The impact of human error on medical procedures

Author(s):  
Daniela Frazão ◽  
José Sobral

BACKGROUND: Human error has been studied for large decades with special application to critical infrastructures and processes where the impact of such errors can induce severe or catastrophic consequences. In this sense it is of utmost importance to extend this type of analysis to other fields as medicine. OBJECTIVE: This study proposes a semi-quantitative human error risk assessment methodology, including the analysis of the so-called Performance Shaping Factors (PSFs), in order to contribute to health services improvement. METHODS: A questionnaire including the considered PSFs is answered in order to determine the impact of each PSF and its influence on human error. It allows performing a Human Error Risk Assessment (HERA) for both the patient (HERAp) and the quality of the service (HERAq). RESULTS: The results show the PSFs with the highest impact factor. After applying corrective measures, it is possible to observe the impact on the reduction of the risk for patient and for the quality of the service. CONCLUSIONS: The application of the methodology with the inclusion of the impact of PSFs allows minimizing or mitigating failure modes with greater risk as well as increasing patient safety and promoting a better quality of medical procedures.

Author(s):  
Eric Brehm ◽  
Robert Hertle ◽  
Markus Wetzel

In common structural design, random variables, such as material strength or loads, are represented by fixed numbers defined in design codes. This is also referred to as deterministic design. Addressing the random character of these variables directly, the probabilistic design procedure allows the determination of the probability of exceeding a defined limit state. This probability is referred to as failure probability. From there, the structural reliability, representing the survival probability, can be determined. Structural reliability thus is a property of a structure or structural member, depending on the relevant limit states, failure modes and basic variables. This is the basis for the determination of partial safety factors which are, for sake of a simpler design, applied within deterministic design procedures. In addition to the basic variables in terms of material and loads, further basic variables representing the structural model have to be considered. These depend strongly on the experience of the design engineer and the level of detailing of the model. However, in the clear majority of cases [1] failure does not occur due to unexpectedly high or low values of loads or material strength. The most common reasons for failure are human errors in design and execution. This paper will provide practical examples of original designs affected by human error and will assess the impact on structural reliability.


2021 ◽  
Vol 13 (20) ◽  
pp. 11476
Author(s):  
Anna Šenková ◽  
Martina Košíková ◽  
Daniela Matušíková ◽  
Kristína Šambronská ◽  
Ivana Kravčáková Vozárová ◽  
...  

Natural healing resources in the form of mineral and thermal waters and climatic conditions, together with a rich history and modern medical procedures, rank Slovakia among the important European countries in the field of spas. At the same time, spa tourism has a significant economic benefit for the country. This study examined the impact of the Coronavirus Disease 2019 (COVID-19) pandemic on spa tourism in Slovakia. The Box-Jenkins methodology was used to model and forecast the time series for selected indicators. The analysis used monthly data on the capacity and performance of spa facilities for 2006–2019 and compared the forecast development for 2020–2021 with the reality as affected by the pandemic. Despite the high quality of the models, the methodology used did not take into account an unexpected event such as a pandemic. Therefore, the models were quite inaccurate and had little predictive value. At the same time, it is clear that the pandemic significantly affected spa tourism.


Author(s):  
Trinandari Prasetya Nugrahanti

Objective - The aim of this study to investigate the impact of risk assessment using the risk inherent and quality implementation of quality risk management in the operational activities of banking operations to earnings management practices through loss loan provisions and examine whether the mechanism of corporate government bank covering structure of corporate governance and quality of corporate governance can reduce the impact increase in earnings management in Banking sector of Indonesian. Methodology/Technique - We used data pooled from 2012 through 2014. By exploring the purposive sampling method, the 36 banking listed on the Stock Exchange Indonesian were selected as a sample of this study. A panel data multivariate regression methodology is used. Findings - The result of this study that (1) risk assessment strengthens the decrease in the earning management implementation after the adoption of IFRS in IAS 39; (2) corporate governance mechanisms can weaken the decrease in the earnings management practices through loan loss provisions. The final conclusions are IFRS in IAS No. 39 and Basel II Accord generally evidence to improve in bank's financial report quality. Novelty - This study could not find an empirical evidence on the impact of corporate government mechanisms covering structure of corporate governance and quality of corporate governance can reduce the increase in earnings management in banking sector of Indonesian Type of Paper - Empirical Keywords: Risk Assessment, Corporate Governance, Earnings Management, Loan Loss Provisions.


