The evaluation of an ambulance rear compartment using patient simulation: Issues of safety and efficiency during the delivery of patient care
| Autor: | Ian E. Blanchard, Brent Thorkelson, Mike Plato, G. Lazarenko, Matthew S. Wilkins, Katelyn Wiley, Jessica Martel, Jeff K. Caird, Greg Hallihan |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Emergency Medical Services Computer science Ambulances Physical Therapy Sports Therapy and Rehabilitation Human Factors and Ergonomics Efficiency Organizational Patient care Simulated patient Workflow medicine Humans Safety Risk Reliability and Quality Patient simulation Engineering (miscellaneous) Quality of Health Care Service (business) Human factors and ergonomics medicine.disease Advanced life support Patient Simulation Work (electrical) Environment Design Female Medical emergency Safety Delivery of Health Care Waste disposal |
| Zdroj: | Applied ergonomics. 81 |
| ISSN: | 1872-9126 |
| Popis: | The purpose of this study was to evaluate the safety and efficiency of a specific ambulance while providers delivered basic and advanced life support. Forty-eight, Emergency Medical Service (EMS) teams were observed delivering care to a simulated patient during an anaphylaxis scenario in a moving ambulance that contained a complete compliment of medical supplies and equipment. A detailed coding system was developed and applied to the audio and video behavioural data. Patterns of interaction among EMS personnel, the patient, equipment and the ambulance interior during the patient simulation scenario were analyzed. The results revealed a number of issues associated with the patient compartment including: potentially unsafe seated and standing positions; hazardous barriers to movement around the patient; difficulties accessing equipment and supplies; and the adequacy of work surfaces and waste disposal. A number of design recommendations are made to guide provider and patient comfort, efficiency and safety. |
| Databáze: | OpenAIRE |
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