Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation

Grundgeiger, Tobias; Sanderson, Penelope; Orihuela, Cristina Beltran; Thompson, Anne Loomis; MacDougall, Hamish G.; Nunnink, Leo; Venkatesh, Balasubramanian

doi:10.1080/00140139.2013.765604

Cited by 35 publications

(32 citation statements)

References 26 publications

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“…These findings support the idea that visual cues help people perform habitual prospective memory tasks (Grundgeiger et al, 2013) such as a restocking task. They also support work by Rousek and Hallbeck (2011) and others on drawer and cart design.…”

Section: Discussionsupporting

confidence: 82%

Evaluating the Redesign of an ICU Bedside Emergency Equipment Drawer

Harris

Ford

Grundgeiger

et al. 2013

Proceedings of the Human Factors and Ergonomics Society Annual

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Patient safety can be improved by redesigning how medication and bedside equipment is stored in the intensive care unit (ICU). Grundgeiger (2011) noted that an ICU emergency bedside drawer often was not fully stocked. He used human factors principles to design an illustrated and divided drawer that significantly improved drawer restocking compliance and is still in use in the ICU. In two studies we set out to clarify exactly why Grundgeiger's redesign succeeded. In Experiment 1 we tested the redesigned vs. old drawer design using stationery contents and psychology student participants. In Experiment 2 we used the tests developed in Experiment 1 to compare ICU nurses' performance with the redesigned vs. old drawer design. Both experiments indicate that the divided and illustrated drawer leads to faster restocking times and overwhelmingly positive user acceptance.

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Section: Discussionsupporting

confidence: 82%

Evaluating the Redesign of an ICU Bedside Emergency Equipment Drawer

Harris

Ford

Grundgeiger

et al. 2013

Proceedings of the Human Factors and Ergonomics Society Annual

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“… 22 Signs may also put less pressure on those who find safety partnerships inconsistent with their perception of the patient’s role. In addition to their alignment with the preferences of a significant number of participants, the signage and visual prompts included in a range of health, safety, and infection control initiatives 56 , 57 can simultaneously inform patients, family members, staff, and the administrators who are critical to the success of large-scale safety initiatives. 39 , 58 Signs can be prepared in multiple languages, use an array of interactive strategies, allow patients to review safety recommendations, and facilitate the positioning of reminders at key points along the health service pathway.…”

Section: Discussionmentioning

confidence: 99%

Modeling the hospital safety partnership preferences of patients and their families: a discrete choice conjoint experiment

Cunningham¹,

Hutchings²,

Henderson³

et al. 2016

PPA

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BackgroundPatients and their families play an important role in efforts to improve health service safety.ObjectiveThe objective of this study is to understand the safety partnership preferences of patients and their families.MethodWe used a discrete choice conjoint experiment to model the safety partnership preferences of 1,084 patients or those such as parents acting on their behalf. Participants made choices between hypothetical safety partnerships composed by experimentally varying 15 four-level partnership design attributes.ResultsParticipants preferred an approach to safety based on partnerships between patients and staff rather than a model delegating responsibility for safety to hospital staff. They valued the opportunity to participate in point of service safety partnerships, such as identity and medication double checks, that might afford an immediate risk reduction. Latent class analysis yielded two segments. Actively engaged participants (73.3%) comprised outpatients with higher education, who anticipated more benefits to safety partnerships, were more confident in their ability to contribute, and were more intent on participating. They were more likely to prefer a personal engagement strategy, valued scientific evidence, preferred a more active approach to safety education, and advocated disclosure of errors. The passively engaged segment (26.7%) anticipated fewer benefits, were less confident in their ability to contribute, and were less intent on participating. They were more likely to prefer an engagement strategy based on signage. They preferred that staff explain why they thought patients should help make care safer and decide whether errors were disclosed. Inpatients, those with immigrant backgrounds, and those with less education were more likely to be in this segment.ConclusionHealth services need to communicate information regarding risks, ask about partnership preferences, create opportunities respecting individual differences, and ensure a positive response when patients raise safety concerns.

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“…1,4,5,87,91,92 Of course, certain interruptions do not benefit the work system and could be targeted in interruption-reduction interventions, but interruptions that are important should be preserved. 4,5 Two possible ways to do this are to (a) implement system-based changes to develop nurses' resilience to interruptions such as with visual timers and visual cues, 39,71 and (b) train nurses on interruption management strategies to alleviate the disruptiveness of interruptions. 34,92 Though, recent research suggests that multitasking may not be an effective interruption management strategy.…”

Section: Discussionmentioning

confidence: 99%

“…Primary tasks with no cues present on resumption are disrupted more by interruptions than primary tasks with cues present on resumption. [71][72][73] Some of the content from Phase 3 is covered in the introduction section of Manuscript 1, and some of the content will also be covered in a separate manuscript that is currently in preparation. The manuscript in preparation will focus on the theoretical and methodological aspects of this thesis discussed here (particularly the mapping of the two domains across both studies), and a discussion of the similarities and differences between the two studies, which is covered in the Project Summary section of this thesis.…”

Section: Environmental Cuesmentioning

confidence: 99%

“…In both studies, each combination of interruption and primary task possessed at least three of the following properties: (a) interruption long in duration; 21,43,56,58,59 (b) interruption delivered at the mid-point of the primary task; 2,54-57 (c) interruption similar to the primary task; [65][66][67] (d) interruption complex or difficult; 56,68 (e) interruption requiring a change of context; 21 (f) no delay between the interruption alert and interruption task; [60][61][62][63] (g) high-workload primary task at time of interruption; 36,69,70 and (h) no visual cues present on resumption of the primary task following an interruption. [71][72][73] Researchers have explored the impact of interruptions that contain these disruptive properties on outcomes such as errors, accuracy, recall, and ProM performance. Findings from both studies further support theories that interruptions with these properties negatively affect participants' performance, by showing that participants who received a higher number of interruptions that were designed to be as disruptive as possible (based on previous research) committed more errors than participants who received a lower number of these interruptions.…”

Section: Aim 2 Design a Laboratory-based Simulation Study To Act As mentioning

confidence: 99%

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Interruptions and errors in healthcare: seeking a causal connection

Santomauro¹

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The purpose of this program of research was to seek robust evidence of a causal relationship between workplace interruptions and medical errors in healthcare. Interruptions are a cause for concern in healthcare because of their association with increased workload and performance decrements. However, interruptions can be crucial to effective work coordination through means of information transfer, relationship development, and improved organizational Publications during candidature Peer-reviewed papers

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Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation

Cited by 35 publications

References 26 publications

Evaluating the Redesign of an ICU Bedside Emergency Equipment Drawer

Evaluating the Redesign of an ICU Bedside Emergency Equipment Drawer

Modeling the hospital safety partnership preferences of patients and their families: a discrete choice conjoint experiment

Interruptions and errors in healthcare: seeking a causal connection

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