Abstract
Medication errors are among the highest contributors to complications during a hospital stay. Dosing errors have an impact on the detrimental effects of a medication error. While clinical decision support systems have targeted prescribing errors, the system design challenges associated with dosing error prevention in the medication administration context is not well understood. This paper presents an overview of the effectiveness of current systems used in the medication delivery process. The system enhancement strategies to improve dosing error detection and prevention in the medication administration context should consider the medication safety loopholes in the electronic health record (EHR).
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References
National Coordinating Council for Medication Error Reporting and Prevention: About medication errors. http://nccmerp.org/about-medication-errors
Weiss, A.J., Elixhauser, A., Bae, J., Encinosa, W.: Origin of adverse drug events in U.S. hospitals, 2011. Agency for Healthcare Research and Quality (2013)
Phillips, J., Beam, S., Brinker, A., Holquist, C., Honig, P., Lee, L.Y., Pamer, C.: Retrospective analysis of mortalities associated with medication errors. Am. J. Health Syst. Pharm. 58, 1835–1841 (2001)
Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn, L.T., Corrigan, J.M., Donaldson, M.S.: Errors in health care: a leading cause of death and injury. National Academies Press (US), Washington, DC (2000)
Choi, I., Lee, S.-M.S.S.M., Flynn, L., Kim, C.-M.M., Lee, S.-M.S.S.M., Kim, N.-K.K., Suh, D.-C.C.: Incidence and treatment costs attributable to medication errors in hospitalized patients. Res. Soc. Adm. Pharm. 12, 428–437 (2016)
Ford, D.G., Seybert, A.L., Smithburger, P.L., Kobulinsky, L.R., Samosky, J.T., Kane-Gill, S.L., Ford, D.G., Seybert, A.L., Smithburger, P.L., Kobulinsky, L.R., Samosky, J.T., Kane-Gill, S.L.: Impact of simulation-based learning on medication error rates in critically ill patients. Intensive Care Med. 36, 1526–1531 (2010)
Franklin, B.D., Jacklin, A., Barber, N.: The impact of an electronic prescribing and administration system on the safety and quality of medication administration. Int. J. Pharm. Pract. 16, 375–379 (2008)
Allard, J., Carthey, J., Cope, J., Pitt, M., Woodward, S.: Medication errors: causes, prevention and reduction. Br. J. Haematol. 116, 255–265 (2002)
Lewis, P.J., Dornan, T., Taylor, D., Tully, M.P., Wass, V., Ashcroft, D.M.: Prevalence, incidence and nature of prescribing errors in hospital inpatients: a systematic review. Drug Saf. 32, 379–389 (2009)
Mekonnen, A.B., Alhawassi, T.M., McLachlan, A.J., Brien, J.-A.E.: Adverse drug events and medication errors in African hospitals: a systematic review. Drugs - Real World Outcomes 5, 1–24 (2018)
Saghafi, F., Zargarzadeh, A.H.: Medication error detection in two major teaching hospitals: what are the types of errors? J. Res. Med. Sci. 19, 617–623 (2014)
Amato, M.G., Salazar, A., Hickman, T.-T.T., Quist, A.J., Volk, L.A., Wright, A., McEvoy, D., Galanter, W.L., Koppel, R., Loudin, B., Adelman, J., McGreevey, J.D., Smith, D.H., Bates, D.W., Schiff, G.D.: Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J. Am. Med. Inform. Assoc. 24, 316–322 (2017)
Ashcroft, D.M., Lewis, P.J., Tully, M.P., Farragher, T.M., Taylor, D., Wass, V., Williams, S.D., Dornan, T.: Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. Drug Saf. 38, 833–843 (2015)
Bates, D.W., Cullen, D.J., Laird, N., David, W., David, J., Laura, A., Stephen, D., Bobbie, J., Brian, F., Vliet, V., Lucian, L.: Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA 274, 29–34 (1995)
Barstow, L., Herman, E., Phillips, H.: Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. Pediatr. Emerg. Care 00, 1–4 (2018)
Ghaleb, M.A., Barber, N., Franklin, B.D., Wong, I.C.K.: The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch. Dis. Child 95, 113–118 (2010)
