Errors Using Observational Methods for Ergonomics Assessment in Real Practice

[EN] Objective: The degree in which practitioners use the observational methods for musculoskeletal disorder risks assessment correctly was evaluated. Background: Ergonomics assessment is a key issue for the prevention and reduction of work-related musculoskeletal disorders in workplaces. Observational assessment methods appear to be better matched to the needs of practitioners than direct measurement methods, and for this reason, they are the most widely used techniques in real work situations. Despite the simplicity of observational methods, those responsible for assessing risks using these techniques should have some experience and know-how in order to be able to use them correctly. Method: We analyzed 442 risk assessments of actual jobs carried out by 290 professionals from 20 countries to determine their reliability. Results: The results show that approximately 30% of the assessments performed by practitioners had errors. In 13% of the assessments, the errors were severe and completely invalidated the results of the evaluation. Conclusion: Despite the simplicity of observational method, approximately 1 out of 3 assessments conducted by practitioners in actual work situations do not adequately evaluate the level of potential musculoskeletal disorder risks. Application: This study reveals a problem that suggests greater effort is needed to ensure that practitioners possess better knowledge of the techniques used to assess work-related musculoskeletal disorder risks and that laws and regulations should be stricter as regards qualifications and skills required by professionals.This work was supported by the Programa estatal de investigacion, desarrollo e innovacion orientada a los retos de la sociedad of the government of Spain under Grant DPI2016-79042-R.Diego-Mas, JA.; Alcaide Marzal, J.; Poveda Bautista, R. (2017). Errors Using Observational Methods for Ergonomics Assessment in Real Practice. Human Factors The Journal of the Human Factors and Ergonomics Society. 59(8):1173-1187. https://doi.org/10.1177/00187208177234961173118759

Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions:an iliac angioplasty exemplar case study

Purpose A methodological framework is introduced to assess and compare a conventional fluoroscopy protocol for peripheral angioplasty with a new magnetic resonant imaging (MRI)-guided protocol. Different scenarios were considered during interventions on a perfused arterial phantom with regard to time-based and cognitive task analysis, user experience and ergonomics. Methods Three clinicians with different expertise performed a total of 43 simulated common iliac angioplasties (9 fluoroscopic, 34 MRI-guided) in two blocks of sessions. Six different configurations for MRI guidance were tested in the first block. Four of them were evaluated in the second block and compared to the fluoroscopy protocol. Relevant stages’ durations were collected, and interventions were audio-visually recorded from different perspectives. A cued retrospective protocol analysis (CRPA) was undertaken, including personal interviews. In addition, ergonomic constraints in the MRI suite were evaluated. Results Significant differences were found when comparing the performance between MRI configurations versus fluoroscopy. Two configurations [with times of 8.56 (0.64) and 9.48 (1.13) min] led to reduce procedure time for MRI guidance, comparable to fluoroscopy [8.49 (0.75) min]. The CRPA pointed out the main influential factors for clinical procedure performance. The ergonomic analysis quantified musculoskeletal risks for interventional radiologists when utilising MRI. Several alternatives were suggested to prevent potential low-back injuries. Conclusions This work presents a step towards the implementation of efficient operational protocols for MRI-guided procedures based on an integral and multidisciplinary framework, applicable to the assessment of current vascular protocols. The use of first-user perspective raises the possibility of establishing new forms of clinical training and education

A human factors systems approach to exploring vehicle rollaway

Failure of a parked unattended vehicle to remain stationary, otherwise known as vehicle rollaway, can result in property damage, injury or even fatality. Although the incidence of vehicle rollaway may be under reported, around 8% of drivers and 13% of Approved Driving Instructors surveyed indicated they had experienced a vehicle rollaway event. Unlike previous studies which focused only on the mechanical factors that may contribute to this phenomenon, the research presented in this thesis employed a more comprehensive, systems approach to explore additional factors related to the driver s interaction with the parking brake system at various interface levels. A mixed methods strategy collated data through two online surveys and three observational studies to explore the organisational, mechanical and driver related factors identified in a fault tree framework. The results indicated that current driver practice and interaction with the parking brake system may be contrary to legislative requirements and manufacturer s instruction. The findings suggested that a past experience of vehicle rollaway or parking brake system failure, had a statistically significant influence on whether the driver complied with the recommended practice. Driver interaction and the holding capability of the parking brake system were observed in 53 vehicles parked on three test gradients. The observations indicated that drivers were able to apply sufficient force to the parking brake lever to hold the vehicle stationary and that an additional degree of confidence in the system was provided by parking in gear. But, after driving a short commuting route, when the vehicle was parked with the parking brake lever applied to the lowest position to hold the vehicle and a gear was not selected, 63% of vehicles fitted with disc brakes rolled as the temperature returned to ambient. Discussion relates to the organisational, driver related and mechanical components of the parking brake system and in reference to Reason s Swiss Cheese model, considers how latent failures within the defensive layers of the system can contribute to rollaway. The research findings contributed to a change in UK driving standards and since 2015, drivers are recommended to park in gear at all times to reduce the risk of rollaway. This recommendation is likely to require a change in practice for up to 80% of Approved Driving Instructors who would not normally instruct new drivers in this way. Although this research focused on the manually operated parking brake system, the studies have uncovered results that can contribute to knowledge and are applicable to interaction with electronic parking brake systems. As parking brake systems develop, the Human Factors systems approach can be applied retrospectively and proactively to explore that interaction and prevent passenger vehicle rollaway

