Human or environmental factors (Pharmacy)
- Sydney Edlund
- Suzanne Wood
Description
Determination of which contributing factor(s) related to human or environmental factors are known.
Human or environmental factors may be internal to individual staff members (e.g., fatigue, health issues) or related to the physical environment (e.g., clutter, lighting).
On-Screen Instructions
Field Type
Responses
Alarm fatigue
Desensitization to alarms resulting from alarms sounding in the absence of healthcare problems, contributed to the event.
Includes
Alarm fatigue related to alarms on equipment, computers, barcode devices, telemetry monitors, call lights, etc.
Excludes
Health information technology (HIT) alerts and notifications such as those in the electronic health record or pharmacy systems (see "HIT" questions on Event Tab)
Clutter
Clutter in the environment contributed to the event.
Includes
Unnecessary or unorganized paper, supplies, documents, equipment in work spaces, or hallways
Excludes
Interruptions or distractions
Interruptions or distractions contributed to the event.
Includes
Interruptions during a prescription entry or while trying to complete a task (for example, cell phones, pages, side conversations)
Excludes
Alarm fatigue (select “Alarm fatigue”)
Lighting
Lighting conditions contributed to the event.
Includes
Poor or inadequate lighting
Lighting that creates glare
Excludes
Noise
Noise in the environment contributed to the event.
Includes
Ambient noise levels from construction, equipment, radios, televisions, etc.
Excludes
Alarm fatigue (select “Alarm fatigue”)
Side conversations (select “Interruptions or distractions”)
Provider or staff fatigue
Fatigue that influenced concentration, judgment, or focus, of pharmacist or staff involved in the event contributed to the event.
Includes
Excludes
Patient fatigue (select applicable “Patient factors”)
Alarm fatigue (select “Alarm fatigue”)
Provider or staff health issues
Health issues that influenced concentration, judgment, or focus of pharmacist or staff involved in the event contributed to the event.
Includes
Excludes
Patient health issues (select applicable “Patient factors”)
Provider or staff stress
Stress that influenced concentration, judgment, or focus of pharmacist or staff involved in the event which contributed to the event.
Includes
Excludes
Stress experienced by patients (select applicable “Patient factors”)
Work area design and specifications
Work area design and/or specifications contributed to the event.
Includes
Layout of work area; traffic patterns
Location of supplies and equipment
Size of doors, rooms or hallways
Obstructed visibility
Excludes
Device, equipment, or supply design or function (select applicable “Device, equipment, or supply factors”)
Other (please describe)
Any other factor related to human or environmental factors, not included in the list above, contributed to the event.
Guide for Use
History
Start Date | 2006 |
|---|---|
End Date | n/a |
Change History | 2013: PSRP implementation August 2013: Added “personnel” to fatigue, health issues, and stress. January 2016: Changed “personnel” to “provider or staff” for fatigue, health issues, and stress because it was frequently misread as “personal.” |
Field Name | cf_human_f |
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