Human Error in Health Care Delivery: Cases, Causes and Correction

Author(s):  
Harold P. Van Cott

Health care delivery is viewed as a complex, people-intensive system whose reliability depends on human performance. Examples of the human errors that occur in health care are described, and human factors interventions and remedies that might be taken to improve reliability and safety are suggested.

Author(s):  
Barrett S. Caldwell ◽  
John Gosbee ◽  
Harold S. Kaplan ◽  
Bruce R. Thomadsen

Human performance and human error in medicine have emerged as critical health care issues affecting the entire practice of medical treatment and health care delivery. Human factors professionals, particularly members of the HFES, can make major contributions to health care systems, but there is a lack of transition between problem domains. Since the human factors profession has been built on the study and improvement of high-risk systems, the current state of medical practice is clearly an opportune environment in which to operate. This panel will address several practical “ironies” of the current challenges to build improved bridges between key aspects of HFES expertise and the needs of the medical community.


2018 ◽  
Vol 25 (6) ◽  
pp. 557-562 ◽  
Author(s):  
Tyson Schwab ◽  
John Langell

Background. The rapid adoption of smartphones and software applications (apps) has become prevalent worldwide, making these technologies nearly universally available. Low-cost mobile health (M-health) platforms are being rapidly adopted in both developed and emerging markets and have transformed the health care delivery landscape. Human factors optimization is critical to the safe and sustainable adoption of M-health solutions. The overall goal of engaging human factors requirements in the software app design process is to decrease patient safety risks while increasing usability and productivity for the end user. Methods. An extensive review of the literature was conducted using PubMed and Google search engines to identify best approaches to M-health software design based on human factors and user-centered design to optimize the usability, safety, and efficacy of M-health apps. Extracted data were used to create a health care app development algorithm. Results. A best practice algorithm for the design of mobile apps for global health care, based on the extracted data, was developed. The approach is based on an iterative 4-stage process that incorporates human factors and user-centered design processes. This process helps optimize the development of safe and effective mobile apps for use in global health care delivery and disease prevention. Conclusion. Mobile technologies designed for developing regions offer a potential solution to provide effective, low-cost health care. Applying human factors design principles to global health care app development helps ensure the delivery of safe and effective technologies tailored to the end-users requirements.


2020 ◽  
Author(s):  
Tianyi Zhang ◽  
Jarrod Mosier ◽  
Vignesh Subbian

UNSTRUCTURED The extensive uptake of telehealth has considerably transformed health care delivery since the beginning of the COVID-19 pandemic and has imposed tremendous challenges to its large-scale implementation and adaptation. Given the shift in paradigm from telehealth as an alternative mechanism of care delivery to telehealth as an integral part of the health system, it is imperative to take a systematic approach to identifying barriers to, opportunities for, and the overall impact of telehealth implementation amidst the current pandemic. In this work, we apply a human factors framework, the Systems Engineering Initiative for Patient Safety model, to guide our holistic analysis and discussion of telehealth implementation, encompassing the health care work system, care processes, and outcomes.


Human factors is an important aspect to consider when designing a safe and healthy workplace. Human errors are usually outcomes of long chains of events, and preventing human error at work calls for preventive actions or safety–related measures that include the human factors in order for it to be effective. Human factors are addressed with regard to safety and health with the goal to optimise human performance and minimise human failures. Accident causation is a very complex phenomenon and need to be understood adequately with the purpose of improving workplace safety. Based on the Swiss Cheese Theory, human error is studied in this paper. Objectives: To study how human errors are involved in safety–related accidents at the workplace; and to study how human factors can be integrate in accident prevention. Methodology: A qualitative study using document analysis method. Results and discussion: Conclusion: workers’ individual attributes may also be the source of accidents. People tend to make a lower risk estimation of their own job compare with other jobs; and underestimated the risks within their own job. The availability of information relevant to the hazard, risk estimations, types of exposure, and control measures are useful in helping people to understand risks better.


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Jonathan K. Corrado

Abstract Today's sensory and processing technologies are perceptive and precise. They can discern the environment, solve complicated problems, make assessments, and learn from experience. Although they do not think the way humans do, they can replicate many human intellectual aptitudes. Throughout the last several decades, companies have implemented advanced technology and increasingly removed the human from many aspects of nuclear operation. There are many advantages to this transition, but, like any system modification, failures inevitably manifest. In the instance of this article, human errors have resulted and have accounted for several accidents at nuclear facilities in the United States due to this transition. The accidents at these facilities due to human error often result in plant shutdowns, unnecessary expenses, and have the capacity to be problematic for people, the facilities, and environments. This article explores the context surrounding the complexity of changing technologies at the nuclear facilities and the potential exacerbation of problems caused by human error when technology advancements concerning operator interaction with control systems are implemented. To understand the complexity surrounding the human interaction with advancing technologies, the concepts of human performance and human factors are examined and then the impact of these concepts within the framework of advancing technology are applied to the operation of nuclear facilities. This review draws attention to the vulnerabilities due to human error at nuclear facilities within the context of continually advancing technology and sheds insight on the role human performance and human factors have on system design and the resulting outcome.


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