Human factors enablers and barriers for successful airway management - an in-depth interview study
| Autor: | Kristie Lee Young, Stuart Marshall, Tim Horberry, R. Schnittker |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Decision support system
Operating Rooms Knowledge management media_common.quotation_subject medicine.medical_treatment education Clinical Decision-Making Nurses Environment Affect (psychology) 03 medical and health sciences 0302 clinical medicine Resource (project management) 030202 anesthesiology medicine Humans Airway Management media_common Patient Care Team Teamwork business.industry Communication 030208 emergency & critical care medicine Decision Support Systems Clinical Variety (cybernetics) Anesthesiologists Anesthesiology and Pain Medicine Airway management Clinical Competence Thematic analysis business Decision model |
| Zdroj: | Anaesthesia. 73(8) |
| ISSN: | 1365-2044 |
| Popis: | Human factors are the individual, team, environmental and organisational aspects of the anaesthetic environment that affect performance and decision-making of anaesthesia teams. This study aimed to identify which human factors were enablers and/or barriers to anaesthesia teams during airway management challenges. Sixteen interviews were conducted with experienced anaesthetists and anaesthetic nurses using an in-depth interview technique (the Critical Decision Method) to identify human factors enablers and/or barriers during successful management of a significant airway challenge. Thematic analysis identified three overarching enablers: equipment location and storage; experience and learning; teamwork and communication. Five overarching barriers were also identified: time and resource limitations; teamwork and communication; equipment location and storage; experience and learning; insufficient back-up planning; and equipment preparation. This study showed that a variety of human factors issues affect the handling of airway challenges, ranging from individual and team to organisational and environmental aspects. Recommendations for the design of airway management decision support tools that relate to equipment standardisation, decision support complexity, inclusive mutual learning and teamwork are discussed. |
| Databáze: | OpenAIRE |
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