Methodology to identify systemic vulnerabilities to human error during general anesthesia administration

IIE Annual Conference and Expo 2008

Volumn , Issue , 2008, Pages 799-804

  Feuerbacher, Robin ^a   Funk, Kenneth ^a   Yodpijit, Nantakrit ^a   Blatt, David ^b  

^a OREGON STATE UNIVERSITY   (United States)

^b Good Samaritan Regional Medical Center   (United States)

Author keywords

Anesthesiology; Health care; Human Factors; Process models; Vulnerability analysis

Indexed keywords

AIRWAY MANAGEMENTS; DEFENSE MECHANISMS; DETECTABILITY; ENDOTRACHEAL INTUBATIONS; HUMAN ERRORS; HUMAN FACTORS; HUMAN FACTORS ENGINEERINGS; LAPAROSCOPIC CHOLECYSTECTOMIES; PROCESS MODELS; TASK ANALYSIS; VULNERABILITY ANALYSIS;

ANESTHESIOLOGY; HEALTH CARE; HUMAN ENGINEERING; JOB ANALYSIS; PROCESS MONITORING;

ERRORS;

EID: 63849284088     PISSN: None     EISSN: None     Source Type: Conference Proceeding    
DOI: None     Document Type: Conference Paper

References (8)

1. Funk, K.H., Doolen, T., Nicolalde, J., and Bauer, J.D., Telasha, D., and Reeber, M., 2006, "A Methodology to Identify Systemic Vulnerabilities to Human Error in the Operating Room," Proceedings of the Human Factors and Ergonomics Society 50th Annual Meeting, San Francisco, California, 999-1003.
2. National Institute of Standards and Technology, 1993, "Integration Definition for Function Modeling (IDEFØ)," Federal Information Processing Standards Publication 183, Gaithersburg, Maryland.
3. Kirwan, B., and Ainsworth, L.K., 1992, "A Guide to Task Analysis," Wiley, New York.
4. Annett, J., and Stanton, N., 2000, "Task Analysis," Taylor & Francis, London.
5. American Society of Anesthesiologists "Standards, Guidelines and Statements", various amendment dates, retrieved from the World Wide Web: http://www.asahq.org/publicationsAndServices/sgstoc.htm.
6. Knowledge Based Systems, Inc., retrieved from the World Wide Web: http://www.kbsi.com/Software/KBSI/AI0WIN.htm.
7. Caplan, R.A., Posner, K.L., Ward, R.J., and Cheney, F.W., 1990, "Adverse respiratory events in anesthesia: A closed claims analysis", Anesthesiology, 72, 828-833.
8. Domino, K.B., Posner, K.L., Caplan, R.A., Cheney, F.W., 1990, "Airway injury during anesthesia. A closed claims analysis", Anesthesiology, 91, 1703-1711.