Human factors

What Takes 4000 Mouse Clicks?



Answer:  A ten hour clinical shift in the Emergency Department.

Recently I ran across 4000 Clicks: a Productivity Analysis of Electronic Medical Records in a Community Hospital ED.  There are some fascinating stats in this paper about EMR use in the Emergency Department:

1.  44% of clinical time in this Emergency Department was spent on data entry into an EHR, nearly double the amount of time spent on patient contact.

2.  It takes 6 mouse clicks to order a 325-mg aspirin.

3.  It take 227 mouse clicks to complete an ED encounter for right upper quadrant abdominal pain.

Makes me wonder, how many mouse clicks did it take you to read this blog post?  Or pay your bills online?

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The Next Wave In Patient Safety? #resiliencemed

Resilience Engineering in HealthcareHealthcare is not a machine to be oiled. It is not something that can be shaved, and tweaked, and optimized to a point of lean flawlessness.

Rather, healthcare is a complex-adaptive system. As such, it’s models for safety and efficiency cannot (indeed must not) rely on the “retrospectoscope” of hindsight. And it certainly, must not name-blame-shame-and-train when handling error or inefficiency. Resilience Engineering may well be the cutting edge of patient safety science. Here’s how you can participate… More

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Good Design, Bad Design – 3 Must-Know Principles

Human Factors and Design - Did You Ever Pull on a Push Door?Have you ever pulled on a door when you should have pushed? How about hitting “Reply to All” when you meant to send it to only one person? Have you ever found yourself having to “think too much” when trying to complete a simple task?

Well, check out this video. It’s not your fault… More

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Good Design, Poor Design

Design in Everyday Healthcare - Opportunities for InnovationWe see them every day… Or do we? All around us, in every nook and cranny of healthcare, there are opportunities for improvement and opportunities for outright innovation.

It may not be a new device, gadget or widget, however. More likely, it will come in the form of a simple design element. And there’s no one better than you to bring it about. After all, you live it every day.

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To Better is Human™ – MedStar Health Forms 
National Center to Advance Patient Safety

National Center for Human Factors in Healthcare(Washington, DC) August 1, 2011 — MedStar Health has announced the formation of the “National Center for Human Factors in Healthcare,” a unique scientific research center that applies safety science methods to healthcare.

The mission of the Center is to improve patient safety in today’s complex world of medicine, identify and test ways to better protect patients from harm, and help create an ultra-safe care environment at MedStar Health and beyond. More

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  1. James Davis: awesome post. very informative. thanks.

Patient Safety and the BP Gulf Oil Spill Disaster?

BP Oil Spill and Patient SafetyTo Better Is Human™… That is the mantra with which Dr. Fairbanks leads MedStar Health’s human factors engineering efforts. Some may find despair in disaster. But a strong urge within all of us seeks the opportunity in it. Watch this intriguing video on what we can learn from the BP oil disaster.

In this 30 minute video series from MI2′s Innovations In… Patient Safety Forum, Dr. Terry Fairbanks explores the similarities in the culture of BP prior to the oil disaster of 2010 and the “House of Medicine”. More

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