Author(s):  
Jonathan Corrado

Abstract Although considerable research has been conducted on the human-machine interface, this is a moving target as industry sprints to keep up with technological advances. Conflicts remain between the optimism of technology developers and the real-life operational difficulties that accompany the introduction of these systems. The developers typically claim that the new technology will result in performance improvements. Due to the operational complexities introduced, however, the technology may actually decrease user performance. Unfortunately, the complexities confronting operators are difficult for design teams to predict. Incorporating advances in technology is necessary, but should be properly balanced within the confines of the system. It is easy to forget that humans are a vital part of this system. The human, including the human's inclination for error, should be considered a fundamental aspect of the system, reflected in design and accounted for in the design process. Engaged human involvement is necessary for safe and successful system operation, but like all systems, it has its failure modes. Humans' innate propensity for error in system operation should be addressed from multiple fronts. This article proposes a method to minimize the impact of human error throughout life of a facility via incorporation of a human performance improvement model that institutes human error severity criteria, establishment of a system to capture human error data, and via data trending, a process to predict negative behaviors before potential errors or adverse events can occur.


1992 ◽  
Vol 8 (04) ◽  
pp. 235-243
Author(s):  
Robert G. Gorgone

The execution of the overhaul of U.S. naval vessels at a public shipyard is fraught with risk. Far too often the work authorization process is constrained by a limited budget. This situation can result in two common outcomes:The shipyard delivers a ship to the customer that has significant repair work either deferred or incomplete.The deferred or incomplete work is screened back to the shipyard late in the overhaul, forcing an upheaval in the logical planning and execution of the availability. Risk affects both the shipyard and ship's force because the completion of the overhaul could be affected by late authorized work resulting in the ship not being able to meet her commitments. As Philadelphia Naval Shipyard (PNSV) is an industry leader in Zone or Group Technology execution methods, it is particularly disruptive to work flow to return to geographic areas and perform work in an area out of phase—or even worse—in an area where similar work is already complete. With the innovation of Zone Technology, it was clear that a consistent and effective risk assessment method must be developed to determine the probability of equipment failure during the testing phase of the overhaul and the impact on cost and schedule to the overhaul. The USS Kidd (DD-963) scheduled availability in 1989 proved to be the ideal opportunity to develop and execute a formal risk assessment and management program. The USS Constellation (CV-64) SLEP availability in 1990 afforded the opportunity to refine and expand the risk assessment methodology.


2015 ◽  
Vol 61 (3) ◽  
pp. 63-74 ◽  
Author(s):  
J. Konior

AbstractThe purpose of this article is to present the preparation of Project Risk Assessment Methodology and its mitigation in complex construction projects. The main text provides a summary of the approach, the method used and the findings. The conclusions have been drawn that the proper tools for quantifying risks have to be based on the criteria specific for mathematical statistic and probability or at least fuzziness. Function, which makes possible to categorize any risks into one of the five categories, is a combination of probability and the impact on one of the items: people and their safety or budget, cost, schedule and planning or quality and performance. An attempt was made to express numerically the relationship between risks impacts and their level of likelihood. Also, a method of associating the influence of projects risks impacts on the extent of the likelihood of project risk occurrence which makes possible to determine the direction and the strength of this relationship was presented.


2020 ◽  
Vol 8 (1) ◽  
pp. 9-17
Author(s):  
Wojciech Rykała ◽  
Dominika Dąbrowska

AbstractAn Environmental Risk Assessment is an efficient technical and analytical method for analyzing environmental impacts and it supports the decision-making process connected with projects variants by using historical data collection, identification of regional risk sources, probability and impact estimation of signal risk type. In this article, an Environmental Risk Assessment was performed for groundwater quality in the region of municipal landfills in Tychy-Urbanowice (Southern Poland) to assess the impact of various factors on the quality of groundwater in the region. The assessment used qualitative and quantitative risk analysis methods, including cause and consequence analysis, completion of an effect/probability matrix and utilization of the SWOT analysis method. The results of the assessment indicate that use of the SWOT analysis was the best method for groundwater risk assessment in the examined area. The analysis included an assessment of the spatial and temporal variability of leachate and groundwater quality (using data from a groundwater monitoring system), simulation of the longevity of both the top and bottom security system, spatial planning and an assessment of the impact of other parameters on groundwater, terrain and climatic conditions. The overall result for this analysis for the likely potential groundwater hazard was a score of -4. For the purposes of further risk analyses, it is possible to consider additional factors that are likely to affect the water quality of the area under investigation or to use other methods that will be based on a time series analysis.


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