Document

Author
Laura PICKUP, Sarah ATKINSON, Sam RAWLINSON, Paul BOWIE, Sandra GRAY, Douglas WATSON, Diane SYDNEY, Lorna SINCLAIR, Catherine INNES, Caroline IZATT, Jane OLDHAM, Katherine FORRESTER & Erik HOLLNAGEL
Abstract
Blood sampling is a routine activity within healthcare relied upon for safe patient care. The aim of this pilot study was to apply a Human Factors/Ergonomics systems approach to understand why variability in performance of blood sampling continues to be reported despite various initiatives, procedures and national guidelines (Milkins et al 2012). A multi method approach was adopted and included the application of the Functional Resonance Analysis Method (FRAM) (Hollnagel 2012). The context of an emergency department was analysed and modelled to consider how the concept