A field study of team working in a new human supervisory control system

This paper presents a case study of an investigation into team behaviour in an energy distribution company. The main aim was to investigate the impact of major changes in the company on system performance, comprising human and technical elements. A socio-technical systems approach was adopted. There were main differences between the teams investigated in the study: the time of year each control room was studied (i.e. summer or winter),the stage of development each team was in (i.e. 10 months), and the team structure (i.e. hierarchical or heterarchical). In all other respects the control rooms were the same: employing the same technology and within the same organization. The main findings were: the teams studied in the winter months were engaged in more `planning’ and `awareness’ type of activities than those studies in the summer months. Newer teams seem to be engaged in more sharing of information than older teams, which maybe indicative of the development process. One of the hierarchical teams was engaged in more `system-driven’ activities than the heterarchical team studied at the same time of year. Finally, in general, the heterarchical team perceived a greater degree of team working culture than its hierarchical counterparts. This applied research project confirms findings from laboratory research and emphasizes the importance of involving ergonomics in the design of team working in human supervisory control

The development and deployment of a maintenance operations safety survey

Objective: Based on the line operations safety audit (LOSA), two studies were conducted to develop and deploy an equivalent tool for aircraft maintenance: the maintenance operations safety survey (MOSS). Background: Safety in aircraft maintenance is currently measured reactively, based on the number of audit findings, reportable events, incidents, or accidents. Proactive safety tools designed for monitoring routine operations, such as flight data monitoring and LOSA, have been developed predominantly for flight operations. Method: In Study 1, development of MOSS, 12 test peer-to-peer observations were collected to investigate the practicalities of this approach. In Study 2, deployment of MOSS, seven expert observers collected 56 peer-to-peer observations of line maintenance checks at four stations. Narrative data were coded and analyzed according to the threat and error management (TEM) framework. Results: In Study 1, a line check was identified as a suitable unit of observation. Communication and third-party data management were the key factors in gaining maintainer trust. Study 2 identified that on average, maintainers experienced 7.8 threats (operational complexities) and committed 2.5 errors per observation. The majority of threats and errors were inconsequential. Links between specific threats and errors leading to 36 undesired states were established. Conclusion: This research demonstrates that observations of routine maintenance operations are feasible. TEM-based results highlight successful management strategies that maintainers employ on a day-to-day basis. Application: MOSS is a novel approach for safety data collection and analysis. It helps practitioners understand the nature of maintenance errors, promote an informed culture, and support safety management systems in the maintenance domain

NURSING INTERRUPTION DYNAMICS: THE IMPACT OF WORK SYSTEM FACTORS

Interruptions occur frequently in healthcare work systems. Hands-free Communication Devices (HCDs) were implemented in healthcare work systems to support the interruption process. However, from a sociotechnical systems perspective, HCDs may introduce new complications and unintended consequences to the work system. Research gaps exist in investigating the complexity of HCD interruptions in the real-world context. This dissertation aims to understand HCD interruption dynamics in the nursing work systems, using qualitative research methods. The first study examined the major differences between face-to-face and HCD-mediated interruptions, based on 30 hours of field observations in the acute care setting. Three major differences included: (1) The available cues to understand interruptee’s interruptibility, (2) The delivery of interruption content, and (3) The options to manage interruptions. The results uncovered facilitators and barriers that appeared to influence nursing work in the interruption process. The second study explored HCD interruption dynamics in more depth. It examined which system factors impact the interruption dynamics and how they influence nurses’ decisions and performance regarding the use of HCDs, based on 15 hours of field observations and 15 in-depth interviews with registered nurses in the pediatric intensive care units. This study was framed by the meso-ergonomics paradigm and activity theory. A descriptive model of HCD interruption dynamics was developed, comprising of five proximal system factors, 17 indicator and moderator system factors, and four distal system factors. These system factors interact and create integrated causal chains to impact interruption dynamics and influence the nurses’ decisions and performance regarding the use of HCDs. Specifically, the proximal system factors immediately impact interruption dynamics, the indicator or moderator system factors provide partial inputs and contextual circumstances of the proximal system factors, and the distal system factors are further down the causal chain. The results of the dissertation provided the basis for improving the design of interruption-mediating tools as well as the nursing work system, to better support the HCD-mediated interruption process, which may ultimately enhance the quality and safety of healthcare work systems

Requirements engineering: a review and research agenda

This paper reviews the area of requirements engineering. It outlines the key concerns to which attention should be devoted by both practitioners, who wish to "reengineer" their development processes, and academics, seeking intellectual challenges. It presents an assessment of the state-of-the-art and draws conclusions in the form of a research agenda

The development of fully automated RULA assessment system based on Computer Vision

The purpose of this study was to develop an automated, RULA-based posture assessment system using a deep learning algorithm to estimate RULA scores, including scores for wrist posture, based on images of workplace postures. The proposed posture estimation system reported a mean absolute error (MAE) of 2.86 on the validation dataset obtained by randomly splitting 20% of the original training dataset before data augmentation. The results of the proposed system were compared with those of two experts’ manual evaluation by computing the Intraclass correlation coefficient (ICC), which yielded index values greater than 0.75, thereby confirming good agreement between manual raters and the proposed system. This system will reduce the time required for postural evaluation while producing highly reliable RULA scores that are consistent with those generated by manual approach. Thus, we expect that this study will aid ergonomic experts in conducting RULA-based surveys of occupational postures in workplace conditions

Perspectives on safety culture

Overviewing selected elements from the literature, this paper locates the notion of safety culture within its parent concept of organisational culture. A distinction is drawn between functionalist and interpretive perspectives on organisational culture. The terms ‘culture’ and ‘climate’ are clarified as they are typically applied to organisations and to safety. A contrast is drawn between strategic top down and data-driven bottom up approaches to human factors as an illustrative aspect of safety. A safety case study is used to illustrate two measurement approaches. Key issues for future study include valid measurement of safety culture and developing methods to adequately represent mechanisms through which safety culture might influence, and be influenced by, other safety factors