Good people who try their best can have problems: recognition of human factors and how to minimise error
Autor: | David A. Mitchell, Simon Holmes, David Parry, Peter A. Brennan, Simon Plint |
---|---|
Rok vydání: | 2015 |
Předmět: |
Situation awareness
Medical Errors Aviation business.industry Human error Emotions Reproducibility of Results Work related Team working World health Checklist 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology Risk analysis (engineering) 030220 oncology & carcinogenesis Medicine Humans Surgery 030212 general & internal medicine Oral Surgery Surgical checklist business Reliability (statistics) Fatigue |
Zdroj: | The British journal of oralmaxillofacial surgery. 54(1) |
ISSN: | 1532-1940 |
Popis: | Human error is as old as humanity itself and is an appreciable cause of mistakes by both organisations and people. Much of the work related to human factors in causing error has originated from aviation where mistakes can be catastrophic not only for those who contribute to the error, but for passengers as well. The role of human error in medical and surgical incidents, which are often multifactorial, is becoming better understood, and includes both organisational issues (by the employer) and potential human factors (at a personal level). Mistakes as a result of individual human factors and surgical teams should be better recognised and emphasised. Attitudes and acceptance of preoperative briefing has improved since the introduction of the World Health Organization (WHO) surgical checklist. However, this does not address limitations or other safety concerns that are related to performance, such as stress and fatigue, emotional state, hunger, awareness of what is going on situational awareness, and other factors that could potentially lead to error. Here we attempt to raise awareness of these human factors, and highlight how they can lead to error, and how they can be minimised in our day-to-day practice. Can hospitals move from being “high risk industries” to “high reliability organisations”? |
Databáze: | OpenAIRE |
Externí odkaz: |