scholarly journals Role of human factors in pediatric cardiac surgery

2017 ◽  
Vol 2016 (4) ◽  
Author(s):  
Aklaque Bhat
Keyword(s):  
Decision Making ◽  
Cardiac Surgery ◽  
Human Factors ◽  
Human Performance ◽  
Pediatric Cardiac Surgery ◽  
Intended Action ◽  
Healthcare Improvement ◽  
Attention Memory

According to the Institute of Healthcare Improvement, “human factors” refers to the discipline of engineering that details the interface of people, equipment and the environment in which they work. Issues that impact human performance and increase the risk of error include factors that directly enable decision making, such as perception, attention, memory, reasoning, judgement and factors that directly enable decision execution, such as communication and the ability to carry out the intended action. 

The role of intraoperative epicardial echocardiography in pediatric cardiac surgery

2018 ◽  
Vol 35 (7) ◽  
pp. 999-1004 ◽  
Author(s):  
Erkut Ozturk ◽  
Ibrahim Cansaran Tanidir ◽  
Pelin Ayyildiz ◽  
Selman Gokalp ◽  
Hasan Candas Kafali ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Pediatric Cardiac Surgery ◽  
Epicardial Echocardiography

scholarly journals Corticosteroids and Other Anti-Inflammatory Strategies in Pediatric Heart Surgery: A National Survey of Practice

2018 ◽  
Vol 9 (3) ◽  
pp. 289-293 ◽  
Author(s):  
Daniel P. Fudulu ◽  
Alvin Schadenberg ◽  
Ben Gibbison ◽  
Ian Jenkins ◽  
Stafford Lightman ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Heart Surgery ◽  
Pediatric Cardiac Surgery ◽  
Pediatric Heart Surgery ◽  
The United Kingdom ◽  
Wide Variability ◽  
Patient Groups ◽  
Anti Inflammatory ◽  
Almost All

Background: The role of steroids to mitigate the deleterious effects of pediatric cardiopulmonary bypass (CPB) remains a matter of debate; therefore, we aimed to assess preferences in administering corticosteroids (CSs) and the use of other anti-inflammatory strategies in pediatric cardiac surgery. Methods: A 19-question survey was distributed to consultants in pediatric cardiac anesthesia from 12 centers across the United Kingdom and Ireland. Results: Of the 37 respondents (37/60, 62%), 24 (65%) use CSs, while 13 (35%) do not use steroids at all. We found variability within 5 (41%) of the 12 centers. Seven consultants (7/24, 29%) administer CSs in every case, while 17 administer CSs in selected cases only (17/24, 71%). There was variability in the dose of steroid administration. Almost all consultants (23/24, 96%) administer a single dose at induction, and one administers a two-dose regimen (1/24, 4%). There was variability in CS indications. Most consultants (24/37, 66%) use modified ultrafiltration at the conclusion of CPB. Fifteen consultants (15/32, 47%) report the use of aprotinin, while only 3 use heparin-coated circuits (3/24, 9%). Conclusions: We found wide variability in practice in the administration of CSs for pediatric cardiac surgery, both within and between units. While most anesthetists administer CSs in at least some cases, there is no consensus on the type of steroid, the dose, and at which patient groups this should be directed. Modified ultrafiltration is still used by most of the centers. Almost half of consultants use aprotinin, while heparin-coated circuits are infrequently used.

Defining the role of recombinant activated factor VII in pediatric cardiac surgery: Where should we go from here?*

2009 ◽  
Vol 10 (5) ◽  
pp. 572-582 ◽  
Author(s):  
Oliver J. Warren ◽  
Paula L. B. Rogers ◽  
Amy L. Watret ◽  
Katie L. de Wit ◽  
Ara W. Darzi ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Pediatric Cardiac Surgery ◽  
Factor Vii ◽  
Recombinant Activated Factor Vii ◽  
Activated Factor Vii

Human Factors in the Development of Trend Detection and Tracking Techniques

2006 ◽  
pp. 273-279
Author(s):  
Chaomei Chen ◽  
Kaushal Toprani ◽  
Natasha Lobo
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Information Science ◽  
Trend Detection ◽  
Text Document ◽  
Working Environments ◽  
Detection And Tracking ◽  
Emerging Trends ◽  
Efficiency And Effectiveness

