On Behalf of Science: Interest in Human Factors Peaks at Medical Error Summit

2000 ◽  
Author(s):  
Geoff Mumford
Keyword(s):  
Human Factors ◽  
Medical Error ◽  
Science Interest

Human Factors Meets Health Care: The Ultimate Challenge

2004 ◽  
Vol 12 (3) ◽  
pp. 6-12 ◽  
Author(s):  
Lucian L. Leape
Keyword(s):  
Health Care ◽  
Human Factors ◽  
Medical Error ◽  
Health Care Industry ◽  
Care Industry ◽  
Address System

The health care industry is finally taking strong measures to address system flaws leading to medical error.

Medical Error and Human Factors Engineering: Where Are We Now?

2006 ◽  
Vol 21 (1) ◽  
pp. 57-67 ◽  
Author(s):  
Valerie J. Gawron ◽  
Colin G. Drury ◽  
Rollin J. Fairbanks ◽  
Roseanne C. Berger
Keyword(s):  
Human Factors ◽  
Medical Error ◽  
Human Factors Engineering

scholarly journals A review of medical error taxonomies: A human factors perspective

2011 ◽  
Vol 49 (5) ◽  
pp. 607-615 ◽  
Author(s):  
Ibrahim Adham Taib ◽  
Andrew Stuart McIntosh ◽  
Carlo Caponecchia ◽  
Melissa T. Baysari
Keyword(s):  
Human Factors ◽  
Medical Error

Fatal Errors: Case Study Involving Medication Labeling

2005 ◽  
Vol 49 (9) ◽  
pp. 850-853
Author(s):  
H. Harvey Cohen ◽  
Cindy A. LaRue
Keyword(s):  
Human Factors ◽  
Medical Error ◽  
Human Error ◽  
Design Principles ◽  
Error Statistics ◽  
Product Labeling ◽  
The Subject ◽  
Hospitalized Patient ◽  
Made In

Our forensic human factors firm was retained to research the facts and formulate an opinion about a series of errors that resulted in an incorrect intravenous bag being used on a hospitalized patient. The patient died as a result of the administration of this drug. We were asked to explore the issue of errors made in administering medications and to provide an opinion specifically regarding the labeling of the subject intravenous bag product. In the process of exploring those issues, we also assessed the frequency of this type of error involving product labeling and packaging of drugs and why these errors are made by trained professionals. From our research into medical error statistics, theories of human error, and design principles for product labels, we provided recommendations for improving the labeling and packaging which, if implemented, would most likely help to reduce these types of errors.

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