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Title: 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
Authors: Razak, Saydia
Hignett, Sue
Barnes, Jo
Hancox, Graham
Keywords: Human factors and ergonomics
CBRN events
Emergency Department
Issue Date: 2019
Publisher: © Springer Nature Switzerland AG
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). Advances in Intelligent Systems and Computing (818), pp. 102-110.
Series/Report no.: Advances in Intelligent Systems and Computing; 818
Abstract: 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.
Description: This paper is in closed access until 8 August 2019. Presented at the 20th International Ergonomics Association (IEA2018), Florence, Italy, Aug 26-30th.
Version: Accepted for publication
DOI: 10.1007/978-3-319-96098-2_15
URI: https://dspace.lboro.ac.uk/2134/34610
Publisher Link: https://doi.org/10.1007/978-3-319-96098-2_15
ISBN: 978-3-319-96098-2
Appears in Collections:Closed Access (Design School)

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