Causes of use errors in ventilation devices - Systematic review.
Mechanical ventilators
Patient safety
User centered design
Journal
Applied ergonomics
ISSN: 1872-9126
Titre abrégé: Appl Ergon
Pays: England
ID NLM: 0261412
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
14
08
2020
revised:
15
07
2021
accepted:
25
07
2021
pubmed:
31
8
2021
medline:
12
11
2021
entrez:
30
8
2021
Statut:
ppublish
Résumé
A systematic review according to the PRISMA reporting standard was performed to identify causes of use errors in mechanical ventilators described in the literature. The PubMed search resulted in the inclusion of 16 papers. The errors described were systematically analyzed with regard to their causes and categorized in an adapted cause-and-effect diagram. The causes of use errors were related to specific usability issues and to the general condition that medical staff often work with different ventilators. When many devices are used, the different user interfaces are a source of use errors, since, for example, the same ventilation modes have different names. In order to avoid the identified causes for use errors in the future, this work offers manufacturers of ventilation devices design recommendations and the possibility to include the results in their risk management. In addition, standardizing user interface content across all ventilators, as in ISO 19223, can help reduce use errors.
Identifiants
pubmed: 34461508
pii: S0003-6870(21)00191-5
doi: 10.1016/j.apergo.2021.103544
pii:
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
103544Informations de copyright
Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.