Micro- and macroergonomic changes in mental workload and medication safety following the implementation of new health IT

Health information technology (IT) is a promising way to achieve safer medication management in the delivery of healthcare. However, human factors/ergonomics dictates that in order to make the complex, cognitive work of healthcare delivery safer, health IT must properly support human cognition. This means, for example, that new health IT must reduce, not increase, workload during safety-critical tasks. The present study was the first to quantitatively assess the short- and long-term impact of bar coded medication administration (BCMA) IT on nurses' mental workload as well as on perceived medication safety. One-hundred seventy registered nurses across 3 dissimilar clinical units at an academic, freestanding pediatric hospital in the Midwest US participated in surveys administered before, 3 months after, and 12 months after the hospital implemented BCMA. Nurses rated their external mental workload (interruptions, divided attention, being rushed) and internal mental workload (concentration, mental effort) during medication administration tasks as well as the likelihood of each of three medication safety events: medication administration errors, medication errors on the clinical unit, and clinical unit-level adverse drug events. Clinical unit differences were assessed. Findings generally confirmed the hypothesis that external but not internal mental workload was associated with the perceived likelihood of a medication safety event. Comparisons of mental workload from pre- to post-BCMA revealed statistically significant changes in the critical care unit only. Medication safety appeared to improve over the long term in the hematology/oncology unit only. In the critical care and medical/surgical units, medication safety exhibited short-term improvements that were eliminated over time. Changes in mental workload and medication safety, two classically microergonomic constructs, were deeply embedded in macroergonomic phenomena. These included the fit between the BCMA system and the nature of nursing work, the process of BCMA implementation, and BCMA interactions with concurrent changes occurring in the hospital. Findings raise questions about achieving sustainable performance improvement with health IT as well as the balance between micro- and macroergonomic approaches to studying technology change.Relevance to industryDesigners must consider how technology changes cognitive work, including mental workload. Hospitals and other implementers of technology must ensure that new technology fits its users, their tasks, and the context of use, which may entail tailoring implementation, for example, to specific clinical units. Evaluators must look over time to assess both changes in cognitive work and implementation issues. Healthcare practitioners must also recognize that new technology means a complex transformation to an already complex sociotechnical system, which calls for a macroergonomic approach to design and analysis.     

1978年前我国高校工农阶层子女入学优惠政策研究

从高校招生的演变历史看，中国在1978年以前对工农阶层子女实行高校入学优惠政策主要源于国家对这一阶层的特殊偏好而实行平均主义分配政策所致。国家通过报考资格政策、优先录取政策和免试推荐入学政策人为地大幅度提高了工农阶层子女在高校大学生中所占的比例。从公平视角看，这项政策不仅违背了公平原则，而且降低了人才选拔的质量。     

条形码中距离动态识别技术研究

本文讨论了条形码中距离动态识别技术中扫描景深与扫描光束波长和条宽等要素之间的关系，提出了改善条形码读取距离的３种方法。为扩大条形码在工业过程控制、企业管理等领域的应用范围提供了理论依据。     

棒材穿水冷却过程温度场有限元分析

针对棒材穿水冷却过程,利用ANSYS有限元分析软件建立了棒材温度场预报模型,研究了棒材穿水冷却过程中的热边界条件,分析了棒材温度场的分布及其变化规律。该模型的计算结果与实测值吻合较好,能够准确地预测棒材穿水冷却后的温度分布和最终的组织。     

Wastewater reuse and exposure to Legionella organisms

Eight hundred and fifty-two (852) blood sera were drawn in 1980 and 1981 from populations residing in 30 agricultural settlements (having a total population of 16,240). These sera were tested for the presence of antibodies against 15 different antigens of Legionella species (L. pneumophila serogroups 1–8 and seven other Legionella, i.e. bozemanii, gormanii, micdadei, jordanis, dumoffii, longbeacheae and oakridgensis). The results indicate a significant (P < 0.02) excess in the percentage of sera positive for L. pneumophila (serogroups 1–8) among sewage and non-sewage irrigation and fish pond workers as compared to the control group (4.5% vs 1.5%). For the other Legionella species, there was no difference among the above groups. The isolation of L. pneumophila serogroup 4 and five organisms resembling Legionella spp from one oxidation pond used for irrigation strengthens the seroepidemiological findings.     

降低棒线导辊消耗的技术措施

分析了影响导辊使用寿命的因素，采取了相应的技术措施，有效地降低了导辊的消耗量。     

Neck pain prevalence and associated occupational factors in Portuguese office workers

ObjectiveThis study aimed to assess the prevalence of neck pain and to identify associated occupational factors in Portuguese office workers.BackgroundThere is still necessary to quantify the association of the use of new technologies with neck pain in office workers.MethodsSix hundred-and-one office workers completed online questionnaires with questions related to anthropometric parameters, work-related variables, workstation setup, and musculoskeletal pain from the Portuguese version of the Standardized Nordic Musculoskeletal Questionnaire.ResultsThe prevalence of neck pain was 56.1%. An average of 35.6% of the office workers with neck pain reported pain in more than three body segments. The significantly risk factors were “age between 50 and 65” [OR: 1.92 (1.26–2.91) P = 0.002], “working without break for 2 h” [OR: 1.82 (1.00–3.31) P = 0.05], “more than 3 h” [OR: 2.41 (1.35–4.10) P = 0.003], screen localization not centered” [OR: 2.01 (1.01–4.00) P = 0.045], and “use of computer mouse more than 50% of the worktime” [OR: 2.05 (1.14–3.71) P = 0.017].ConclusionThere was a high prevalence of neck pain and a considerable number of painful body segments in office workers. Age, working without break, screen localization and the use of computer mouse where the significant risk factors associated with the development of neck pain.Relevance to industryA high prevalence of neck pain and number of areas with pain in office workers require a detailed pain mechanism assessment. There were associated occupational risk factors for the development of neck pain. Call for concerted actions to explore optimal and efficient management plans.     

高支模施工安全管理问题与对策

高支模工程安全管理不仅需要很高的技术,而且安全管理本身也具有较大的随机性,这就导致相关人员在开展安全管理工作时具有一定的难度。面对这一问题,相关监理人员必须从施工方案的审批、应急预案的落实、质量安全作业的施工技术交底和施工过程中所需要的各种原材料进场前的检验等方面加强管理。     

二维条形码在机关公文管理中的应用

办公自动化系统的发展和应用,对于政府转变职能,提高办公效率起到了举足轻重的作用,但是在实际应用过程中也碰到了很多问题,其中之一就是对公文的管理。传统办公自动化系统的目标是实现办公全过程的＂无纸化＂,即把纸质文件转化为电子文件进行流转。但在目前国情下,要一步实现无纸化办公,还面临很多困难,因此政府机关不得不将纸质文件流和电子文件流并行运行,从而导致需要分发交换的纸质文件和文件的电子信息脱节。通过将条码技术引入到公文管理中,生成含有文件信息的二维条码,从而实现纸质文件和文件的电子信息完全同步。     

网吧火灾原因分析及防火对策

本文针对网吧的迅速发展,火灾隐患众多的情况,结合近年发生的网吧火灾案例,进行了此类火灾原因的分析,并针对实际消防工作中网吧的审批,从多方面提出了相应的防火对策,以供实际工作中参考。