Trend detection has been studied by researchers in many fields, such as statistics, economy, finance, information science, and computer science (Basseville & Nikiforov, 1993; Chen, 2004; Del Negro, 2001). Trend detection studies can be divided into two broad categories. At technical levels, the focus is on detecting and tracking emerging trends based on dedicated algorithms; at decision making and management levels, the focus is on the process in which algorithmically identified temporal patterns can be translated into elements of a decision making process. Much of the work is concentrated in the first category, primarily focusing on the efficiency and effectiveness from an algorithmic perspective. In contrast, relatively fewer studies in the literature have addressed the role of human perceptual and cognitive system in interpreting and utilizing algorithmically detected trends and changes in their own working environments. In particular, human factors have not been adequately taken into account; trend detection and tracking, especially in text document processing and more recent emerging application areas, has not been studied as integral part of decision-making and related activities. However, rapidly growing technology, and research in the field of human-computer interaction has opened vast and, certainly, thought-provoking possibilities for incorporating usability and heuristic design into the areas of trend detection and tracking.

Role of near infrared spectroscopy in pediatric cardiac surgery

2010 ◽  
Vol 29 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Jennifer C. Hirsch ◽  
John R. Charpie ◽  
James G. Gurney ◽  
Richard G. Ohye
Keyword(s):  
Cardiac Surgery ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Pediatric Cardiac Surgery

A human factors approach to understanding patient safety during pediatric cardiac surgery

2005 ◽  
Vol 20 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Cynthia Galvan ◽  
Emile A. Bacha ◽  
Julie Mohr ◽  
Paul Barach
Keyword(s):  
Patient Safety ◽  
Cardiac Surgery ◽  
Human Factors ◽  
Pediatric Cardiac Surgery

Perception, Decision Making, and Skill in Relation to a Boating Operator's Performance

1974 ◽  
Vol 18 (1) ◽  
pp. 71-77
Author(s):  
C. Christian Stiehl ◽  
James M. Miller
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Present State ◽  
Real World ◽  
Judgment And Decision Making ◽  
Human Operator ◽  
Performance Levels ◽  
Field Investigations

Basic human characteristics are applied to understanding the design and operation of boats. In particular, the processes of perception, skill, judgment and decision making are analyzed in the boating environment. Emphasis is given to (1) errors and hazards that are likely to result in the boating environment (both stressor-induced and others), and (2) areas where research is needed to determine the role of these human factors in boating. From our present state of knowledge, we can conclude that the human operator needs to be studied to determine the minimum safe levels of performance in each of these areas in the boating task. The proposed methodology involves field investigations with accident victims and constructing real-world test courses to gain data. Quantitative determinations of the safe levels of performance could allow the establishment of the necessary educational or regulatory procedures to assure these performance levels.

Human factors in maintenance: a review

2016 ◽  
Vol 22 (3) ◽  
pp. 218-237 ◽  
Author(s):  
Mohammad Sheikhalishahi ◽  
Liliane Pintelon ◽  
Ali Azadeh
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Human Error ◽  
Human Performance ◽  
Decision Makers ◽  
Content Type ◽  
Swiss Cheese Model ◽  
Maintenance Decision ◽  
Cheese Model ◽  
Review Current

Purpose – The purpose of this paper is to review current literature analyzing human factors in maintenance, and areas in need of further research are suggested. Design/methodology/approach – The review applies a novel framework for systematically categorizing human factors in maintenance into three major categories: human error/reliability calculation, workplace design/macro-ergonomics and human resource management. The framework further incorporates two well-known human factor frameworks, i.e., the Swiss Cheese model and the ergonomic domains framework. Findings – Human factors in maintenance is a pressing problem. The framework yields important insights regarding the influence of human factors in maintenance decision making. By incorporating various approaches, a robust framework for analyzing human factors in maintenance is derived. Originality/value – The framework assists decision makers and maintenance practitioners to evaluate the influence of human factors from different perspectives, e.g. human error, macro-ergonomics, work planning and human performance. Moreover, the review addresses an important subject in maintenance decision making more so in view of few human error reviews in maintenance literature.

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