The different human factors requirements of boundaried and non-boundaried working contexts in high reliability organisations

2017 ◽  
pp. 416-423
Keyword(s):  
Human Factors ◽  
High Reliability

scholarly journals IHI ID 20 Sustaining system-level high reliability for CLABSI: impacts of standardization, human factors, and direct observation of key processes

2018 ◽  
Author(s):  
Erika Stalets ◽  
Jackie Hausfeld ◽  
Tammy Casper ◽  
Kathleen Demmel ◽  
Andrea Cooks ◽  
...  
Keyword(s):  
Human Factors ◽  
Direct Observation ◽  
High Reliability ◽  
System Level

scholarly journals Human Factors and Ergonomics in Health Care Systems: Identifying Roles and Strategies for Success

2019 ◽  
Vol 63 (1) ◽  
pp. 729-732
Author(s):  
Siddarth Ponnala ◽  
A. Joy Rivera ◽  
Edmond Ramly ◽  
Ken Catchpole ◽  
Shanqing Yin
Keyword(s):  
Human Factors ◽  
High Reliability ◽  
Health Care Systems ◽  
Healthcare Systems ◽  
Successful Implementation ◽  
Healthcare Organizations ◽  
Human Factors And Ergonomics ◽  
The Status ◽  
Care Systems

Healthcare systems have begun to recognize the value of Human Factors and Ergonomics (HFE) and have started to create dedicated roles within their organizational structure for HFE practitioners and researchers to work with safety and quality groups to enhance safety, productivity, and overall system efficiencies. This panel brings together HFE personnel from different organizations, who will share their experiences working with clinical partners, in healthcare systems. Specifically, the panelists will lead an interactive discussion with audience members on strategies for changing the safety culture required to achieve the status of a high reliability organization (HRO). The panel will also share methods for demonstrating return on investment for HFE and techniques for successful implementation to continue the long-term integration of HFE into safety and quality improvement projects within healthcare organizations.

What Space can learn from Aviation: Human Factors in High Reliability Organisations

2016 ◽  
Author(s):  
Simone Schubert ◽  
Christian Arbinger ◽  
José Maria Sola Morena
Keyword(s):  
Human Factors ◽  
High Reliability

Human Factors in the Wild Delivering Safety in the Pediatric World (Discussion Panel)

2017 ◽  
Vol 61 (1) ◽  
pp. 620-624 ◽  
Author(s):  
Adjhaporn (Nana) Khunlertkit ◽  
Shanqing Yin ◽  
A. Joy Rivera ◽  
Patrice Tremoulet ◽  
James Won ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Pediatric Patient ◽  
Human Error ◽  
High Reliability ◽  
Human Factors Engineering ◽  
Healthcare Settings ◽  
Increase Risk ◽  
In The Wild ◽  
Pediatric Healthcare

The pediatric healthcare environment is arguably more complex than the general, adult, healthcare settings (e.g., weight based dosing, caring for patients who cannot advocate for themselves, etc.). These complexities and the ever-changing dynamics of the pediatric patient population and their families increase risk of healthcare professionals committing errors that may result in patient harm. Moreover, due to their physiologic state, when pediatric patients incur such errors their impact is exacerbated due to the fact that children are often less capable of recovering from such events. Human Factors Engineering can help promote a culture of safety and high reliability by using proven techniques to understand human fallibility and help prevent or mitigate human error in healthcare. This panel invites six diverse healthcare HF practitioners from different organizations to share their experiences, contributions, and the impacts they have made to improve pediatric patient safety. Our panel will provide a unique lens on the application of HF approaches, and what sensitive factors toned to be considered to successfully enhance pediatric patient safety.

scholarly journals Using a Human Factors Framework to Assess Clinician Perceptions of and Barriers to High Reliability in Hand Hygiene

2020 ◽  
Vol 41 (S1) ◽  
pp. s426-s426
Author(s):  
Ana Maria Vaughan ◽  
Thomas J. Sandora
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Human Factors ◽  
Nurse Practitioners ◽  
High Reliability ◽  
Physician Assistants ◽  
Healthcare Associated Infections ◽  
Medical Specialties ◽  
Healthcare Associated ◽  
Attending Physicians

