Involuntary automaticity: A work-system induced risk to safe health care

Health Services Management Research

Volumn 18, Issue 4, 2005, Pages 211-216

  Toft, Brian ^a   Mascie Taylor, Hugo ^b  

^a Marsh Ltd   (United Kingdom)

^b ST JAMES S UNIVERSITY HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTENTION; BEHAVIOR; COGNITION; CONSCIOUSNESS; ERROR; FATIGUE; HEALTH CARE ORGANIZATION; HEALTH CARE SYSTEM; HEALTH PRACTITIONER; HUMAN; JOB PERFORMANCE; MEDICAL PROFESSION; PRIORITY JOURNAL; RISK; SAFETY; SKILL; STRESS; TASK PERFORMANCE; VERBAL COMMUNICATION; WORK; WORK ENVIRONMENT; WORKING MEMORY; WORKLOAD;

ATTENTION; AUTOMATISM; DELIVERY OF HEALTH CARE; GREAT BRITAIN; HUMANS; PATIENTS; RISK REDUCTION BEHAVIOR; SAFETY MANAGEMENT; STATE MEDICINE;

EID: 28044437761     PISSN: 09514848     EISSN: 09514848     Source Type: Journal    
DOI: 10.1258/095148405774518615     Document Type: Article

References (26)

1. Krause II, Johnson A, O'Connell D. Cited in Linden JV, Kaplan HS. Transfusion Errors: Causes and Effects. Trans Med Rev 1994;VIII:175
2. Toft B. Independent Review of the Circumstances Surrounding Four Adverse Events that Occurred in the Reproductive Medicine Units at The Leeds Teaching Hospitals NHS Trust, West Yorkshire. London: Department of Health, para 7.34, June 2004
3. International Atomic Energy Agency Lesson Learned from Accidental Exposure in Radiotherapy Safety Report Series No. 17. Vienna: International Atomic Energy Agency, 2000:34
4. Reber AS. Dictionary of Psychology. London: Penguin, 1995:74
5. Reason J. Actions not as planned: the price of automatization. In: Underwood G, Stevens R, eds. Aspects of Consciousness, Vol. 1, London: Academic Press, 1979:67-88
6. Barshi I, Healy A. Checklist procedures and the cost of automaticity. Memory Cogn 1993;21:496-505
7. Langer EJ. Mindfulness Choice and Control in Everyday Life. Harvill an imprint of Harper Collins publishers, 1991:24
8. Barshi I, Healy A, op. cit. p. 496
9. ibid 496
10. ibid 497
11. Green RG, Muir H, James M, Gradwell D, Green RL. Human Factors for Pilots. Cambridge: Avebury Technical, 1993:122
12. Office of Safety Services, Safety Analysis Division. Human Performance Considerations in the Use and Design of Aircraft Checklists, US Department of Transportation Federal Aviation Administration, 1995: 43. URL: http://www.faa.gov/avr/afs/afs200/afs210/checklist.doc
13. Olcott JW. Check complacency. Bus Commercial Aviat 1991;67:134, cited in Barshi I, op. cit. p. 504
14. French J. Treatment errors in radiation therapy. Radiat Ther 2002;11:157
15. Reason J, Mycielska K. Absent-Minded? The Psychology of Mental Lapses and Everyday Errors. Englewood Cliffs, NJ, USA: Prentice-Hall, 1982:243
16. British Committee for Standards in Haematology, Blood Transfusion Task Force. The administration of blood and blood components and the management of transfused patients. Transf Med J 1999;231:227-38
17. Linden JV, Kaplan HS. Transfusion errors: causes and effects. Transf Med Rev 1994;VIII:175
18. Firth-Cozens J. Hours, sleep, teamwork, and stress, Editorials. Br Med J 1998;317:1335
19. Firth-Cozens J. Doctors, their wellbeing, and their stress, Editorials. Br Med J 2003;326:670
20. Leape LL. Error in medicine. In: Rosenthal MM, Mulcahy L, Lloyd-Bostock S, eds. Medical Mishaps Pieces of the Puzzle. Buckingham: Open University Press, 1999:27
21. Nguyen L, Bibbings R. Exploring the links between stress and accidents in the workplace: a literature review. J Inst Occup Safety Health 2002;6:18
22. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys, Editorials. Br Med J 2000;320:745
23. Safety Analysis Division, op. cit. p. 43 http://www.faa.gov/avr/afs/afs200/afs210/checklist.doc
24. Turner CL, Casbard AC, Murphy MF. Barcode technology: its role in increasing the safety of blood transfusion. Transfusion 2003;43:1
25. Office of Safety Services, op. cit. p. 34 http://www.faa.gov/avr/afs/afs200/afs210/checklist.doc
26. Leape L L. op. cit. p. 36