The evaluation of an ambulance rear compartment using patient simulation: Issues of safety and efficiency during the delivery of patient care

被引：2

作者：

Hallihan, Greg ^{[1
]}

Caird, Jeff K. ^{[1
,2
,3
]}

Blanchard, Ian ^{[3
,4
]}

Wiley, Katelyn ^{[1
,2
]}

Martel, Jessica ^{[1
,2
]}

Wilkins, Matt ^{[1
,2
]}

Thorkelson, Brent ^{[4
]}

Plato, Mike ^{[4
]}

Lazarenko, Gerald ^{[4
]}

机构：

[1] Univ Calgary, Cumming Sch Med, W21C Res & Innovat Ctr, Calgary, AB, Canada

[2] Univ Calgary, Dept Psychol, Calgary, AB, Canada

[3] Univ Calgary, Cumming Sch Med, Community Hlth Sci, Calgary, AB, Canada

[4] Alberta Hlth Serv, Emergency Med Serv, Calgary, AB, Canada

来源：

APPLIED ERGONOMICS | 2019年 / 81卷

关键词：

Ambulance design; Provider and patient safety; Human factors evaluation; Patient simulation; Ambulance patient compartment; PARAMEDICS; DESIGN; ASSOCIATION; INJURIES;

D O I：

10.1016/j.apergo.2019.06.003

中图分类号：

T [工业技术];

学科分类号：

08 ;

摘要：

The purpose of this study was to evaluate the safety and efficiency of a specific ambulance while providers delivered basic and advanced life support. Forty-eight, Emergency Medical Service (EMS) teams were observed delivering care to a simulated patient during an anaphylaxis scenario in a moving ambulance that contained a complete compliment of medical supplies and equipment. A detailed coding system was developed and applied to the audio and video behavioural data. Patterns of interaction among EMS personnel, the patient, equipment and the ambulance interior during the patient simulation scenario were analyzed. The results revealed a number of issues associated with the patient compartment including: potentially unsafe seated and standing positions; hazardous barriers to movement around the patient; difficulties accessing equipment and supplies; and the adequacy of work surfaces and waste disposal. A number of design recommendations are made to guide provider and patient comfort, efficiency and safety.

引用

页数：11

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