Pharmaceutical


Medication Management in Community Care: Using Hierarchical Task Analysis to describe complex systems

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Discover valuable insights into ergonomics research and explore how human-centered design improves workplace safety, comfort, and productivity. Whether you’re a researcher, practitioner, or industry professional, evidence-based ergonomics helps create more efficient and sustainable working environments.

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Author
Thomas ALLITT, Esther KIRBY and Sue HIGNETT
Abstract
This paper presents an investigation into medication management at a UK Community Healthcare Trust. Data were collected at two community in-patient facilities to review practice at the two sites against the Standard Operating Procedures for (1) Medicines Management and (2) Controlled Drugs Management for four key tasks: ordering, transportation, receipt and storage of medicines. The variances in practice were discussed with senior management with the recommendation to simplify the system with a single SOP and provision of in-house pharmacy services at both sites.

 


Improving organisational performance through integration of human factors

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Author
Julie Ann Avery
Abstract
GSK Ware, UK, is home to a leading Pharmaceutical manufacturing site serving patients around the world in Respiratory and Oral Solid Dose medicines. Following an analysis of deviations from process and proactive improvement ideas the site recognised an opportunity to use human factors proactively to create the climate for change to improve how people experience their work and business key performance indicators (KPIs). A strategic program launched in late 2017, adapting the Human Performance route map from BioPhorum Operations Group (22 company members). This map enabled a cohesive, measurable approach supported by accessible education and tools. Progress is benchmarked internally and externally. 18 months on, Human Factors has become business as usual on site, in everyday language, in problem solving and proactive work with relevant training and coaching. Key business KPIs have been sustainably and positively impacted since implementation of the human performance program, sometimes quite dramatically. Ware continues to weave Human Factors into their organisational “DNA” sharing learnings across the GSK network.

 


Utilising principles of visual hierarchy to reduce errors of accidental drug administration

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thumbnail of Utilising principles of visual hierarchy to reduce errors of accidental drug administration

Author
Amol Lotlikar
Abstract
Programming errors in infusion pumps pose significant safety risks. Current mitigation strategies rely on human-centred methods such as checklists or two-person checks. Redesigning pump interfaces using visual hierarchy principles could better prevent errors by emphasising critical information during drug selection and confirmation.

 


Creating design personas to support a National Medicines Safety Improvement Programme

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thumbnail of Creating design personas to support a National Medicines

Author
Gill Gookey
Abstract
This paper outlines the co-production of four design personas representing people with learning disability to embed human-centred thinking within a national medicines safety improvement programme (MedSIP) and provides examples of their use and impact. Developed through evidence synthesis, lived experience, and multidisciplinary input, the personas provide realistic scenarios of individuals at risk of harm from psychotropic medicines used for behaviour that challenges, supporting empathy and shared mental models for system redesign. Their application within MedSIP demonstrates how design personas can operationalise human factors principles in large-scale healthcare improvement.

 


Development of guiding principles for human performance for the WHO pharmacovigilance strategy

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Author
Brian Edwards, Pegah Salimi Pormehr, Julie Avery
Abstract
The WHO has both a human factors strategy and more recently published a global pharmacovigilance strategy although the latter does not refer to devices which continue to be regulated in a parallel system.However, many medicines depend for their effective use on devices (including kits), and some products are integrated drug-devices. Unlike other safety critical sectors, there are no international guiding principles for all stakeholders which might unify the optimal use of both medicines and devices. Based on discussion with pharmaceutical manufacturers, we have drafted the world’s first set of guiding principles for human performance and safety of medicines and devices. We position these principles as a practical bridge between pharmacovigilance and existing human factors and usability frameworks for medical device design (such as IEC 62366-1), making them relevant and usable for designers, regulators, and industry across both medicines and devices.

 


Factors Influencing the Development of Effective Error Management Competencies in Undergraduate UK Pharmacy Students

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Author
Helen VOSPER and Sue HIGNETT
Abstract
Patient safety (PS) is a key healthcare goal, yet health professionals struggle to acquire appropriate expertise, including Human Factors/Ergonomics skills, reflected in undergraduate curricula content. More than 50% of adverse events are medicines-related, yet focus on pharmacists as experts in medicines is scant. This pilot investigation used focus groups and interviews to explore undergraduate PS teaching in purposively-selected UK pharmacy schools. Results revealed barriers to PS teaching including risk-averse pharmacist ‘personality’ and Educational Standards negatively influencing students’ error-management behaviours.

 


Understanding work-as-planned and work-as-done in biomedical laboratories

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thumbnail of Understanding work-as-planned and work-as-done in biomedical laboratories

Author
Viji Vijayan
Abstract
An important concept in Safety II is distinction between Work-as-Imagined (WAI) and Work-as-Done (WAD). As in all industries, there are gaps between WAI and WAD in the biomedical laboratories, these concepts are poorly studied and understood. This study interviewed 15 biomedical lab workers to understand the gaps between WAI and WAD and how they were addressed.