
Using "no problem found" in infusion pump programming as a springboard for learning about human factors engineering
Draper S, Nielsen GA, Noland M. Using "no problem found" in infusion pump programming as a springboard for learning about human factors engineering. Joint Commission Journal of Quality and Safety. 2004;30(9):515-520.
Device design frequently contributes to errors previously blamed on the users, as reflected in this account of how a hospital new to human factors engineering addressed a case in which no malfunction was evident.
This article is one of 11 articles from the Journal's 2004 Human Factors Engineering (HFE) series, edited by John Gosbee, MD. All the articles, along with an HFE overview by Laura Lin Gosbee, MA.Sc., are available in a new publication, Using Human Factors Engineering to Improve Patient Safety.
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