Leading article: What can we do to improve individual and team situational awareness to benefit patient safety?
| Autor: | R.S. Oeppen, P.A. Brennan, S. Morris, C. Holden, G. Shaw |
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| Rok vydání: | 2020 |
| Předmět: |
Operating Rooms
Situation awareness Aviation media_common.quotation_subject System safety 03 medical and health sciences Patient safety 0302 clinical medicine Promotion (rank) Health care Tunnel vision medicine Humans 030212 general & internal medicine media_common Patient Care Team Medical Errors business.industry food and beverages Workload Awareness Otorhinolaryngology Risk analysis (engineering) 030220 oncology & carcinogenesis Surgery Patient Safety Oral Surgery medicine.symptom business |
| Zdroj: | British Journal of Oral and Maxillofacial Surgery. 58:404-408 |
| ISSN: | 0266-4356 |
| DOI: | 10.1016/j.bjoms.2020.01.030 |
| Popis: | It is increasingly being recognised that human factors can contribute to error in complex safety systems. Healthcare, however, has a long way to go before the promotion of training in, and awareness of, human factors will catch up with other high-risk organisations. A critical component that is deemed essential both for improving clinical performance and reducing medical error is situational awareness (SA). This is dynamic and can reduce quickly or be lost entirely, particularly when the workload is heavy. Tunnel vision, in which healthcare professionals concentrate on a single aspect of a patient's care, is just one example of reduced awareness that can be detrimental to safety. As in aviation and other high-risk organisations, a reduction in SA, if not recognised by individuals or the wider team, can lead to serious or potentially fatal outcomes. We therefore give an overview of SA and show how it can easily be reduced. We also suggest some simple but effective ways to improve it and in turn improve patient safety. We emphasise the importance of clinical teams looking out for each other, particularly in the operating theatre. |
| Databáze: | OpenAIRE |
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