders in brain-injured clients. , 1991, Brain injury.

[50]  J.C. Williams,et al.  A data-based method for assessing and reducing human error to improve operational performance , 1988, Conference Record for 1988 IEEE Fourth Conference on Human Factors and Power Plants,.

[51]  Neville A. Stanton,et al.  Human factors: step change improvements in effectiveness and safety , 2000 .

[52]  Chris Taylor,et al.  A Case Study of On-Screen Prototypes and Usability Evaluation of Electronic Timers and Food Menu Systems , 2001, Int. J. Hum. Comput. Interact..

[53]  Nick Alderman,et al.  Improvement of self-monitoring skills, reduction of behaviour disturbance and the dysexecutive syndrome: Comparison of response cost and a new programme of self-monitoring training , 1995 .

[54]  L. Buxbaum,et al.  The Coffee Challenge: A new method for the study of everyday action errors , 2007, Journal of clinical and experimental neuropsychology.

[55]  J. Hermsdörfer,et al.  It takes the whole brain to make a cup of coffee: the neuropsychology of naturalistic actions involving technical devices , 2005, Neuropsychologia.

[56]  E. Renzi,et al.  Ideational apraxia: A quantitative study , 1968 .

[57]  Clive G. Ballard,et al.  Association Between Mild Vascular Cognitive Impairment and Impaired Activities of Daily Living in Older Stroke Survivors Without Dementia , 2005, Journal of the American Geriatrics Society.

[58]  G. Goldenberg,et al.  Assessment and therapy of complex activities of daily living in apraxia , 2001 .

[59]  M. W. Montgomery,et al.  The Quantitative Description of Action Disorganisation after Brain Damage: A Case Study , 1991 .

[60]  Myrna F Schwartz,et al.  The cognitive neuropsychology of everyday action and planning , 2006, Cognitive neuropsychology.

[61]  A. D. Swain.  Accident Sequence Evaluation Program: Human reliability analysis procedure , 1987 .

[62]  J Duncan,et al.  Rehabilitation of executive functioning: An experimental–clinical validation of Goal Management Training , 2000, Journal of the International Neuropsychological Society.

[63]  Exploring Evidence-Based Practice by Occupational Therapists when Working with People with Apraxia , 2008 .

[64]  P. Beatty,et al.  Human factors in anaesthetic practice: insights from a task analysis. , 2008, British journal of anaesthesia.

[65]  Laurel J Buxbaum,et al.  Naturalistic action production following right hemisphere stroke , 1998, Neuropsychologia.

[66]  Laurel J. Buxbaum,et al.  Deficient internal models for planning hand–object interactions in apraxia , 2005, Neuropsychologia.

[67]  D. Harrington,et al.  Motor sequencing with left hemisphere damage. Are some cognitive deficits specific to limb apraxia? , 1992, Brain : a journal of neurology.

[68]  M. Brandstater.  An Overview of Stroke Rehabilitation , 1990, Stroke.

[69]  Harold Goodglass,et al.  Inference of object use from pantomimed actions by aphasics and patients with right hemisphere lesions , 1995, Synthese.

[70]  G. Humphreys,et al.  Comparing action disorganization syndrome and dual-task load on normal performance in everyday action tasks , 2009, Neurocase.

[71]  B. Wilson,et al.  A practical framework for understanding compensatory behaviour in people with organic memory impairment. , 1996, Memory.

[72]  Ruth Dundas,et al.  Estimates of the Prevalence of Acute Stroke Impairments and Disability in a Multiethnic Population , 2001, Stroke.

[73]  B Kirwan,et al.  Human error identification in human reliability assessment. Part 2: Detailed comparison of techniques. , 1992, Applied ergonomics.

[74]  Michael W. Montgomery,et al.  Naturalistic action impairment in closed head injury. , 1998, Neuropsychology.

[75]  Annette Aboulafia,et al.  Proactive Error Analysis of Ultrasound-Guided Axillary Brachial Plexus Block Performance , 2011, Regional Anesthesia & Pain Medicine.

[76]  H B TIMMERMAN,et al.  What is task analysis? , 1951, Bulletin of the Medical Library Association.

[77]  Mark Hallett,et al.  Treatment of limb apraxia: moving forward to improved action. , 2008, American journal of physical medicine & rehabilitation.

[78]  Glyn W. Humphreys,et al.  The use of memorised verbal scripts in the rehabilitation of action disorganisation syndrome , 2006, Neuropsychological rehabilitation.

[79]  Glyn W Humphreys,et al.  Dissociations in Routine Behaviour across Patients and Everyday Tasks , 2002, Neurocase.

[80]  S Giaquinto,et al.  On the prognosis of outcome after stroke , 1999, Acta neurologica Scandinavica.