Error analysis leading technology development

The aim of the research was to provide a valid theoretical frame consisting of both task and error analyses methods to analyse elder patients’ clinical pathway within a healthcare system. The research study consisted of (a) utilizing a task analysis method to identify the process workflow affiliated with elder patients transitioning through different continuums of care to receive medical treatment; (b) utilizing an error analysis method to identify opportunities for improvement in the workflow that enhances both patient safety and healthcare worker efficiency and; (c) developing an ideal process workflow that incorporates the recommendations for improvement. The study findings contribute towards a larger research effort being proposed consisting of the development and implementation of a shared web-based patient community information system enabling hospitals and nursing homes to share patient information resulting in increased knowledge of a patient's medical history, decreased errors and enhanced patient safety.

[1]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[2]  M. Leavitt.  Medscape's response to the Institute of Medicine Report: Crossing the quality chasm: a new health system for the 21st century. , 2001, MedGenMed : Medscape general medicine.

[3]  T. Ganiats.  Human Error in Medicine , 1995 .

[4]  Elwyn Edwards.  1 – Introductory Overview , 1988 .

[5]  James T. Reason,et al.  Managing the risks of organizational accidents , 1997 .

[6]  Günter Spur,et al.  Introductory Overview , 1995, Information Management in Computer Integrated Manufacturing.

[7]  Margie Mueller Boyer.  Root Cause Analysis in Perinatal Care: Health Care Professionals Creating Safer Health Care Systems , 2001, The Journal of perinatal & neonatal nursing.

[8]  Balbir S. Dhillon,et al.  Methods for performing human reliability and error analysis in health care , 2003 .

[9]  J. Cowan.  Risk management and the NSF for older people , 2003 .

[10]  P. Maurette,et al.  [To err is human: building a safer health system]. , 2002, Annales francaises d'anesthesie et de reanimation.

[11]  Daniel P. Lorence,et al.  Adoption of information quality management practices in US healthcare organizations: A national assessment , 2002 .

[12]  J. Shaoul.  Human Error , 1973, Nature.

[13]  Gregory N. Stock,et al.  Implementation of patient safety initiatives in US hospitals , 2006 .

[14]  J. Firth‐Cozens,et al.  Attitudes to and experiences of reporting poor care , 2003 .

[15]  John Øvretveit,et al.  System negligence is at the root of medical error , 2000 .

[16]  Marilyn Sue Bogner,et al.  Human Error in Medicine , 1995 .

[17]  P. Davies,et al.  Prevent medication errors on admission , 2003 .

[18]  J. S. Collofello,et al.  A task-based approach to improving the software maintenance process , 1992, Proceedings Conference on Software Maintenance 1992.

[19]  M R Endsley,et al.  Level of automation effects on performance, situation awareness and workload in a dynamic control task. , 1999, Ergonomics.