Usability study of two common defibrillators reveals hazards.

Rollin J Fairbanks; Stanley H Caplan; Paul A Bishop; Aaron M Marks; Manish N Shah

Study

Usability study of two common defibrillators reveals hazards.

January 2, 2008

Fairbanks RJ, Caplan SH, Bishop PA, et al. Ann Emerg Med. 2007;50(4):424-432.

View more articles from the same authors.

This study used simulated resuscitation scenarios and found that a confusing user interface limited paramedics' ability to properly use two common defibrillator models. A related editorial discusses the challenge of uniting patient safety principles and usability.

PubMed citation

Available at

Related editorial

Related Resources From the Same Author(s)

Emergency department discharge prescription interventions by emergency medicine pharmacists.

June 20, 2012

No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.

October 1, 2008

Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.

July 16, 2008

Critical events during land-based interfacility transport.

February 12, 2014

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

When safety event reporting is seen as punitive: "I've been PSN-ed!"

September 9, 2020

Tolerance of uncertainty and the practice of emergency medicine.

July 15, 2020

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

Tort claims and adverse events in emergency medical services.

May 7, 2008

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?

February 8, 2017

Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.

April 21, 2021

Ambulance stretcher adverse events.

June 17, 2009

Emergency department communication links and patterns.

January 30, 2008

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

August 11, 2010

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison.

March 8, 2017

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

Resilience and resilience engineering in health care.

July 30, 2014

Medical error and human factors engineering: where are we now?

January 25, 2006

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Debriefing in the emergency department after clinical events: a practical guide.

December 17, 2014

Reducing errors through discharge medication reconciliation by pharmacy services.

August 26, 2015

Cognitive Systems Engineering in Health Care.

February 11, 2015

A culture of safety in EMS systems.

October 20, 2021

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

July 13, 2005

Medical and nursing staff highly value clinical pharmacists in the emergency department.

December 19, 2007

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

Variation in emergency medical services workplace safety culture.

November 10, 2010

The science of human factors: separating fact from fiction.

May 22, 2013

Omissions of care in nursing homes: a uniform definition for research and quality improvement.

November 18, 2020

A usability and safety analysis of electronic health records: a multi-center study.

September 19, 2018

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

Making the business case for quality and safety.

March 23, 2022

Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.

January 18, 2023

Abdominal pain in the emergency department: missed diagnoses.

November 24, 2021

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.

October 23, 2013

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.

February 17, 2021

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.

February 9, 2022

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation.

July 20, 2022

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Patient safety: some progress and many challenges.

November 7, 2012

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.

September 30, 2020

Preliminary study of patient safety and quality use cases for ICD-11 MMS.

September 15, 2021

The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.

August 26, 2020

Close calls in patient safety: should we be paying closer attention?

May 15, 2013

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

January 23, 2008

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

An observational study of postoperative handoff standardization failures.

June 23, 2021

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.

September 1, 2010

Patient safety: through the eyes of your peers.

July 5, 2006

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.

January 2, 2008

"That was a close call": endorsing a broad definition of near misses in health care.

October 2, 2013

A narrative review of strategies to increase patient safety event reporting by residents.

September 30, 2020

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.

November 19, 2008

Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?

February 12, 2014

Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies.

December 9, 2020

Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.

May 25, 2022

Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis.

January 25, 2017

Tamper-resistant drugs cannot solve the opioid crisis.

January 18, 2017

Patient Safety in Pediatric Emergency Medicine.

January 3, 2007

Safety-II and the study of healthcare safety routines: two paths forward for research.

July 13, 2022

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.

April 20, 2022

Periodic resuscitation cart checks and nurse situational awareness: an observational study.

March 30, 2022

Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime.

April 27, 2022

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.

December 16, 2020

The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.

October 7, 2020

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

March 14, 2007

Toward higher-performance health systems: adults' health care experiences in seven countries, 2007.

November 14, 2007

Successful remediation of patient safety incidents: a tale of two medication errors.

March 2, 2011

Anatomic pathology databases and patient safety.

October 19, 2005

Management of the difficult airway: a closed claims analysis.

July 13, 2005

Diagnostic delays in infectious diseases.

September 28, 2022

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 2023

Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes.

October 29, 2014

The diagnostic moment: a study in US primary care.

December 9, 2020

Patient safety in women's health care: a framework for progress.

April 18, 2007

The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.

January 26, 2022

A multisite study of interprofessional teamwork and collaboration on general medical services.

November 25, 2020

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

February 15, 2006

Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations.

October 27, 2021

Sleepy nurses: are we willing to accept the challenge today?

June 20, 2007

Cognitive biases encountered by physicians in the emergency room.

November 9, 2022

Related Resources

Evaluation of detected medication errors within the operating room at an academic medical center.

June 21, 2023

More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA.

May 3, 2023

Medical line entanglement: the unspoken patient safety hazard of medical devices.

May 3, 2023

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.

January 25, 2023

Intravenous smart pumps at the point of care: a descriptive, observational study.

October 12, 2022

Rethinking use of air-safety principles to reduce fatal hospital errors.

September 7, 2022

Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?

July 27, 2022

Health information technology-related wrong-patient errors: context is critical.

January 27, 2021

Racial bias in pulse oximetry measurement.

December 20, 2020

Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study.

September 25, 2019

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

Patient safety incidents caused by poor quality surgical instruments.

September 4, 2019

Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability.

May 29, 2019

FDA to end program that hid millions of reports on faulty medical devices.

May 29, 2019

Governing the safety of artificial intelligence in healthcare.

May 8, 2019

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?

April 24, 2019

The computerized ECG: friend and foe.

April 10, 2019

Unintended patient safety risks due to wireless smart infusion pump library update delays.

March 13, 2019

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

Artificial intelligence, bias and clinical safety.

January 23, 2019

Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals.

December 12, 2018

Insulin pumps have most reported problems in FDA database.

December 5, 2018

Reducing treatment errors through point-of-care glucometer configuration.

October 31, 2018

The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database.

July 18, 2018

Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety.

July 11, 2018

Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.

June 20, 2018

Principles of automation for patient safety in intensive care: learning from aviation.

June 6, 2018

Improving infusion pump safety through usability testing.

May 31, 2017

Determining current insulin pen use practices and errors in the inpatient setting.

November 30, 2016

Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability.

July 20, 2016

See More About The Topic

Usability study of two common defibrillators reveals hazards.

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Usability study of two common defibrillators reveals hazards.

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site