EAOM 2021 Crispian Scully Lecture: Applying human factors to improve patient safety and performance

2021 ◽  
Author(s):  
Peter A Brennan ◽  
Steve Jarvis ◽  
Rachel S Oeppen
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Improve Patient Safety ◽  
And Performance ◽  
Improve Patient

Human-Factor-Based Risk Management in the Healthcare to Improve Patient Safety

2016 ◽  
Vol 7 (3) ◽  
pp. 16-28 ◽  
Author(s):  
Barbara Streimelweger ◽  
Katarzyna Wac ◽  
Wolfgang Seiringer
Keyword(s):  
Risk Assessment ◽  
Patient Safety ◽  
Human Factors ◽  
Human Factor ◽  
Improve Patient Safety ◽  
Assessment Method ◽  
Healthcare Sector ◽  
Risk Assessment Method ◽  
Quality Aspects ◽  
Improve Patient

‘Patient Safety' tries to increase safety and transparency within healthcare systems for both patients and professionals. Within the healthcare sector, workflows become more and more complex, while time and money become scarce. As a consequence, the risk awareness, fault management and quality aspects become more important. One of the most well established risk assessment method is Failure Mode and Effect Analysis (FMEA) – a reliability analysis and risk assessment tool widely used in various industries. The traditional FMEA is using a Risk Priority Number (RPN) ranking system to evaluate and identify the risk level of failures, and to prioritize actions. However, there are several shortcomings in obtaining a quality estimate of the failure ratings with FMEA, especially when human factors play an important role. Thus, a new risk assessment method called HFdFMEA (Human Factor dependent FMEA) based on the dependency of used parameters and the observation of human factors, is proposed to address the drawbacks. The opportunity to improve patient safety is discussed as result of HFdFMEA.

scholarly journals Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Kamila Sikora ◽  
Phillips Perera ◽  
Thomas Mailhot ◽  
Diku Mandavia
Keyword(s):  
Patient Safety ◽  
Pleural Effusion ◽  
Diagnostic Accuracy ◽  
Respiratory Distress ◽  
Ultrasound Guidance ◽  
Adverse Outcome ◽  
Improve Patient Safety ◽  
Pleural Effusions ◽  
And Performance ◽  
Improve Patient

Objective. To review the use of ultrasound for the detection of pleural effusions and guidance of the thoracentesis procedure. Methods. Two clinical cases will be presented in which ultrasound proved beneficial in guiding the diagnosis and management of patients with pleural effusions and respiratory distress. The ultrasound techniques for the evaluation of pleural effusions and performance of the thoracentesis procedure are discussed. A review of the most current literature follows to present the known diagnostic and safety benefits of ultrasound guidance for thoracentesis. Conclusions. Ultrasound improves the diagnostic accuracy for the detection of pleural effusions over standard chest radiographs. Ultrasound can also diagnose a complicated pleural effusion that may be at higher risk for an adverse outcome during a thoracentesis. Optimally, thoracentesis should be performed under direct ultrasound guidance to decrease the complication rate and improve patient safety.

Promoting Patient Safety with Human Factors Methods

2016 ◽  
Vol 60 (1) ◽  
pp. 647-651 ◽  
Author(s):  
Carrie Reale ◽  
Jason J. Saleem ◽  
Emily S. Patterson ◽  
Aaron Zachary Hettinger ◽  
Shilo Anders ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Patient Outcomes ◽  
Care Delivery ◽  
Improve Patient Safety ◽  
Medication Management ◽  
Critical Issues ◽  
Discussion Panel ◽  
Improve Patient ◽  
Safe Care

Medication management is a complex and mentally demanding endeavor performed by multiple individuals in diverse settings and at variable points in time. Achieving the goal of safe care delivery with optimized patient outcomes requires ongoing communication, coordination, and interaction between an array of technologies and roles across the health care continuum. Human factors principles and methods have the potential to substantially improve patient safety throughout this high-risk cycle. The purpose of this interactive discussion panel is to explore the medication management process from a sociotechnical perspective to identify specific challenges and vulnerabilities, and recommend strategies that leverage human factors processes and design principles to efficiently and effectively address safety critical issues.

Does external evaluation of laboratories improve patient safety?

2007 ◽  
Vol 45 (6) ◽  
Author(s):  
Michael A. Noble
Keyword(s):  
Patient Safety ◽  
Quality Assessment ◽  
External Quality Assessment ◽  
Improve Patient Safety ◽  
External Evaluation ◽  
Laboratory Performance ◽  
And Performance ◽  
The Many ◽  
The Relationship ◽  
Improve Patient

AbstractLaboratory accreditation and External Quality Assessment (also called proficiency testing) are mainstays of laboratory quality assessment and performance. Both practices are associated with examples of improved laboratory performance. The relationship between laboratory performance and improved patient safety is more difficult to assess because of the many variables that are involved with patient outcome. Despite this difficulty, the argument to continue external evaluation of laboratories is too compelling to consider the alternative.Clin Chem Lab Med 2007;45:753–5.

Focusing the Safety Spotlight: How Safety Intelligence Can Inform Systemic Patient Safety Initiatives

2021 ◽  
Vol 10 (1) ◽  
pp. 272-275
Author(s):  
Anthony Soung Yee ◽  
Trevor Hall ◽  
Tracey Herlihey ◽  
Jennifer Jeon ◽  
Patricia Trbovich ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Improve Patient Safety ◽  
Panel Discussion ◽  
Academic Research ◽  
Incident Investigation ◽  
Safety Incident ◽  
Hospital Work ◽  
Patient Safety Incident ◽  
Improve Patient

This panel discussion at the 2021 Human Factors and Ergonomics Society (HFES) Healthcare Symposium (HCS) touched upon several topics related to actioning safety intelligence to improve patient safety. The panel had representation from both Canada and England across a broad range of human factors expertise in healthcare: from the perspective of academic research, operational hospital work, patient safety incident investigation and national healthcare policy, and a nationwide healthcare liability insurer. The panelists began with defining safety intelligence and distinguishing between safety intelligence and safety wisdom. The panel provided an engaging and insightful discussion on several topics including data collection, analysis and actioning upon the insights gained. In addition, the panel discussed strategies for demonstrating value in improving patient safety, and emphasised the importance of aligning one’s work with existing initiatives in the organisation, as well as the importance of collaborating with various stakeholders across the system to affect meaningful change.

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