Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations

Elizabeth E Austin; Brette Blakely; Paul Salmon; Jeffrey Braithwaite; Robyn Clay-Williams

doi:10.1016/j.apergo.2024.104240

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Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations

Journal article

Open access

Peer reviewed

Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations

Elizabeth E Austin, Brette Blakely, Paul Salmon, Jeffrey Braithwaite and Robyn Clay-Williams

Applied Ergonomics, Vol.117, pp.1-8

2024

DOI: https://doi.org/10.1016/j.apergo.2024.104240

PMID: 38286045

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Abstract

Australia

Delivery of Health Care

Emergency Service, Hospital

Health Personnel - psychology

Hospitals

Humans

Work Domain Analysis (WDA), the foundational phase in the Cognitive Work Analysis Framework (CWA), provides a platform for understanding and designing complex systems. Though it has been used extensively, there are few applications in healthcare, and model validation for different contexts is not always undertaken. The current study aimed to validate an Emergency Department (ED) WDA across three metropolitan hospitals that differ in the type and nature of services they provide, including the ED in which the original ED WDA was developed. A facilitated workshop was conducted at the first ED and interviews at two subsequent EDs to refine and validate the ED WDA. ED subject matter experts (SMEs) including nurses, doctors, administration, and allied health personnel provided feedback on the model. SME feedback resulted in modifications to the original ED WDA model including combining nodes to reduce duplication and amending five labels for clarity. The resulting WDA provides a valid representation of the EDs found in metropolitan districts within an Australian state and can be used by roles such as frontline ED clinicians, hospital managers, and policy developers to facilitate the design, testing, and sharing of solutions to local and shared problems. The findings also demonstrate the importance of validating WDA models across different contexts.

Details

Title: Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations
Authors: Elizabeth E Austin (Corresponding Author) - Macquarie University
Brette Blakely (Author) - Macquarie University
Paul Salmon (Author) - University of the Sunshine Coast, Queensland, Centre for Human Factors and Systems Science
Jeffrey Braithwaite (Author) - Macquarie University
Robyn Clay-Williams (Author) - Macquarie University
Publication details: Applied Ergonomics, Vol.117, pp.1-8
Publisher: Elsevier Ltd
Date published: 2024
DOI: 10.1016/j.apergo.2024.104240
ISSN: 1872-9126
PMID: 38286045
Organisation Unit: Centre for Human Factors and Systems Science
Language: English
Record Identifier: 991003190502621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Engineering, Industrial; Ergonomics; Psychology, Applied