Keers, R.N., Williams, S.D., Cooke, J., Ashcroft, D.M., Kane-Gill, S., Keers, R.N., Williams, S.D., Cooke, J., Ashcroft, D.M., Kane-Gill, S., Keers, R.N., Williams, S.D., Cooke, J., Ashcroft, D.M.: Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Ann. Pharmacother. 47, 237–256 (2013)
Krzyzaniak, N., Bajorek, B.: Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 7, 102–119 (2016)
Leape, L.L., Bates, D.W., Cullen, D.J., Cooper, J., Demonaco, H.J., Gallivan, T., Hallisey, R.K., Ives, J.: Systems analysis of adverse drug events. JAMA 274, 35–43 (1995)
Lyons, I., Furniss, D., Blandford, A., Chumbley, G., Iacovides, I., Wei, L., Cox, A., Mayer, A., Vos, J., Galal-edeen, G., Schnock, K.O.: Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. BMJ Qual. Saf. 27(11), 892–901 (2018)
Moss, J., Berner, E., Bothe, O., Rymarchuk, I., Bothe BSN, O., Rymarchuk, I.: Intravenous medication administration in intensive care: opportunities for technological solutions. AMIA Annu. Symp. Proc. 495–499 (2008)
Wright, K.: Do calculation errors by nurses cause medication errors in clinical practice? a literature review. Nurse Educ. Today 30, 85–97 (2010)
Donaldson, N., Aydin, C., Fridman, M., Foley, M.: Improving medication administration safety: using naive observation to assess practice and guide improvements in process and outcomes. J Healthc Qual 36, 58–68 (2014)
Kim, J., Bates, D.W.: Medication administration errors by nurses: adherence to guidelines. J. Clin. Nurs. 22, 590–598 (2013)
Elliott, M., Liu, Y.: The nine rights of medication administration: an overview. Br. J. Nurs. 19, 300–305 (2010)
Yantis, M.A., Velander, R.: 7 legal tips for safe nursing practice. Nursing 38(3), 35–39 (2008)
Agency for Healthcare Research and Quality: Adverse events, near misses, and errors. https://psnet.ahrq.gov/primers/primer/34/adverse-events-near-misses-and-errors
Sheikhtaheri, A.: Near misses and their importance for improving patient safety. Iran. J. Pub Health 43, 853–854 (2014)
Speroni, K.G., Fisher, J., Dennis, M., Daniel, M.: What causes near-misses and how are they mitigated? Plast. Surg. Nurs. 34, 114–119 (2014)
Kohn, L.T., Corrigan, J.M., Donaldson, M.S., Others: To err is human: building a safer health system. A report of the committee on Quality of Health Care in America, Institute of Medicine. National Academy Press, Washington, DC (2000)
Bowers, A.M., Goda, K., Bene, V., Sibila, K., Piccin, R., Golla, S., Dani, F., Zell, K.: Impact of bar-code medication administration on medication administration best practices. Comput. Inform. Nurs. 33, 502–508 (2015)
Cheragi, M.A., Manoocheri, H., Mohammadnejad, E., Ehsani, S.R.: Types and causes of medication errors from nurse’s viewpoint. Iran. J. Nurs. Midwifery Res. 18, 228–231 (2013)
George, D., Hss, A.-S., Hassali, A.: Medication error reporting: underreporting and acceptability of smartphone application for reporting among health care professionals in perak, Malaysia. Cureus 10, e2746 (2018)
Hammoudi, B.M., Ismaile, S., Abu Yahya, O.: Factors associated with medication administration errors and why nurses fail to report them. Scand. J, Caring Sci (2017)
Sheu, S.J., Wei, I.L., Chen, C.H., Yu, S., Tang, F.I.: Using snowball sampling method with nurses to understand medication administration errors. J. Clin. Nurs. 18, 559–569 (2009)
Musy, S.N., Ausserhofer, D., Schwendimann, R., Rothen, H.U., Jeitziner, M.-M., Rutjes, A.W., Simon, M.: Trigger tool-based automated adverse event detection in electronic health records: systematic review. J. Med. Internet Res. 20, e198 (2018)
Ni, Y., Lingren, T., Hall, E.S., Leonard, M., Melton, K., Kirkendall, E.S.: Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. J. Am. Med. Inform. Assoc. 25(5), 555–563 (2018)
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. National Action Plan for Adverse Drug Event Prevention. Washington, DC (2014)
Beaudoin, F.L., Merchant, R.C., Janicki, A., McKaig, D.M., Babu, K.M.: Preventing iatrogenic overdose: a review of in emergency department opioid-related adverse drug events and medication errors. Ann. Emerg. Med. 65, 423–431 (2015)
Kirkendall, E.S., Kouril, M., Minich, T., Spooner, S.A.: Analysis of electronic medication orders with large overdoses: opportunities for mitigating dosing errors. Appl. Clin. Inform. 5, 25–45 (2014)