Background: Hand hygiene is essential to prevent healthcare-associated infections, but adherence among clinicians remains low. Objective: We used a human factors framework to understand clinician perceptions of and barriers to achieving high reliability in hand hygiene. Methods: The Systems Engineering Initiative for Patient Safety 2.0 model was used to develop a 24-item electronic survey. Perceived barriers to hand hygiene were classified into several domains: technology and tools, person, organization, tasks, environment, and care processes. After pilot testing, the survey was distributed to a stratified random sample of attending physicians, nurse practitioners, and physician assistants in medical specialties and surgery-anesthesia at a quaternary-care pediatric hospital. Frequencies, percentages, and descriptive statistics were used to summarize responses. Results: Of 200 clinicians, 61 (31%) responded to the survey: 74% were attending physicians, 18% were nurse practitioners, and 7% were physician assistants. Moreover, 51% of respondents represented medical specialties, and 49% came from surgical disciplines or anesthesia. Respondents had served a median 12 years (IQR, 5–19 years) in their current role. Overall, 70% perceived hand hygiene to be “essential” among patient safety issues at the institution, and 84% agreed that leadership openly promotes hand hygiene. Additionally, 97% believed personal hand hygiene efforts were effective in preventing healthcare-associated infections. The availability of alcohol-based hand rub and being a good example for colleagues were perceived as “very effective” in permanently improving hand hygiene reliability by most respondents (87% and 67%, respectively). Furthermore, 77% of clinicians reported alcohol-based hand rub dispensers to be “sometimes” or “often” empty; 52% cited distractions in the workplace as hindrances to hand hygiene; and 21% reported that peers do not openly promote hand hygiene. One-quarter of the respondents indicated that the layout of patient care areas was not conducive to performing hand hygiene. Staffing shortages and the pace and demands of work precluded hand hygiene for 15% and 11% of respondents, respectively. Conclusions: Most clinicians view hand hygiene as essential to patient safety, but aspects of organizational culture, environment, tasks, and tools were identified as barriers to high performance reliability. These data can inform efforts to use human factors engineering principles to optimize systems and organizations to more effectively promote hand hygiene.Funding: NoneDisclosures: None

Failure Analysis With the Scanning Electron Microscope

1972 ◽  
Vol 30 ◽  
pp. 482-483
Author(s):  
John R. Devaney
Keyword(s):  
Electron Microscope ◽  
Scanning Electron Microscope ◽  
Integrated Circuits ◽  
Failure Analysis ◽  
High Reliability ◽  
Military Applications ◽  
Small Structure ◽  
Useful Life ◽  
Insight Into ◽  
Scanning Electron

Occasionally in history, an event may occur which has a profound influence on a technology. Such an event occurred when the scanning electron microscope became commercially available to industry in the mid 60's. Semiconductors were being increasingly used in high-reliability space and military applications both because of their small volume but, also, because of their inherent reliability. However, they did fail, both early in life and sometimes in middle or old age. Why they failed and how to prevent failure or prolong “useful life” was a worry which resulted in a blossoming of sophisticated failure analysis laboratories across the country. By 1966, the ability to build small structure integrated circuits was forging well ahead of techniques available to dissect and analyze these same failures. The arrival of the scanning electron microscope gave these analysts a new insight into failure mechanisms.

An Application of the HFACS Method to Aviation Accidents in Africa

2016 ◽  
Vol 6 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Isaac Munene
Keyword(s):  
Human Factors ◽  
Physical Environment ◽  
Human Factor ◽  
Flight Training ◽  
African Countries ◽  
Causal Factors ◽  
Aviation Accidents ◽  
Factors Analysis ◽  
Adverse Weather ◽  
Decision Errors

Abstract. The Human Factors Analysis and Classification System (HFACS) methodology was applied to accident reports from three African countries: Kenya, Nigeria, and South Africa. In all, 55 of 72 finalized reports for accidents occurring between 2000 and 2014 were analyzed. In most of the accidents, one or more human factors contributed to the accident. Skill-based errors (56.4%), the physical environment (36.4%), and violations (20%) were the most common causal factors in the accidents. Decision errors comprised 18.2%, while perceptual errors and crew resource management accounted for 10.9%. The results were consistent with previous industry observations: Over 70% of aviation accidents have human factor causes. Adverse weather was seen to be a common secondary casual factor. Changes in flight training and risk management methods may alleviate the high number of accidents in Africa.

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