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SUMMARY:Application of Work Domain Analysis in healthcare: An example from
  analysing medication errors in care homes - Dr Rosemary Lim - Robens Cent
 re for Health Ergonomics\, EIHMS\, University of Surrey
DTSTART:20081126T163000Z
DTEND:20081126T173000Z
UID:TALK15257@talks.cam.ac.uk
CONTACT:Thomas Jun
DESCRIPTION:The care home medication system is an area that has not been i
 nvestigated extensively.  There is currently little understanding about ho
 w the system works and the medication problems.  Current medication errors
  studies in all sectors of healthcare have largely adopted a bottom-up app
 roach in understanding and analysing medication errors.  Incidences of med
 ication errors have either been collected retrospectively for example thro
 ugh error reporting systems\, medication reviews\, case record reviews or 
 prospectively for example through direct observations.  Following this\, t
 he causes of medication errors were analysed to build a picture of the sys
 tem.  This approach is largely limited by the identification of medication
  errors and the causes of these errors.  Thus there is a risk of unknown k
 nowledge gaps of the system.  A way to overcome this limitation is to firs
 t analyse the work system before investigating the problems.  Work Domain 
 Analysis (WDA)\, which is the first layer of analysis in the suite of meth
 ods in Cognitive Work Analysis (CWA) was used to model the care home medic
 ation system.  This visual representation of the work system was subsequen
 tly used to analyse medication errors.  A discussion of the application of
  WDA to analyse medication errors follows.\n\nThe aim of the seminar is to
  introduce Work Domain Analysis and its applicability to healthcare based 
 on Rosemary's phd research.\n\n
LOCATION:Area 9 meeting room (next to EDC loft)\, Inglis Building\, Engine
 ering Department
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