Miller, J.L., Johnson, P.N., Harrison, D.L., Hagemann, T.M.: Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children. Ann. Pharmacother. 44, 35–42 (2010)
Echeta, G., Moffett, B.S., Checchia, P., Benton, M.K., Klouda, L., Rodriguez, F.H., Franklin, W.: Prescribing errors in adult congenital heart disease patients admitted to a pediatric cardiovascular intensive care unit. Congenit. Heart Dis. 9, 126–130 (2014)
Roe, J.L., Fuentes, J.M., Mullins, M.E.: Underdosing of common antibiotics for obese patients in the ED. Am. J. Emerg. Med. 30, 1212–1214 (2012)
Dean, B.: Prescribing errors in hospital inpatients: their incidence and clinical significance. Qual. Saf. Health Care. 11, 340–344 (2002)
Decourcey, D.D., Silverman, M., Chang, E., Ozonoff, A., Stickney, C., Pichoff, D., Oldershaw, A., Finkelstein, J.A.: Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Pediatr. Crit. Care Med. 18, 370–377 (2017)
Kale, A., Keohane, C.A., Maviglia, S., Gandhi, T.K., Poon, E.G.: Adverse drug events caused by serious medication administration errors. BMJ Qual. Saf. 21, 933–938 (2012)
Nelson, C.E., Selbst, S.M.: Electronic prescription writing errors. Pediatr. Emerg. Care 31, 368–372 (2015)
Henry, J., Pylypchuk, Y., Talisha, S., Patel, V.: Adoption of electronic health record systems among u.s. non-federal acute care hospitals: 2008–2015. (2016)
Ratwani, R.M., Savage, E., Will, A., Arnold, R., Khairat, S., Miller, K., Fairbanks, R.J., Hodgkins, M., Hettinger, A.Z.: A usability and safety analysis of electronic health records: a multi-center study. J. Am. Med. Inform. Assoc. 25, 1197–1201 (2018)
Ratwani, R.M., Fairbanks, R.J., Hettinger, A.Z., Benda, N.C.: Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors. J. Am. Med. Inform. Assoc. 22, 1179–1182 (2015)
Carayon, P., Cartmill, R., Blosky, M.A., Brown, R., Hackenberg, M., Hoonakker, P., Hundt, A.S., Norfolk, E., Wetterneck, T.B., Walker, J.M., Carayon, P., Cartmill, R., Blosky, M.A., Brown, R., Hackenberg, M., Hoonakker, P., Hundt, A.S., Norfolk, E., Wetterneck, T.B., Walker, J.M.: ICU nurses’ acceptance of electronic health records. J. Am. Med. Inform. Assoc. 18, 812–819 (2011)
Ranji, S.R., Rennke, S., Wachter, R.M.: Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. BMJ Qual. Saf. 23, 773–780 (2014)
Slight, S.P., Seger, D.L., Franz, C., Wong, A., Bates, D.W.: The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. J. Am. Med. Inform. Assoc. 25, 1183–1188 (2018)
Kirkendall, E.S., Spooner, S.A., Logan, J.R.: Evaluating the accuracy of electronic pediatric drug dosing rules. J. Am. Med. Inform. Assoc. 21, e43–e49 (2014)
Korb-Savoldelli, V., Boussadi, A., Durieux, P., Sabatier, B.: Prevalence of computerized physician order entry systems–related medication prescription errors: A systematic review. Int. J. Med. Inform. 111, 112–122 (2018)
Cook, D.A., Teixeira, M.T., Heale, B.S., Cimino, J.J., Del Fiol, G.: Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J. Am. Med. Inform. Assoc. 24, 460–468 (2017)
Hunt, S., Cimino, J.J., Koziol, D.E.: A comparison of clinicians’ access to online knowledge resources using two types of information retrieval applications in an academic hospital setting. J. Med. Libr. Assoc. 101, 26–31 (2013)
Ross, E.L., Heizer, J., Mixon, M.A., Jorgensen, J., Valdez, C.A., Czaja, A.S., Reiter, P.D.: Development of recommendations for dosing of commonly prescribed medications in critically ill obese children. Am. J. Health Syst. Pharm. 72, 542–556 (2015)
van der Sijs, H., Aarts, J., Vulto, A., Berg, M.: Overriding of drug safety alerts in computerized physician order entry. J. Am. Med. Inform. Assoc. 13, 138–147 (2006)
Wang, S.J., Middleton, B., Prosser, L.A., Bardon, C.G., Spurr, C.D., Carchidi, P.J., Kittler, A.F., Goldszer, R.C., Fairchild, D.G., Sussman, A.J., Kuperman, G.J., Bates, D.W.: A cost-benefit analysis of electronic medical records in primary care. Am. J. Med. 114, 397–403 (2003)
