Patient Safety and Human Factors Research for Surgical Automation

2012 ◽  
Vol 57 (SI-1 Track-O) ◽  
Author(s):  
W Korb
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Human Factors Research

Patient Safety Risks during On-Demand Telehealth Referrals and Implications for Human Factors Research

2021 ◽  
Vol 65 (1) ◽  
pp. 500-504
Author(s):  
Kylie M. Gomes ◽  
Katharine T. Adams ◽  
Ethan Booker ◽  
Raj M. Ratwani
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Safety Concern ◽  
On Demand ◽  
Safety Risks ◽  
Time Period ◽  
Increased Risk ◽  
Missed Diagnosis ◽  
Human Factors Research

The COVID-19 pandemic has rapidly accelerated the adoptionof on-demand telehealth as a way to keep patients and providers safe from viral transmission. However, theconstrained timelines and challenging conditions under which telehealth was implemented along with the factthat many patientsand providers are interacting in a new modality raisesconcerns about the potential for unintended patient safety risks that have yet to be fully understood. With the surge in telehealth patient volumeduringthe pandemic,on demand telehealth has served as a way to triageand refer patients who need additional in-person evaluation and treatment. One safety concern is whether patients who are referred are successfully following through on in-person care referrals as thefailure to seekin-person care may lead to increased risk of delayed or missed diagnosis. This study aimsto evaluate whether patientsare successfully fulfilling their in -person referralsfollowingareferralfromon-demandtelehealth through retrospective analysis of a subset of telehealth referral datafrom a large healthcare system. Of the 911 on-demand telehealth visitswith a referral to in-person care, only 689showed anin-person care encounter following the telehealthvisit and only 75-85% ofmore immediate urgency in-person referrals were fulfilled within the recommended time period of 24 hours. This preliminary data highlights theneed for amore comprehensiveanalysisof the telehealth referral processand the application of human factors methodsto understand and address barriers and risks associated with telehealth referrals and successful follow up.

Seizing the Moment: Translating Human Factors Research into Patient Safety Interventions

2002 ◽  
Vol 46 (16) ◽  
pp. 1433-1437
Author(s):  
Thomas Sheridan ◽  
Emilie Roth ◽  
James Battles ◽  
Meghan Dierks ◽  
John Gosbee ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Human Factors ◽  
Improve Patient Safety ◽  
Convincing Evidence ◽  
Medical Practitioners ◽  
Care Community ◽  
Community Needs ◽  
Safety Interventions ◽  
Human Factors Research

The word is out. Doctors, nurses, and health care administrators have heard of human factors. They don't quite understand it, but they are willing to listen if they can see convincing evidence that it can help. To be effective instruments of change the human factors community needs to understand better what motivates physicians and nurses and hospitals to change, and how the health care system works. They need to get closer to the market, learn how to communicate with hospitals and medical practitioners, discover the opportunities for human factors services, and learn how to deal with the health care community to change the culture of blame to one of systems understanding and improvement. It is to that end that this panel was organized. The panel brought together managers, research funders, policy makers and medical educators who are actively engaged in trying to improve patient safety in hospitals to discuss needs, opportunities, and challenges to performing human factors research addressing health care concerns and translating the results of the research into practical interventions.

Human Factors Research in Patient Safety: A Candid Assessment

2002 ◽  
Vol 46 (16) ◽  
pp. 1462-1466 ◽  
Author(s):  
Kerm Henriksen ◽  
Marilyn Sue Bogner ◽  
Pascale Carayon ◽  
Richard I. Cook ◽  
Matthew B. Weinger ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Patient Care ◽  
Clinical Work ◽  
Healthcare Research ◽  
Cultural Barriers ◽  
Patient Privacy ◽  
Safety Research ◽  
Active Research ◽  
Human Factors Research

Five panelists, playing active research roles in the Agency for Healthcare Research and Quality's patient safety research initiative, present their views on challenges to human factors research for enhancing patient safety. Bogner advocates a systems structure for linking the findings of various research projects so that the missing pieces of the patient safety puzzle can serve as fruitful targets for subsequent research. Carayon adopts a macroergonomic framework for designing interventions to clinical work systems while Cook focuses on the complexity that underlies configurable clinical devices. With respect to anesthesia and critical care, Weinger cites the successful use of task analysis, workload assessment, and video analysis, yet notes challenges regarding concerns about patient privacy, disruption of patient care, and cultural barriers. Xiao cites impressive HF/E work on team coordination and performance shaping factors and sees the need for greater use of video and information technology to improve institutional learning and coordination of patient care.

What Can Human Factors Contribute to Improve Electronic Health Record Usability and Patient Safety?

2012 ◽  
Author(s):  
Robert Schumacher ◽  
Robert North ◽  
Matthew Quinn ◽  
Emily S. Patterson ◽  
Laura G. Militello ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Electronic Health Record ◽  
Health Record ◽  
Electronic Health
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