Enhancing Patient Safety and Reducing Medical Error: The Role of Human Factors in Improving Trauma Care

2001 ◽  
pp. 791-830
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Trauma Care ◽  
Medical Error

scholarly journals Policy to Protection: The Role of Human Nature and System Nature in Preventing Patient Injury

2004 ◽  
Vol 35 (4) ◽  
pp. 829 ◽  
Author(s):  
Peter Roberts
Keyword(s):  
Patient Safety ◽  
Health System ◽  
Human Nature ◽  
Medical Error ◽  
Complex Nature ◽  
Health Practitioners

This article examines theories and research relating to medical error. It looks at the human tendencies to err, to blame, and to trust. In light of the professionalism of health practitioners and the uniquely complex nature of the health system, the author encourages a focus on professionalism rather than consumerism. ACC's abandonment of the concept of medical error is consistent with this approach to patient safety.

The role of human factors in neonatal patient safety

2019 ◽  
Vol 43 (8) ◽  
pp. 151174 ◽  
Author(s):  
Nicole K. Yamada ◽  
Kenneth Catchpole ◽  
Eduardo Salas
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Neonatal Patient

scholarly journals Medical Device Risk Management from a Human Factors Perspective

2018 ◽  
Vol 1 (1) ◽  
pp. 4-8
Author(s):  
Anthony Easty
Keyword(s):  
Risk Management ◽  
Patient Safety ◽  
Human Factors ◽  
Medical Devices ◽  
Error Reduction ◽  
Clinical Engineering ◽  
Natural Evolution ◽  
Engineering Teams ◽  
Adoption And Implementation

This paper describes the ways in which human factors methods can help to enhance the work of established clinical engineering teams by placing a new emphasis on error reduction and patient safety. This approach in many ways represents a natural evolution for departments that are looking to enhance their usefulness and relevance to healthcare. Several examples are given of points at which the introduction of human factors methods can reveal issues related to the safe use of medical devices that are not easily accessible by other means. Adoption and implementation of these methods offers the potential for clinical engineering departments to enhance their role of helping to ensure optimal patient safety.

scholarly journals MP036: Trauma Resuscitation Using in-situ Simulation Team Training (TRUST): a novel approach to latent safety threat identification in trauma care

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S78-S79 ◽  
Author(s):  
A. Petrosoniak ◽  
A. Gray ◽  
M. Fan ◽  
K. White ◽  
M. McGowan ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Trauma Care ◽  
Trauma Team ◽  
Team Training ◽  
Framework Analysis ◽  
In Situ Simulation ◽  
Workflow System ◽  
The Impact

Introduction: Resuscitation of a trauma patient requires a multidisciplinary team to perform in a dynamic, high-stakes environment. Error is ubiquitous in trauma care, often related to latent safety threats (LSTs) - previously unrecognized threats that can materialize at any time. In-situ simulation (ISS) allows a team to practice in their authentic environment while providing an opportunistic milieu to explore critical events and uncover LSTs that impact patient safety. Methods: At a Canadian Level 1 trauma centre, regular, unannounced trauma ISSs were conducted and video-recorded. A retrospective chart review of adverse events or unexpected deaths informed ISS scenario design. Each session began with a trauma team activation. The on-duty trauma team arrived in the trauma bay and provided care as they would for a real patient. Semi-structured debriefing with participant-driven LST identification and ethnographic observation occurred in real time. A framework analysis using video review was conducted by human factors experts to identify and evaluate LSTs. Feasibility was measured by the impact on ED workflow, interruptions of clinical care and participant feedback. Results: Six multidisciplinary, high-fidelity, ISS sessions were conducted and 70 multidisciplinary staff and trainees participated in at least one session. Using a framework analysis, LSTs were identified and categorized into seven themes that relate to clinical tasks, equipment, team communication, and participant workflow. LSTs were quantified and prioritized using a hazard scoring matrix. ISS was effectively implemented during both low and high patient volume situations. No critical interruptions in patient care were identified during ISS sessions and overall participant feedback was positive. Conclusion: This novel, multidisciplinary ISS trauma training program integrated risk-informed simulation cases with human factors analysis to identify LSTs. ISS offers an opportunity for an iterative review process of high-risk situations beyond the traditional morbidity and mortality rounds; rather than waiting for an actual case to generate discussion and review, we prophylactically examined critical situations and processes. Findings form a framework for recommendations about improvements in equipment, environment layout, workflow, system processes, effective team training, and ultimately patient safety.

scholarly journals PATIENT SAFETY ISSUES: THE ROLE OF ORGANIZATIONAL BEHAVIORAL APPROACH (OBA) IN ADDRESSING ISSUES RELATED TO MEDICAL ERROR AND SAFETY CULTURE

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Fatmawati Fatmawati ◽  
Muhammad Taufik
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Error ◽  
Care Setting ◽  
Health Sciences ◽  
Behavioral Approach ◽  
Safety Issues ◽  
Behavioral Theories ◽  
Main Target

During these recent years, patient safety has become a prominent issue in the medical atmosphere and appeared to be the main target for improvement (Leroy et al., 2012). As one of the disciplines in health sciences, psychology might play an important role in addressing the problems occurred in patient safety. There are broad aspects where psychology may contribute (Nash, McKay, Vogel, & Masters, 2012), but the involvement of psychology in changing the safety within health care setting has been underestimated and its role has been partially described (Øvretveit, 2009).Therefore, this paper is proposed in order to demonstrate one of the behavioral theories in psychology, named the Organizational Behavioral Approach (OBA) to give a wider understanding on how psychologist may contribute to address the issues in patient safety, especially the problems related to medical error and safety culture.

Asiana Airlines Flight 214

2014 ◽  
Vol 4 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Stephanie Chow ◽  
Stephen Yortsos ◽  
Najmedin Meshkati
Keyword(s):  
Human Factors ◽  
Aviation Safety ◽  
Cultural Factors ◽  
Vital Role ◽  
Cultural Issues ◽  
Flight Crew ◽  
Pilot Performance ◽  
Engineering Designs ◽  
Flight Deck

This article focuses on a major human factors–related issue that includes the undeniable role of cultural factors and cockpit automation and their serious impact on flight crew performance, communication, and aviation safety. The report concentrates on the flight crew performance of the Boeing 777–Asiana Airlines Flight 214 accident, by exploring issues concerning mode confusion and autothrottle systems. It also further reviews the vital role of cultural factors in aviation safety and provides a brief overview of past, related accidents. Automation progressions have been created in an attempt to design an error-free flight deck. However, to do that, the pilot must still thoroughly understand every component of the flight deck – most importantly, the automation. Otherwise, if pilots are not completely competent in terms of their automation, the slightest errors can lead to fatal accidents. As seen in the case of Asiana Flight 214, even though engineering designs and pilot training have greatly evolved over the years, there are many cultural, design, and communication factors that affect pilot performance. It is concluded that aviation systems designers, in cooperation with pilots and regulatory bodies, should lead the strategic effort of systematically addressing the serious issues of cockpit automation, human factors, and cultural issues, including their interactions, which will certainly lead to better solutions for safer flights.

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