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. Canadian Agency for Drugs and Technologies in Health, Ottawa, ON (2016)
Poon, E.G., Keohane, C.A., Yoon, C.S., Ditmore, M., Bane, A., Levtzion-Korach, O., Moniz, T.A., Rothschild, J.M., Kachalia, A.B., Hayes, J., Churchill, W.W., Ph, R., Lipsitz, S., Whittemore, A.D., Bates, D.W., Gandhi, T.K., School, H.M.: Effect of bar-code technology on the safety of medication administration. N. Engl. J. Med. 362, 1698–1707 (2010)
Liberati, E.G., Ruggiero, F., Galuppo, L., Gorli, M., González-Lorenzo, M., Maraldi, M., Ruggieri, P., Polo Friz, H., Scaratti, G., Kwag, K.H., Vespignani, R., Moja, L.: What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implement. Sci. 12, 113 (2017)
Omar, A., Ellenius, J., Lindemalm, S.: Evaluation of electronic prescribing decision support system at a tertiary care pediatric hospital: the user acceptance perspective…ITCH 2017. Stud. Health Technol. Inform. 234, 256–261 (2017)
Her, Q.L., Seger, D.L., Amato, M.G., Beeler, P.E., Dalleur, O., Slight, S.P., Dykes, P.C., Bates, D.W.: Development of an algorithm to assess appropriateness of overriding alerts for nonformulary medications in a computerized prescriber-order-entry system. Am. J. Health Syst. Pharm. 73, e34–e45 (2016)
Santucci, W., Day, R.O., Baysari, M.T.: Evaluation of hospital-wide computerised decision support in an intensive care unit: an observational study. Anaesth. Intensive Care 44, 507–512 (2016)
Wietholter, J., Sitterson, S., Allison, S.: Effects of computerized prescriber order entry on pharmacy order-processing time. Am. J. Health Syst. Pharm. 66, 1394–1398 (2009)
Gorbach, C., Blanton, L., Lukawski, B.A., Varkey, A.C., Pitman, E.P., Garey, K.W.: Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Am. J. Health Syst. Pharm. 72, 1471–1474 (2015)
Guo, J., Iribarren, S., Kapsandoy, S., Perri, S., Staggers, N.: Usability evaluation of an electronic medication administration record (eMAR) application. Appl. Clin. Inform. 2, 202–224 (2011)
Harrison, R.L., Stalker, L., Henderson, R., Lyeria, F.: Use of a clinical decision support system to improve hypoglycemia management. Medsurg Nurs. 22, 250–263 (2013)
Weir, C., Hoffman, J., Nebeker, J.R., Hurdle, J.F.: Nurse’s role in tracking adverse drug events. Nurs. Adm. Q. 29, 39–44 (2005)
Agrawal, A., Glasser, A.R.: Barcode medication. Administration implementation in an acute care hospital and lessons learned. J. Healthc. Inf. Manag. 23, 24–29 (2009)
FitzHenry, F., Doran, J., Lobo, B., Sullivan, T.M., Potts, A., Feldott, C.C., Matheny, M.E., McCulloch, G., Deppen, S., Doulis, J.: Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am. J. Health Syst. Pharm. 68, 434–441 (2011)
Wang, B.N.-T., Brummond, P., Stevenson, J.G.: Comparison of barcode scanning by pharmacy technicians and pharmacists’ visual checks for final product verification. Am. J. Health Syst. Pharm. 73, 69–75 (2016)
Hakala, J.L., Hung, J.C., Mosman, E.A.: Minimizing human error in radiopharmaceutical preparation and administration via a bar code-enhanced nuclear pharmacy management system. J. Nucl. Med. Technol. 40, 183–186 (2012)
Staggers, N., Iribarren, S., Guo, J.-W., Weir, C.: Evaluation of a BCMA’s electronic medication administration record. West. J. Nurs. Res. 37, 899–921 (2015)
Bonkowski, J., Weber, R.J., Melucci, J., Pesavento, T., Henry, M., Moffatt-Bruce, S.: Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. Am. J. Med. Qual. 29, 236–241 (2014)
Dwibedi, N., Sansgiry, S.S., Frost, C.P., Dasgupta, A., Jacob, S.M., Tipton, J.A., Shippy, A.A.: Effect of bar-code-assisted medication administration on nurses’ activities in an intensive care unit: A time-motion study. Am. J. Health Syst. Pharm. 68, 1026–1031 (2011)
Koppel, R., Wetterneck, T., Telles, J.L., Karsh, B.-T.T., Koppel, R., Wetterneck, T., Telles, J.L., Karsh, B.-T.T.: Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. J. Am. Med. Inform. Assoc. 15, 408–423 (2008)
Miller, D.F., Fortier, C.R., Garrison, K.L.: Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. Ann. Pharmacother. 45, 162–168 (2011)
