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    An ergonomic task analysis of spinal anaesthesia.

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    Authors
    Ajmal, Muhammad
    Power, Susan
    Smith, Tim
    Shorten, George D
    Affiliation
    Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital and University College Cork, Ireland. ajmal_c@hotmail.com
    Issue Date
    2009-12
    MeSH
    Adult
    Aged
    Aged, 80 and over
    Anesthesia, Spinal
    Anesthesiology
    Female
    Human Engineering
    Humans
    Male
    Middle Aged
    Occupational Health
    Posture
    Prospective Studies
    Questionnaires
    Task Performance and Analysis
    Temperature
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    Citation
    An ergonomic task analysis of spinal anaesthesia. 2009, 26 (12):1037-42 Eur J Anaesthesiol
    Journal
    European journal of anaesthesiology
    URI
    http://hdl.handle.net/10147/200743
    DOI
    10.1097/EJA.0b013e3283317dc9
    PubMed ID
    19707143
    Abstract
    Ergonomics is the study of physical interaction between humans and their working environment. The objective of this study was to characterize the performance of spinal anaesthesia in an acute hospital setting, applying ergonomic task analysis.
    A data capture sheet was developed using a series of multidisciplinary expert discussions and piloted on: five procedures. The final version of this sheet was applied to 24 further procedures. Data were acquired using direct observations, video recordings and application of a questionnaire. The domains of interest were patient, operator and environmental factors related to ergonomic performance.
    At least one important deficit in ergonomic performance was identified during each of the 24 procedures. None of the 24 assistants who helped to position the patients had specific training for this purpose. Eleven out of 24 operators exhibited marked (>/=60 degrees ) thoracolumbar flexion for at least a part of the procedure. Seven out of 24 operators positioned the instrument tray to their nondominant side prior to commencing the procedure. All studied patients were exposed during at least a part of the procedure at a relatively low temperature [17.5 +/- 1 degrees C (16-20.7) (mean +/- SD (range)].
    In the setting described, spinal anaesthesia is usually performed in a manner which is clearly suboptimal in terms of ergonomics. This underrecognized problem needs to be addressed through education and training.
    Item Type
    Article
    Language
    en
    ISSN
    1365-2346
    ae974a485f413a2113503eed53cd6c53
    10.1097/EJA.0b013e3283317dc9
    Scopus Count
    Collections
    Cork University Hospital

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