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首页> 外文会议>IFAC Symposium on Analysis, Design, and Evaluation of Human-Machine Systems >Healthcare Delivery System Security: the orchestration of automated and organizational solutions
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Healthcare Delivery System Security: the orchestration of automated and organizational solutions

机译：医疗保健交付系统安全：自动化和组织解决方案的编排

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Many studies from around the world enhance awareness of medication errors in hospitals. A French national study on Adverse Events (AE) revealed that 60 000 to 130 000 AE per year appear to be consequences of medication errors, and 15 000 to 60 000 AE are preventable. Furthermore, hospital spending represents 37% of the French healthcare costs. Enhancing medication system quality and efficiency by reducing medication errors and costs are then considered as important public health issues. Medication management is a complex socio-technical system involving multiple people and numerous steps. Automated dispensing systems have been reported to be key components of strategies to prevent medication errors and create a better workflow. Few hospital pharmacies are implementing automated nominative dispensing robot that increase secure treatment preparation as well as dispensing safety and performance. Automated storage systems and medication delivery devices also reduce hidden costs related to pharmaceutical products stock control and remove professional agent time from non-value-added tasks for a more efficient redeployment tasks. Nevertheless, our results from auditing hospital pharmacies that are investing in automated systems revealed risks and hidden costs related to reception station, dispensing and care unit orders that should be settled by computerization and organizational actions. Our study shows that hospital pharmacy organizations require the implementation of specific actions settling software interface problems and enhancing coordination skills among health care actors in order to secure medication delivery system and prevent from hidden costs related to organizational factors. Then, automation does not seem a self-sustaining option to handle pharmacy's activity dysfunctions. Many other parameters intervene. This paper presents a pharmacy's automation project. It takes example at a French Hospital Center in Lens in the north of France (CHL). We present a human centered automation approach that includes an identification of tasks eligible for automation and tasks that need to be supervised, controlled or operated by a human agent.
机译：来自世界各地的许多研究都提高了医院药物错误的认识。法国国家对不良事件（AE）的研究表明，每年60 000至130 000 AE似乎是药物误差的后果，并且预防了15 000至60 000 AE。此外，医院支出代表法国医疗费用的37％。通过降低药物错误和成本，将药物系统质量和效率提高，然后被视为重要的公共卫生问题。药物管理是一个复杂的社会技术系统，涉及多人和许多步骤。据报道，自动分配系统是防止药物错误并创造更好的工作流程的策略的关键组成部分。很少有医院药店正在实施自动提名的分配机器人，这些机器人增加安全的处理制剂以及分配安全性和性能。自动化存储系统和药物递送设备还会减少与药品产品股票控制相关的隐藏成本，并从非增值任务中删除专业代理时间，以获得更有效的重新部署任务。尽管如此，我们的结果来自投资自动化系统的审计医院药店，揭示了与接待站，分配和护理单位订单相关的风险和隐藏成本，应通过计算机化和组织行动定居。我们的研究表明，医院药房组织要求实施具体行动解决软件界面问题，并加强医疗保健行为者之间的协调技能，以确保药物交付系统，并防止与组织因素相关的隐藏成本。然后，自动化似乎并不是一种自我维持的选择来处理药房的活动功能障碍。许多其他参数干预。本文介绍了药房的自动化项目。它在法国北部（CHL）的法国医院中心瞄准了一个例子。我们展示了一种以人为本的自动化方法，包括符合人类经纪人需要监督，控制或运营的自动化和任务资格的任务的识别。

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