Abstract:
The primary aim of this review was to identify, analyse and codify the prominence and nature of human factors and ergonomics within difficult airway management algorithms. A directed search across OVID Medline and PubMed databases was performed. All articles were screened for relevance to the research aims and according to predetermined exclusion criteria. We identified 26 published airway management algorithms. A coding framework was iteratively developed identifying human factors and ergonomic specific words and phrases based on the Systems Engineering Initiative for Patient Safety model. This framework was applied to the papers to delineate qualitative and quantitative results. Our results show that human factors are well represented within recent airway management guidelines. Human factors associated with work systems and processes featured more prominently than user and patient outcome measurement and adaption. Human factors are an evolving area in airway management and our results highlight that further considerations are necessary in further guideline development.
摘要:
这次审查的主要目的是确定,在困难的气道管理算法中分析和编纂人为因素和人体工程学的重要性和性质。对OVIDMedline和PubMed数据库进行了定向搜索。根据预定的排除标准,对所有文章进行筛选,以确定与研究目标的相关性。我们确定了26种已发表的气道管理算法。基于患者安全系统工程计划模型,迭代开发了一种编码框架,以识别人为因素和人体工程学特定的单词和短语。将此框架应用于论文,以描述定性和定量结果。我们的结果表明,人为因素在最近的气道管理指南中得到了很好的体现。与工作系统和流程相关的人为因素比用户和患者的结果测量和适应更为突出。人为因素是气道管理中不断发展的领域,我们的结果强调,在进一步制定指南时需要进一步考虑。