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基于模拟的医疗保健设施设计测试危险评估和补救工具
Marlena Smith-Millman1, Lorraine Daniels2, Katie Gallagher2
1Immerisve Design Systems, Boston Children's Hospital, MA, USA.
HERD
|August 7, 2023
概括
一个新的工具,危险评估和补救工具 (HART),可靠地识别医疗保健模拟中的建筑环境危险. 这种结构化的观察方法有助于通过客观的危险测量优化设施安全.
科学领域:
- 医疗保健设施的设计
- 患者安全研究的研究.
- 人类因素工程 人类因素工程
背景情况:
- 基于模拟的测试对于优化医疗保健环境安全至关重要.
- 目前的方法依赖于主观解答或专家观察.
- 需要客观的工具来一致识别危险.
研究的目的:
- 开发一个客观的,结构化的观察工具,用于识别和测量建筑环境的危害.
- 将此工具应用于训练有素的评级人员对模拟的视听录制.
- 通过改进设施设计,提高医疗保健环境的安全性.
主要方法:
- 通过模拟视频审查和汇报,定义了六个危险类别 (例如,滑行风险,进入障碍,感染风险).
- 通过代编码来改进类别和开发操作定义.
- 使用结构化编码协议和特定的摄像头角度优化危险检测.
主要成果:
- 开发了危险评估和补救工具 (HART).
- 取得了强大的整体互评分可靠性 (Gwet的AC1:0.89对,0.85个体).
- 对于大多数危险类别 (>0.8) 证明了高可靠性,但有些例外需要进一步细化.
结论:
- 在模拟中,HART为量化建筑环境危险提供了一个可靠的框架.
- 该工具在对配对和单一训练有素的评级人员审查视频时显示出高可靠性.
- 未来的工作将评估HART能够为设施设计提供信息以及其可转移到其他环境的能力.
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