BME 2023

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16:00
0 mins

GoodUseT, A safety II methodology to share experiences around use of medical technology among healthcare professionals
Herke Jan Noordmans, Wendela de Lange, Kim de Groot, Bas de Vries, Jaap Trappenburg, Jan-Bernhard Broekhuis, Lisette Schoonhoven

Session: Poster Session 1 (Even numbers)
Session starts: Thursday 26 January, 16:00
Presentation starts: 16:00

Herke Jan Noordmans (UMC Utrecht)
Wendela de Lange (UMC Utrecht)
Kim de Groot (UMC Utrecht)
Bas de Vries (UMC Utrecht)
Jaap Trappenburg (UMC Utrecht)
Jan-Bernhard Broekhuis (UMC Utrecht)
Lisette Schoonhoven (UMC Utrecht)

Abstract:
When utilizing medical devices, mistakes can be made that may lead to an injury to the patient. For about 15 years, hospitals have set up incident and calamity processes to structurally track this information and try to conceive measures to reduce the chance of recurrence or extent of a possible injury. This has worked well for years, but now hospitals are beginning to realize that the low-hanging fruit has been harvested. Even more measures lead to additional registration burden or reduced efficiency, and improving the care process in one place often makes the care process at another place more cumbersome or even riskier. Hence, (high-risk) organizations worldwide are looking at what they can learn from practices that normally go well. This Safety II approach looks at variations in daily work and makes them discussable. Perhaps good practices in one department can also be useful for another department, although they often have to be adapted for that specific situation. In this study, we applied the Safety II approach to nursing care in the pulmonary and pediatric ICU departments at the UMC Utrecht. We compared work in practice (Work as Done) with what was described in protocols and work instructions (Work as Imagined) through observations and interviews. This was done for the process around the feeding pump, antibiotics administration via infusion and ventilation. User variations regularly emerged in which one user handled things differently (under certain circumstances) than another. Identifying and discussing these variations was felt to be very valuable, especially since this discussion was almost never held. At the end of 2022, we want to further analyse and report the results. We also want to test self-developed WhatsApp software to let users of a particular healthcare technology exchange experiences with each other across the boundaries of a department.