scholarly journals Norm-Based Approach to Incorporate Human Factors into Clinical Pathway: Reducing Human Error and Improving Patient Safety

Author(s):  
Jasmine Tehrani ◽  
Vaughan Michell ◽  
Yu-Chun Pan
2011 ◽  
Vol 1 (11) ◽  
pp. 82-86
Author(s):  
Sanjay Saproo ◽  
◽  
Dr. Sanjeev Bansal ◽  
Dr. Amit Kumar Pandey

UK-Vet Equine ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. 138-145
Author(s):  
Kate R Loomes

Performing general anaesthesia in horses carries an inherent risk. Knowledge of the physiological, pharmacological and practical considerations unique to horses is important to be able to minimise this risk and to address complications should they arise. This article discusses the physiological considerations of subsets of the equine population; aspects of human and patient safety; and methods to reduce human error.


This chapter focuses on preventable anesthesia mishaps caused by human error or equipment malfunctions by asking the question: How does human error contribute to preventable anesthesia mishaps, and are there patterns in frequently occurring incidents that need prospective investigation and prevention measures? This study established a framework for assessing patient safety in anesthesiology and exposed patterns of frequently occurring preventable incidents. Anesthesia personnel were asked to describe mishaps that they observed or were directly involved in at any point in their professional careers. Information collected during pilot interviews was used to develop an initial incident classification scheme. These data also suggested that the application of human-factors principles could be used in anesthesia.


Author(s):  
Peter A. Brennan ◽  
Rachel S. Oeppen

AbstractHuman error and organisational mistakes are a significant cause of morbidity for patients. It is important to recognise and address human factors (HF) in the context of our own performance optimisation, enhancing team working to improve patient safety, and better working lives for clinicians across surgery and medicine.


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Bashkin Osnat

The issue of patient safety and medical human error has been arousing growing concern around the world. Attempts to reduce the rate of human error present a great challenge, and there is an increased understanding that the issue of patient safety in healthcare systems is a complex one that requires in-depth analysis and understanding. Despite the many programs and interventions designed to reduce the rate of human medical errors, various publications that expose the extent of this phenomenon point to a high percentage of human errors that causes injury, and to the difficulties in improving patient safety. The understanding that the focus must be on prevention and the growing need for practical solutions have led to the involvement of disciplines such as human-factors engineering in an attempt to understand the root causes of safety problems and find ways to prevent them. Human-factors engineering is a proactive approach that may contribute to the planning of safe medical systems by taking into account the diverse needs, capabilities, and limitations of the human beings involved in these systems. This article reviews the benefits and challenges in applying the principles of human-factors engineering to promote patient safety, as well as the implications for policy in the field


Author(s):  
Kristen Miller ◽  
Tandi Bagian ◽  
Linda Williams

Even in a just culture, preventable or avoidable adverse events can often be attributed to a failure to follow recognized, evidence-based best practices or guidelines at the individual and/or system level. Investigations of adverse events have heightened the awareness of the need to redesign systems and processes to prevent human error. Despite the existence of considerable information about how to improve care through the application of human factors, healthcare professionals are not provided a means to ensure sufficient education in healthcare human factors and the impact on patient safety. Additionally, even when existing knowledge is taught, providers are challenged to translate and apply knowledge to affect safe patient care. The Department of Veterans Affairs (VA) National Center for Patient Safety (NCPS) Healthcare Human Factors Modules were designed to address these challenges by combining dissemination of existing knowledge and recent research into accessible, hands-on activities that drive home human factors and patient safety competencies. These modules represent an innovative and engaging way to allow providers and administrators alike the ability to advance the shift to systems thinking through high-impact education.


2016 ◽  
Vol 13 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Nick White ◽  
Deborah Clark ◽  
Robin Lewis ◽  
Wayne Robson

AbstractImplementing safety science {a term adopted by the authors which incorporates both patient safety and human factors (Sherwood, G. (2011). Integrating quality and safety science in nursing education and practice. Journal of Research in Nursing, 16(3), 226–240. doi: 10.1177/1744987111400960)} into healthcare programmes is a major challenge facing healthcare educators worldwide (National Advisory Group on the Safety of Patients in England, 2013; World Health Organisation, 2009). Patient safety concerns relating to human factors have been well-documented over the years, and the root cause(s) of as many as 65–80 % of these events are linked to human error (Dunn et al., 2007; Reason, 2005). This paper will describe how safety science education was embedded into a pre-registration nursing programme at a large UK university. The authors argue that the processes described in this paper, may be successfully applied to other pre-registration healthcare programmes in addition to nursing.


Author(s):  
Adjhaporn (Nana) Khunlertkit ◽  
Shanqing Yin ◽  
A. Joy Rivera ◽  
Patrice Tremoulet ◽  
James Won ◽  
...  

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.


2016 ◽  
Vol 26 (12) ◽  
pp. 285-288 ◽  
Author(s):  
F Roche

Making mistakes is part of being human and human error is normal in all areas of life (Bromiley & Mitchell 2009). In some contexts this is of little consequence, but in environments where human safety and well-being are at stake it is vital that such error is minimised. The operating theatre is one such safety critical environment. Research suggests, however, that certain factors predispose to human error. Some or all of these factors may be present in the operating theatre and, therefore, have the potential to compromise patient safety.


Sign in / Sign up

Export Citation Format

Share Document