The SHEL model: A useful tool for analyzing and teaching the contribution of human factors to medical error

Academic Medicine

Volumn 80, Issue 2, 2005, Pages 152-155

  Molloy, Gerard J ^a   O'Boyle, Ciarán A ^b  

^a UNIVERSITY OF ABERDEEN   (United Kingdom)

^b ROYAL COLLEGE OF SURGEONS IN IRELAND   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

EDUCATIONAL TECHNOLOGY; EMERGENCY WARD; EMPIRICISM; ERROR REDUCTION; HEALTH CARE; HEALTH CARE MICROSYSTEM; HEALTH CARE SYSTEM; HUMAN FACTORS RESEARCH; MEDICAL EDUCATION; MEDICAL ERROR; MODEL; OPERATING ROOM; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; RISK REDUCTION; SHEL MODEL; SYSTEM ANALYSIS;

EID: 12844256492     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001888-200502000-00009     Document Type: Review

References (17)

1. Institute of Medicine. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999.
2. Reason J. Human error: models and management. BMJ. 2000;320:768-70.
3. Reason JT. Managing the Risks of Organizational Accidents. Aldershot: Ashgate, 1997.
4. Reason JT. Understanding adverse events: the human factor. In: Vincent CA (ed). Clinical Risk Management. 2nd ed. London: BMJ Books, 2001:9-30.
5. Department of Health. An organisation with a memory: report of an expert group on learning from adverse events in the NHS. London: DOH, 2000.
6. Glavin RJ, Maran NJ. Integrating human factors into the medical curriculum. Med Educ. 2003;37(11 suppl):S59-64.
7. Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316:1154-7.
8. Larson EB. Measuring, monitoring, and reducing medical harm from a systems perspective: a medical director's personal reflections. Acad Med. 2002;77:993-1000.
9. Helmreich RL, Musson DM. Surgery as a team endeavour. Can J Anaesth. 2000;47:391-2.
10. Schaefer HG, Helmreich RL, Scheidegger D. Human factors and safety in emergency medicine. Resuscitation. 1994;28:221-5.
11. Helmreich RL. On error management: lessons from aviation. BMJ. 2000;320:781-5.
12. Hawkins FW. Human Factors in flight. Aldershot: Ashgate, 1994.
13. Swiss Federal Department of Environment, Transport, Energy and Communications. Investigation. Report of the Aircraft Accident Bureau on the accident to aircraft AVRO146-RJ100,HB-IXM operated by Crossair under flight number CRX3597, on 24th November 2001 near Basserdorf/ZH. Zurich: Federal Department of Environment, Transport, Energy and Communications, 2004.
14. Ziegler J. A medical specialty blazes a trail. In: Findlay S (ed). Reducing Medical Errors and Improving Patient Safety 〈http://www.nchc. org/releases/medical_errors.pdf〉. Accessed 31 May 2004. The National Coalition on Health Care and the Institute for Healthcare Improvement, 2000:26-8.
15. Paul C. Back from the brink: making chemotherapy safer. In: Findlay S (ed). Reducing Medical Errors and Improving Patient Safety 〈http://www. nchc.org/releases/medical_errors.pdf〉. Accessed 31 May 2004. The National Coalition on Health Care and the Institute for Healthcare Improvement, 2000:4-8.
16. Driscoll P, Thomas M, Touquet R, Fothergill J. Risk management in accident and emergency medicine. In: Vincent CA (ed). Clinical Risk Management. 2nd ed. London: BMJ Books, 2001:151-74.
17. Kalet A, Pugnaire MP, Cole-Kelly K, et al. Teaching communication in clinical clerk-ships: models from the Macy initiative in health communications. Acad Med. 2004;79:511-20.