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Applying human factors methods to explore ‘Work as Imagined’ and ‘Work as Done’ in the Emergency Department’s response to chemical, biological, radiological, and nuclear events

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conference contribution
posted on 20.08.2018, 14:10 by Saydia Razak, Sue HignettSue Hignett, Jo BarnesJo Barnes, Graham HancoxGraham Hancox
The Emergency Department (ED) is a complex, hectic, and high-pressured environment. Chemical, Biological, Radiological, and Nuclear (CBRN) events are multi-faceted emergencies and present numerous challenges to ED staff (first receivers) with large scale trauma, consequently requiring a combination of complex responses. Human Factors and Ergonomics (HF/E) methods such as Hierarchical Task Analysis (HTA) have been used in healthcare research. However, HF/E methods and theory have not been combined to understand how the ED responds to CBRN events. This study aimed to compare Work as Imagined (WAI) and Work as Done (WAD) in the ED CBRN response in a UK based hospital. WAI was established by carrying out document analyses on a CBRN plan and WAD by exploring first receivers response to CBRN scenario cards. The responses were converted to HTAs and compared. The WAI HTAs showed 4-8 phases of general organizational responsibilities during a CBRN event. WAD HTAs placed emphasis on diagnosing and treating presenting conditions. A comparison of WAI and WAD HTAs highlighted common actions and tasks. This study has identified three key differences between WAI and WAD in the ED CBRN response: 1) documentation of the CBRN event 2) treating the patient and 3) diagnosing the presenting complaint. Findings from this study provide an evidence base which can be used to inform future clinical policy and practice in providing safe and high quality care during CBRN events in the ED.

History

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Published in

20th Triennial Conference of the International Ergonomics Association

Citation

RAZAK, S. ... et al., 2019. Applying human factors methods to explore ‘Work as Imagined’ and ‘Work as Done’ in the Emergency Department’s response to chemical, biological, radiological, and nuclear events. IN: Bagnara S. et al., (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Volume I: Healthcare Ergonomics. Chaim: Springer, pp. 102-110.

Publisher

© Springer Nature Switzerland AG

Version

AM (Accepted Manuscript)

Publisher statement

This is a pre-copyedited version of a contribution published in Bagnara, S. ... et al. (eds.) 20th International Ergonomics Association (IEA2018): Volume I: Healthcare Ergonomics published by Springer. The definitive authenticated version is available online via https://doi.org/10.1007/978-3-319-96098-2_15

Acceptance date

02/04/2018

Publication date

2019

ISBN

978-3-319-96098-2

Book series

Advances in Intelligent Systems and Computing; 818

Language

en

Location

Florence, Italy

Event dates

August 26-30