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Title: Applying hierarchical task analysis to medication administration errors
Authors: Lane, R
Stanton, NA
Harrison, DJ
Keywords: Medication administration errors;HTA;SHERPA;Human error
Issue Date: 2006
Publisher: Elsevier
Citation: Applied Ergonomics, 37(5): 669-679
Abstract: Medication use in hospitals is a complex process and is dependent on the successful interaction of health professionals functioning within different disciplines. Errors can occur at any one of the five main stages of prescribing, documenting, dispensing or preparation, administering and monitoring. The responsibility for the error is often placed on the nurse, as she or he is the last person in the drug administration chain whilst more pressing underlying causal factors remain unresolved. This paper demonstrates how hierarchical task analysis can be used to model drug administration and then uses the systematic human error reduction and prediction approach to predict which errors are likely to occur. The paper also puts forward design solutions to mitigate these errors.
Appears in Collections:Design
Dept of Design Research Papers

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