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MISH MASH: Human Factors Issues In Medicine: Recent Articles in the Journal of HFES.

Saturday, August 19, 2006

Human Factors Issues In Medicine: Recent Articles in the Journal of HFES.

The Journal of HFES issued a supplement to August 2006 issue on Human Factors in Medicine.
Here are some of the highlights from the published articles:

- Minimally invasive surgery (MIS) relies heavily on imaging devices . Despite its benefits, several challenges exists because of reduced field of view and degraded depth perception. The results of DeLucia and colleagues suggest ways that surgeons can navigate better during MIS.
- Filik et al. found that using tall man letters to emphasize differences in similar names resulted in increased attention to high-risk drug names.
- A literature review by Drews and Westenskow shows that graphical displays can improve patient safety, though few are in use today. They suggest ways to improve such displays for use by anethesiologists.
- Drews and colleagues found that when anesthesiologists were able to view a display that visualized drug concentrations in a simulated patient, they could more precisely and safely monitor anesthesia, thus emphasizing accuracy by providing feedback.
- Signs of acute cardiac ischemia can be tricky to recognise, even for seasoned physicians. Computer-based decision support tools that help predict serious events are not widely used for reasons that are not well understood. Lai et al. developed a Web-based tutorial that physicians said increased their level of understanding of one such tool.
- Using a qualitative user-center design approach, Escoto et al. found that physicians and clinical assistants differ on some of the issues that medical error reporting systems might capture. Implementing such reporting systems might lead to better patient care if these systems are designed with the users' professional cultures and other factors in mind.
- Training health care workers to draw blood for testing has traditionally been done on a low-tech, simulated arm, which performed better in a comparison by Scerbo and colleagues versus performance using a high-tech virtual reality simulator. Analysis suggests that the design of new medical VR technologies must adhere to human factors principles if they are to facilitate training and improve patient safety.

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