Sean Reilley | PubMed Health

PubMed2003

Improving accuracy in simulated pharmacy assembly tasks using workspace interventions to enhance the cognitive environment.

In this study, the error-reducing effectiveness of two work-environment interventions was examined in a simulated pharmacy task. 110 participants worked for 3 to 4 hours filling approximately 110 orders for simulated drugs in a laboratory-based, controlled environment. One group of participants used a monitor-mounted copy strip to enhance data entry, and another group used the copy strips as well as labeled product sleeves on stock bottles to enhance product selection. Results indicated that participants who worked using copy strips as well as participants who worked using both copy strips and product sleeves were more accurate in their order-filling performance than participants in the control condition. However, participants in the copy strip and the copy strip/sleeve conditions did not differ from one another in accuracy. Further research ideas and potential explanations of these data are discussed.

Achievement↗

PubMed2002

Workload, error detection, and experienced stress in a simulated pharmacy verification task.

The relationships among workload, stress, and performance efficiency are topics of applied interest and theoretical importance to researchers concerned with human performance. Such interest extends to a variety of occupational areas including inpatient, outpatient, and community pharmacies. In that context, these relationships have become a consumer health issue given concerns that workload contributes to job stress and a significant decline in dispensing accuracy. In the present study, 102 trained college-aged individuals evaluated simulated pharmacy prescriptions for errors under conditions of either low workload (72 orders over 120 min. on task) or high workload (120 orders over 120 min. on task) in a high-fidelity simulated pharmacy environment. Overall, cumulative and detection theory indices of error detection were compatible with estimates from pharmacy field studies. When rates of sensitivity and specificity for detection were examined, substantial variations in the identification of errors (sensitivity) and difficulties with detection of data-entry mistakes were observed in the high workload condition, but only modest effects emerged for the low workload condition. Although increases in objective workload were associated with modest declines in detection accuracy, objective workload did not significantly affect negative mood (Mood Adjective Checklist) or perceived workload (NASA-Task Load Index) as expected.

Adult↗