Hardmeier, A., Tsourounis, C., Moore, M., Abbott, W.E., Guglielmo, B.J.: Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. J. Healthc. Qual. 36, 54–61; quiz 61–3 (2014)
Seibert, H.H., Maddox, R.R., Flynn, E.A., Williams, C.K.: Effect of barcode technology with electronic medication administration record on medication accuracy rates. Am. J. Health Syst. Pharm. 71, 209–218 (2014)
Meyer, J.S., Riese, J., Biondi, E.: Is dexamethasone an effective alternative to oral prednisone in the treatment of pediatric asthma exacerbations? Hosp Pediatr. 4, 172–180 (2014)
Snodgrass, R.D.: Smart pump technology safety features. Biomed. Instrum. Technol. 39, 444–446 (2005)
Giuliano, K.K., Su, W.-T.T., Degnan, D.D., Fitzgerald, K., Zink, R.J., DeLaurentis, P.: Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. J. Patient Saf. 14(4), 1–7 (2017)
Murdoch, L.J., Cameron, V.L.: Smart infusion technology: a minimum safety standard for intensive care? Br. J. Nurs. 17, 630–636 (2008)
Ohashi, K., Dalleur, O., Dykes, P.C., Bates, D.W.: Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 37, 1011–1020 (2014)
Trbovich, P.L., Pinkney, S., Cafazzo, J.A., Easty, A.C.: The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. Qual. Saf. Health Care. 19, 430–434 (2010)
Munro, C.: Using dose error reduction software in paediatrics to prevent medication error. J. Pharm. Pract. Res. 47, 438–441 (2017)
Larsen, G.Y., Parker, H.B., Cash, J., O’Connell, M., Grant, M.C.: Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics 116, e21–e25 (2005)
Goulding, C., Bedard, M.: Safety implications of the dose change alert function in smart infusion pumps on the administration of high-alert medications. Can. J. Crit. Care Nurs. 26, 23–27 (2015)
EHR-Smart Pump Interoperability Resulted in Electronic Documentation of Different Flow Rates | Institute for Safe Medication Practices. https://www.ismp.org/resources/ehr-smart-pum-interoperability-resulted-electronic-documentation-different-flow-rates
Perna, G.: The Ultimate Safety Net: EMR and Infusion Pump Interoperability. https://www.healthcare-informatics.com/article/ultimate-safety-net-emr-and-infusion-pumpinteroperability
Pettus, D.C., Vanderveen, T.: Worth the effort?: closed-loop infusion pump integration with the EMR. Biomed. Instrum. Technol. 47, 467–477 (2013)
Biltoft, J., Finneman, L.: Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Am. J. Health Syst. Pharm. 75, 1064–1068 (2018)
SafeDose from eBroselow Key Component of Queens Medical Center’s New Pediatric Trauma Unit. http://www.ebroselow.com/wp-content/uploads/2018/10/eBroselow_casestudy_Queens.pdf
Mandel, J.C., Kreda, D.A., Mandl, K.D., Kohane, I.S., Ramoni, R.B.: SMART on FHIR: a standards-based, interoperable apps platform for electronic health records. J. Am. Med. Inform. Assoc. 23, 899–908 (2016)
SMART Health IT. https://smarthealthit.org/
Leverage the power of the HL7® FHIR® standard in your SMART app. https://fhir.cerner.com/
Explore Apps - App Orchard. https://apporchard.epic.com/Gallery
Ching, J.M., Williams, B.L., Idemoto, L.M., Blackmore, C.C.: Using lean “automation with a human touch” to improve medication safety: a step closer to the “perfect dose”. Jt. Comm. J. Qual. Patient Saf. 40, 341–350 (2014)
Holden, R.J., Rivera-Rodriguez, A.J., Faye, H., Scanlon, M.C., Karsh, B.T.: Automation and adaptation: nurses’ problem-solving behavior following the implementation of bar-coded medication administration technology. Cogn. Technol. Work 15, 283–296 (2013)
Elkin, P.L., Beuscart-Zephir, M.C., Pelayo, S., Patel, V., Nøhr, C.: The usability-error ontology. Stud. Health Technol. Inform. 194, 91–96 (2013)
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Hunt, S., Chakraborty, J. (2020). Electronic Health Records in Hospitals: Preventing Dosing Errors in the Medication Administration Context. In: Lightner, N., Kalra, J. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2019. Advances in Intelligent Systems and Computing, vol 957. Springer, Cham. https://doi.org/10.1007/978-3-030-20451-8_7
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