Blood sampling: two sides to the story

This study aimed to investigate why there is variability in taking blood. A multi method Pilot study was completed in four National Health Service Scotland hospitals. Human Factors/Ergonomics principles were applied to analyse data from 50 observations, 15 interviews and 12-months of incident data f...

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Main Authors: Pickup, Laura, Atkinson, Sarah, Hollnagel, Erik, Bowie, Paul, Gray, Sandra, Rawlinson, Sam, Forrester, Kate
Format: Article
Published: Elsevier 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/36301/
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author Pickup, Laura
Atkinson, Sarah
Hollnagel, Erik
Bowie, Paul
Gray, Sandra
Rawlinson, Sam
Forrester, Kate
author_facet Pickup, Laura
Atkinson, Sarah
Hollnagel, Erik
Bowie, Paul
Gray, Sandra
Rawlinson, Sam
Forrester, Kate
author_sort Pickup, Laura
building Nottingham Research Data Repository
collection Online Access
description This study aimed to investigate why there is variability in taking blood. A multi method Pilot study was completed in four National Health Service Scotland hospitals. Human Factors/Ergonomics principles were applied to analyse data from 50 observations, 15 interviews and 12-months of incident data from all Scottish hospitals. The Functional Resonance Analysis Method (FRAM) was used to understand why variability may influence blood sampling functions. The analysis of the 61 pre blood transfusion sampling incidents highlighted limitations in the data collected to understand factors influencing performance. FRAM highlighted how variability in the sequence of blood sampling functions and the number of practitioners involved in a single blood sampling activity was influenced by the working environment, equipment, clinical context, work demands and staff resources. This pilot study proposes a realistic view of why blood sampling activities vary and proposes the need to consider the system’s resilience in future safety management strategies.
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publishDate 2017
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spelling nottingham-363012020-05-04T18:39:45Z https://eprints.nottingham.ac.uk/36301/ Blood sampling: two sides to the story Pickup, Laura Atkinson, Sarah Hollnagel, Erik Bowie, Paul Gray, Sandra Rawlinson, Sam Forrester, Kate This study aimed to investigate why there is variability in taking blood. A multi method Pilot study was completed in four National Health Service Scotland hospitals. Human Factors/Ergonomics principles were applied to analyse data from 50 observations, 15 interviews and 12-months of incident data from all Scottish hospitals. The Functional Resonance Analysis Method (FRAM) was used to understand why variability may influence blood sampling functions. The analysis of the 61 pre blood transfusion sampling incidents highlighted limitations in the data collected to understand factors influencing performance. FRAM highlighted how variability in the sequence of blood sampling functions and the number of practitioners involved in a single blood sampling activity was influenced by the working environment, equipment, clinical context, work demands and staff resources. This pilot study proposes a realistic view of why blood sampling activities vary and proposes the need to consider the system’s resilience in future safety management strategies. Elsevier 2017-03-31 Article PeerReviewed Pickup, Laura, Atkinson, Sarah, Hollnagel, Erik, Bowie, Paul, Gray, Sandra, Rawlinson, Sam and Forrester, Kate (2017) Blood sampling: two sides to the story. Applied Ergonomics, 59A . pp. 234-242. ISSN 1872-9126 Blood sampling Wrong Blood In Tube Resilience http://www.sciencedirect.com/science/article/pii/S0003687016301806 doi:10.1016/j.apergo.2016.08.027 doi:10.1016/j.apergo.2016.08.027
spellingShingle Blood sampling
Wrong Blood In Tube
Resilience
Pickup, Laura
Atkinson, Sarah
Hollnagel, Erik
Bowie, Paul
Gray, Sandra
Rawlinson, Sam
Forrester, Kate
Blood sampling: two sides to the story
title Blood sampling: two sides to the story
title_full Blood sampling: two sides to the story
title_fullStr Blood sampling: two sides to the story
title_full_unstemmed Blood sampling: two sides to the story
title_short Blood sampling: two sides to the story
title_sort blood sampling: two sides to the story
topic Blood sampling
Wrong Blood In Tube
Resilience
url https://eprints.nottingham.ac.uk/36301/
https://eprints.nottingham.ac.uk/36301/
https://eprints.nottingham.ac.uk/36301/