Hierarchical task analysis as a systems mapping tool in complex health care environments: Emergency department response to chemical, biological, radiological, and nuclear events

IF 2.2 3区工程技术 Q3 ENGINEERING, MANUFACTURING

Human Factors and Ergonomics in Manufacturing & Service Industries Pub Date : 2023-10-17 DOI:10.1002/hfm.21016

Saydia Razak, Sue Hignett, Jo Barnes, Graham Hancox

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Abstract

The emergency department (ED) is at the forefront of the chemical, biological, radiological, and nuclear (CBRN) response. This study adopted a multilevel systems approach using the human factors/ergonomics (HFE) method of hierarchical task analysis (HTA) with document analyses of CBRN plans to represent work-as-Imagined. Work-as-imagined was compared with data from semistructured interviews using prompt cards for CBRN scenarios (n = 57) representing work-as-done. The aim was to provide methodological evidence for the use of HTA with an empirical synthesis of the ED in response to CBRN events. HTA was the preferred systems mapping tool because it aligns with a systems thinking approach, allows multiple-level comparisons, highlights variability, and has an established usability track record. This study demonstrates the usability of HTA in the context of the ED responding to a CBRN event. The findings for core CBRN concepts included (1) liaise and communicate, (2) isolate and contain, and (3) personal protective equipment.

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将层次任务分析作为复杂医疗环境中的系统映射工具：急诊科对化学、生物、放射和核事件的响应

急诊科（ED）处于化学、生物、放射和核（CBRN）响应的最前沿。本研究采用了一种多层次系统方法，使用分层任务分析（HTA）的人为因素/工效学（HFE）方法，对 CBRN 计划进行文件分析，以体现 "设想中的工作"。将 "设想中的工作 "与使用 CBRN 情景提示卡（n = 57）的半结构式访谈数据（代表 "已完成的工作"）进行了比较。目的是为使用 HTA 提供方法论证据，并对 ED 应对 CBRN 事件的情况进行经验总结。HTA 是首选的系统映射工具，因为它符合系统思维方法，可以进行多层次比较，突出可变性，并具有成熟的可用性记录。本研究展示了 HTA 在急诊室应对 CBRN 事件时的可用性。对 CBRN 核心概念的研究结果包括：（1）联络和沟通；（2）隔离和控制；（3）个人防护设备。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Human Factors and Ergonomics in Manufacturing & Service Industries 管理科学-工程：制造

CiteScore

5.20

自引率

8.30%

发文量

审稿时长

6.0 months

期刊介绍： The purpose of Human Factors and Ergonomics in Manufacturing & Service Industries is to facilitate discovery, integration, and application of scientific knowledge about human aspects of manufacturing, and to provide a forum for worldwide dissemination of such knowledge for its application and benefit to manufacturing industries. The journal covers a broad spectrum of ergonomics and human factors issues with a focus on the design, operation and management of contemporary manufacturing systems, both in the shop floor and office environments, in the quest for manufacturing agility, i.e. enhancement and integration of human skills with hardware performance for improved market competitiveness, management of change, product and process quality, and human-system reliability. The inter- and cross-disciplinary nature of the journal allows for a wide scope of issues relevant to manufacturing system design and engineering, human resource management, social, organizational, safety, and health issues. Examples of specific subject areas of interest include: implementation of advanced manufacturing technology, human aspects of computer-aided design and engineering, work design, compensation and appraisal, selection training and education, labor-management relations, agile manufacturing and virtual companies, human factors in total quality management, prevention of work-related musculoskeletal disorders, ergonomics of workplace, equipment and tool design, ergonomics programs, guides and standards for industry, automation safety and robot systems, human skills development and knowledge enhancing technologies, reliability, and safety and worker health issues.