東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

Implementation and assessment of a n...

Webster, Craig Stephen.

FindBook

Google Book

Amazon

博客來

Implementation and assessment of a new integrated drug administration system (IDAS) as an example of a safety intervention in a complex socio-technological workplace.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Implementation and assessment of a new integrated drug administration system (IDAS) as an example of a safety intervention in a complex socio-technological workplace./
作者:	Webster, Craig Stephen.
面頁冊數:	184 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1417.
Contained By:	Dissertation Abstracts International66-03B.
標題:	Health Sciences, Occupational Health and Safety. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3170202
ISBN:	9780542061578

Implementation and assessment of a new integrated drug administration system (IDAS) as an example of a safety intervention in a complex socio-technological workplace.
Webster, Craig Stephen.

Implementation and assessment of a new integrated drug administration system (IDAS) as an example of a safety intervention in a complex socio-technological workplace. - 184 p.

Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1417.

Thesis (Ph.D.)--The University of Auckland (New Zealand), 2005.

The rate of injury and death inadvertently caused by medical treatment is too high and exacts enormous human and financial costs. Each year in Britain and the United States alone, hundreds of thousands of patients are injured, ten of thousands are killed and billions of dollars are spent on additional health care due to iatrogenic harm. Health care organisations remain predominately human-centred in their approach to safety---that is, methods of avoiding error rely primarily on the resolve and vigilance of individual clinicians to avoid bad outcomes. However, this approach is becoming increasingly inadequate in the face of the steadily rising complexity of modern health care and the increasing number of procedures carried out each year. In other high-reliability organisations such as aviation and nuclear power generation, safety results not from the sheer effort of "operators", but from in-depth analysis of problems and the removal and redesign of dangerous aspects of systems---the so-called systems approach. Here I present an evaluation of the integrated drug administration system (IDAS) as an example of the systems approach, intended to reorganise the way in which anaesthetists give drugs to improve performance and facilitate safe practice. The problem of drug error in anaesthesia is an important subset of iatrogenic harm in medicine. From the prospective study of 10806 conventional anaesthetics I define the rate of drug error in anaesthesia as one error in every 133 anaesthetics conducted---a rate five times higher than anything previously reported. In addition, anaesthetists rated the risk of harming a patient through drug error in the course of their career as high. I discuss the principles of safe system design, the psychology of error, and advanced systems safety concepts with respect to the design of the IDAS and the future of safety in medicine. In clinical use, the IDAS saved time before and during anaesthesia, and was rated by anaesthetists as significantly safer and more useable than conventional methods of drug administration. This work supports the hypothesis that error in anaesthesia can be reduced through the systematic analysis of its causes and the implementation of appropriate countermeasure strategies.

ISBN: 9780542061578Subjects--Topical Terms:

1017799
Health Sciences, Occupational Health and Safety.

Implementation and assessment of a new integrated drug administration system (IDAS) as an example of a safety intervention in a complex socio-technological workplace.
LDR:03248nam 2200277 4500 001 1396643
005 20110610083729.5
008 130515s2005 ||||||||||||||||| ||eng d
020 $a 9780542061578
035 $a (UMI)AAI3170202
035 $a AAI3170202
040 $a UMI $c UMI
100 1 $a Webster, Craig Stephen. $3 1675431
245 1 0 $a Implementation and assessment of a new integrated drug administration system (IDAS) as an example of a safety intervention in a complex socio-technological workplace.
300 $a 184 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1417.
500 $a Adviser: Alan Merry.
502 $a Thesis (Ph.D.)--The University of Auckland (New Zealand), 2005.
520 $a The rate of injury and death inadvertently caused by medical treatment is too high and exacts enormous human and financial costs. Each year in Britain and the United States alone, hundreds of thousands of patients are injured, ten of thousands are killed and billions of dollars are spent on additional health care due to iatrogenic harm. Health care organisations remain predominately human-centred in their approach to safety---that is, methods of avoiding error rely primarily on the resolve and vigilance of individual clinicians to avoid bad outcomes. However, this approach is becoming increasingly inadequate in the face of the steadily rising complexity of modern health care and the increasing number of procedures carried out each year. In other high-reliability organisations such as aviation and nuclear power generation, safety results not from the sheer effort of "operators", but from in-depth analysis of problems and the removal and redesign of dangerous aspects of systems---the so-called systems approach. Here I present an evaluation of the integrated drug administration system (IDAS) as an example of the systems approach, intended to reorganise the way in which anaesthetists give drugs to improve performance and facilitate safe practice. The problem of drug error in anaesthesia is an important subset of iatrogenic harm in medicine. From the prospective study of 10806 conventional anaesthetics I define the rate of drug error in anaesthesia as one error in every 133 anaesthetics conducted---a rate five times higher than anything previously reported. In addition, anaesthetists rated the risk of harming a patient through drug error in the course of their career as high. I discuss the principles of safe system design, the psychology of error, and advanced systems safety concepts with respect to the design of the IDAS and the future of safety in medicine. In clinical use, the IDAS saved time before and during anaesthesia, and was rated by anaesthetists as significantly safer and more useable than conventional methods of drug administration. This work supports the hypothesis that error in anaesthesia can be reduced through the systematic analysis of its causes and the implementation of appropriate countermeasure strategies.
590 $a School code: 0273.
650 4 $a Health Sciences, Occupational Health and Safety. $3 1017799
650 4 $a Health Sciences, Pharmacology. $3 1017717
690 $a 0354
690 $a 0419
710 2 $a The University of Auckland (New Zealand). $3 1266541
773 0 $t Dissertation Abstracts International $g 66-03B.
790 1 0 $a Merry, Alan, $e advisor
790 $a 0273
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3170202