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PSNet: Patient Safety Network
Journal Article

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.

Chen D-W, Chase VJ, Burkhardt ME, et al. Joint Commission journal on quality and patient safety. 2016;42:473-477.

Poor design can contribute to human errors and workarounds that introduce opportunities for mistakes. This commentary describes an initiative that applied human factors engineering methods to enlist nurses in redesigning medication trays. The project resulted in improved label visibility and medication administration efficiency. The authors highlight how frontline staff engagement contributed to the project's success and acceptance of the new equipment.