UNIVERSITY MALAYSIA SARAWAK FACULTY COGNITIVE SCIENCE AND HUMAN DEVELOPMENT KMK 2223 COGNITIVE ERGONOMIC INDIVIDUAL ASSIGNMENT (30%): Event Horizon Lecturer : Ms. Oon Yin Bee Name : Ong Hui Yean Matric no : 43669 Lab Session : Monday, 11.30am-12.30pm Date of Submission : 11 May 2015 Introduction Human factors is the study of human being and focus on understanding the advantages and limitations of the human body and minds. The goal of human factors are study the factors and development of tools which helps human in enhances performance, increase safety and increase user satisfaction. In the case study, I found out there are several human factors problems faced by in the hospital regarding the MRI room. They are …show more content…
Problem of staff. In this case study, I found out there had human errors on staff. Human error is “A failure of a planned action to achieve a desired outcome” (Human error, n. d.). From the beginning part of the statement, we knew that the untrained anesthesiologist had make a wrong decision to accept the oxygen tank for the intention of saving Michael’s life. The human error made by medical worker In the human error classification, Reason (1990) said “Greater understanding of the why of human error is provided by a popular approach based, in part, on the distinction between whether the inappropriate action was intended or not”. For example, the nurse who unintended brought the oxygen tank into the MRI room was considered as one of the human error in knowledge-based mistake, without the training of MRI equipment, she didn’t know that she could not bring the metal materials into the MRI …show more content…
Warning system and Safety labels. Warning system should be designed in the environment and equipment. When emergency occurs, warning system can be used to seek help from others and do alarm others medical worker that there had some changes and emergency situation for rescue. For example, emergency buttons with sound and light alarm. According to Wolgalter et al (1993), auditory alarms induces a greater level of compliance than do visual alarms. In the door entry, equipment, walls, floors should be labelled with safety label to alert other people to be aware of the existence dangerous in the MRI environment and equipment. 3. Design of MRI environment. Trust has a similar function in a human’s belief in the actions of an automated component (Muir, 1987). Automatically open and close sliding door should be design and implement as a part of important elements in the design of MRI environment so that medical officers can walk in and out easily through the automatically swing inward and outward door during the emergency period of time. On the other hand, the MRI environment can be set up by using access card for those only authority medical worker to control entry of MRI
With unnecessary care, they did not provided safety because not all patients were in a safe care. They did not provide effective or efficient care for the fact that they were not organized in how to evacuate all patients, how to handle a dangerous situation like this and nor did they have an effective procedure for everyone in the hospital. Doctors performed an illegal procedure in which caused Life-care patient to die due to fear. Although they tried to evacuate everyone in a timely matter they failed to complete it. That choice that Dr. Pou and her team made was a misunderstanding for many yet failed to achieve patient centered because patients were not consent to the fact that they were getting put to die.
Kalb explains in order to reduce risks, doctors must learn skills to safety procedure and teamwork techniques from the beginning of their education, having chance to interact with real life situations with team members by using their technical skills. At first, the title of the article Do No Harm: Medical Errors Kill Some 100,00 Americans every year. How we can reverse the trend is straightforward for the reader to effortlessly understand what the author is going to say. The way that medical treatments were somewhat supposed to be safe, has killed hundreds and thousands of Americans every year even
Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety. What defenses in the system failed in this case? Can you construct a Swiss cheese analysis of the system defenses and what occurred?
Although as far as human error is concerned, initially the clerk was not at the desk, and then assumed the nurse's name which resulted in delay in attending to Claudia's call and subsequent injury to her body. 2. How might Claudia’s fall have been avoided? • Her fall could have been avoided through several timely responses to her call such as: • Identification of the assigned nurse • Communication of message to the nurse could have avoided Claudia's fall. 3.
- Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
Paradise Hill Medical Center – Case analysis 1. Recognize the background: the key of this step is to understand the medical issues involved. The medical issue in the Paradise Hill Medical Center (PHMC) was that 22 oncology patients received excessive doses of radiation therapy. The patients have not been informed yet that they received and overdose of radiation. The CEO alleged that it was the responsibility of the medical staff to inform the affected patients, and the medical team decided not to inform them about the error.
This model is designed to use the need of identifying and correcting errors other than focusing on the punishments of the employee. A line within this culture states that staff are not fired due to a human error. The focus on better the person as a medical professional, since humans can just make mistakes. It was argued that she should have realized that the dose was too much for an infant. The argument back was that a firing a nurse who made a mistake isn’t really solving anything.
Every employee within Health and social care have a responsibility to be open and honest with in the workplace. Human error will arise within the workplace it is important to ensure that you disclose the error and apologise On behalf of you and the company. Duty of care and duty of candour are linked together to ensure that the individual and the network of people are supported in the best way possible ensuring that the approach is person centred for the individual who you are supporting. If something
There were specific situations that led to the cause of Julie Thao's actions of medication error and the death of Jasmine. The situation could have completely been avoided had Julie followed the code of ethics and avoided shorts to provide proper care for the patient. The state claimed that Thao's mistake was caused by actions, omissions and unapproved shortcuts, however, there were other factors that played a role in her carelessness as well. While failure to comply with procedure has been a factor in the medication administration error, other factors contributed as well. For example, failure to properly use the information system, or to ignore alerts or warnings have also resulted in preventable errors (Nelson, Evan, & Gardener, 2005).
" In that type of situation the staff wanted to eliminate more of the problem. If only the disaster plan had been calculated correctly, less lives would have been lost or should I say taken. I appreciate this story. As hard as it is to read and digest, I know malpractice knows no bounds.
• Specifications for the proper use of workstations and the access to the PHI. • Security and Access to the workstations. • Receipt and Control of all media that contains PHI in and out building and proper reuse and disposal of said media. Technical Safeguards: This would making sure you have safeguards build into your IT system so that it is secure and not easily to access patients PHI unless it is an authorized personnel.
For example, since Panic bars are introduced within the entryway, the entryway can stay bolted to everybody on the outside to counteract unapproved access to offices. Besides, Panic bars can likewise come outfitted with a caution framework, so constructing bosses have the capacity to identify any unapproved clearing. Nonetheless, to guarantee the best possible working of frenzy bars, its significant that they ought to just be introduced by a locksmith or a business
Health Care Law: Tort Case Study Carolann Stanek University of Mary Health Care Law: Tort Case Study A sample case study reviewed substandard care that was delivered to Ms. Gardner after having sustained an accident and brought to Bay Hospital for treatment. Dr. Dick, a second-year pediatric resident, was on that day in the ED and provided care for Ms. Gadner. Dr. Moon, is the chief of staff and oversees the credentialing of all physicians at Bay Hospital.
Pharmacy technicians work under the supervision of a pharmacist helping prepare and give out medications. It is very crucial for a pharmacy technician to be aware of their work at all times and check their work more than once. Pharmacy technicians need to ensure any medication they have prepared has been done properly, if not that could potentially harm the patients. Pharmacist trust their technicians will always follow system-based processes and provide an extra layer of safety. Working as a pharmacy technician it is important to communicate with the pharmacist and address any questions or concerns, not asking a simple question could cost the life of a patient.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to