A Review of Human Factors and Infusion Pumps: Lessons for Procurement

Laura Herrero ¹ Marina Cano ¹ Raj Ratwani ² Laura Sánchez ¹ BLANCA SANCHEZ ³ Ramón Sancibrián ⁴ Galo Peralta ^1*

• ¹ Marqués de Valdecilla Health Research Institute (IDIVAL), Santander, Spain
• ² MedStar Health Research Institute (MHRI), Hyattsville, Maryland, United States
• ³ Pharmacology Service, Hospital Universtario Marqués de Valdecilla, IDIVAL, Santander, Cantabria, Spain
• ⁴ Department of Structural and Mechanical Engineering, University of Cantabria, Santander, Spain

Integrating advanced technologies like medical devices in healthcare is crucial for addressing critical challenges, but patient safety must remain the top priority. In modern clinical settings, medical devices, such as infusion devices used to administer fluids and drugs, carry risks from use errors, requiring a focus on usability and human factors engineering (HFE). Despite the significance of integrating HFE into technology selection processes, it is often overlooked. A review of five key articles demonstrates how applying HFE principles in procurement strategies can enhance device usability and patient safety. Although designed to reduce medication errors, infusion devices can still cause overinfusion or delays, indicating the need for improved safety features that must be considered in the context of sociotechnical systems. The reviewed studies suggest incorporating HFE in design, purchasing, and implementation to address these issues. The studies highlight various HFE methodologies, showing a wide variation in design, deployment, interpretation, and reporting. This comprehensive examination underscores the importance of standardised evaluations to ensure safer and more effective medical devices, emphasizing the essential role of HFE in advancing patient safety within healthcare settings.