Human Factors and Operating Room Safety

Surgical Clinics of North America

Volumn 92, Issue 1, 2012, Pages 21-35

  ElBardissi, Andrew W ^a   Sundt, Thoralf M ^b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Human factors; Operating room; Safety

Indexed keywords

CLINICAL PROTOCOL; ENVIRONMENTAL FACTOR; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HOSPITAL MANAGEMENT; INTERPERSONAL COMMUNICATION; NOISE STANDARD; OPERATING ROOM; OPERATING ROOM PERSONNEL; ORGANIZATIONAL EFFICIENCY; PATIENT SAFETY; PREOPERATIVE CARE; PRIORITY JOURNAL; REVIEW; SURGICAL ERROR; SURGICAL TECHNIQUE; TASK PERFORMANCE; TEAMWORK; TREATMENT PLANNING; WORK ENVIRONMENT; WORKLOAD;

BIOMEDICAL TECHNOLOGY; GENERAL SURGERY; HEALTH FACILITY ENVIRONMENT; HUMAN ENGINEERING; HUMANS; INTERPROFESSIONAL RELATIONS; MEDICAL ERRORS; OPERATING ROOMS; ORGANIZATIONAL CULTURE; PATIENT CARE TEAM; PATIENT SAFETY; SAFETY MANAGEMENT; WORKLOAD;

EID: 84856133408     PISSN: 00396109     EISSN: 15583171     Source Type: Journal    
DOI: 10.1016/j.suc.2011.11.007     Document Type: Review

References (40)

1. Vincent C., Moorthy K., Sarker S.K., et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg 2004, 239:475-482.
2. ElBardissi A.W., Wiegmann D.A., Dearani J.A., et al. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Surg 2007, 83:1412-1418. [discussion: 8-9].
3. Carthey J., de Leval M.R., Reason J.T. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg 2001, 72:300-305.
4. Wiegmann D.A., ElBardissi A.W., Dearani J.A., et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery 2007, 142:658-665.
5. Healey A.N., Primus C.P., Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care 2007, 16:135-139.
6. Ofek E., Pizov R., Bitterman N. From a radial operating theatre to a self-contained operating table. Anaesthesia 2006, 61:548-552.
7. Fanning J. Illumination in the operating room. Biomed Instrum Technol 2005, 39:361-362.
8. Brogmus G., Leone W., Butler L., et al. Best practices in OR suite layout and equipment choices to reduce slips, trips, and falls. AORN J 2007, 86:384-394. [quiz: 95-8].
9. Ofek O., Karsak M., Leclerc N., et al. Peripheral cannabinoid receptor, CB2, regulates bone mass. Proc Natl Acad Sci USA 2006, 103:696-701.
10. Catchpole K.R., Giddings A.E., Wilkinson M., et al. Improving patient safety by identifying latent failures in successful operations. Surgery 2007, 142:102-110.
11. Carthey J., Woodward S., Adams S., et al. Patient safety. Safe and sound. Health Serv J 2003, 113(Suppl):2-6.
12. Carthey J. The role of structured observational research in health care. Qual Saf Health Care 2003, 12(Suppl 2):ii13-ii16.
13. Wadhera R.K., Parker S.H., Burkhart H.M., et al. Is the " sterile cockpit" concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass. JThorac Cardiovasc Surg 2010, 139:312-319.
14. Parker S.E., Laviana A.A., Wadhera R.K., et al. Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. World J Surg 2010, 34:353-361.
15. Joint Commission on Health Care Quality and Safety, 2006. Sentinel event statistics; 2006. Available at: Accessed November 18, 2011. http://www.jointcommission.org/SentinelEvents/Statistics/.
16. de Leval M.R., Carthey J., Wright D.J., et al. Human factors and cardiac surgery: a multicenter study. JThorac Cardiovasc Surg 2000, 119:661-672.
17. Gawande A.A., Studdert D.M., Orav E.J., et al. Risk factors for retained instruments and sponges after surgery. NEngl J Med 2003, 348:229-235.
18. Lingard L., Espin S., Whyte S., et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 2004, 13:330-334.
19. Salas E., Wilson K.A., Burke C.S., et al. Does crew resource management training work? An update, an extension, and some critical needs. Hum Factors 2006, 48:392-412.
20. ElBardissi A.W., Wiegmann D.A., Henrickson S., et al. Identifying methods to improve heart surgery: an operative approach and strategy for implementation on an organizational level. Eur J Cardiothorac Surg 2008, 34:1027-1033.
21. Defontes J., Surbida S. Preoperative safety briefing project. Permanente J 2004, 8:21-27.
22. World Health Organization's patient-safety checklist for surgery. Lancet 2008, 372(9632):1.
23. Cook R.I., Woods D.D. Adapting to new technology in the operating room. Hum Factors 1996, 38:593-613.
24. Morrow D., North R., Wickens C.D. Reducing and mitigating human error in medicine. Rev Hum Factors Ergon 2005, 1:254-296.
25. Lorenzi N.M., Riley R.T. Managing change: an overview. JAm Med Inform Assoc 2000, 7:116-124.
26. Lee M.J. Evidence-based surgery: creating the culture. Surg Clin N Am 2006, 86:91-100. ix.
27. Cao G.L., Rogers G. Robotics in health care: HF issues in surgery. Human factors and ergonomics in health care and patient safety 2007, 411-421. Lawrence Earlbaum, New Jersey. C. Carayon (Ed.).
28. Xiao Y., Schenkel S., Faraj S., et al. What whiteboards in a trauma center operating suite can teach us about emergency department communication. Ann Emerg Med 2007, 50:387-395.
29. Hales B., Terblanche M., Fowler R., et al. Development of medical checklists for improved quality of patient care. Int J Qual Health Care 2008, 20:22-30.
30. Hart E.M., Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg 2005, 101:246-250. table of contents.
31. Harrahill M., Bartkus E. Preparing the trauma patient for transfer. JEmerg Nurs 1990, 16:25-28.
32. Keroack M.A., Youngberg B.J., Cerese J.L., et al. Organizational factors associated with high performance in quality and safety in academic medical centers. Acad Med 2007, 82:1178-1186.
33. Nieva V.F., Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003, 12(Suppl 2):ii17-ii23.
34. Zohar D. Modifying supervisory practices to improve subunit safety: a leadership-based intervention model. JAppl Psychol 2002, 87:156-163.
35. Thomas E.J., Sexton J.B., Neilands T.B., et al. Correction: the effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units [ISRCTN85147255]. BMC Health Serv Res 2005, 5:46.
36. Pronovost P., Weast B., Rosenstein B., et al. Implementing and validating a comprehensive unit-based safety program. JPatient Saf 2005, 1:33-40.
37. Available at: Accessed December 15, 2010. http://www.ihi.org.
38. Bann S., Khan M., Datta V., et al. Surgical skill is predicted by the ability to detect errors. Am J Surg 2005, 189:412-415.
39. Pisano G.P., Bohmer R.M., Edmondson A.C. Organizational differences in rates of learning: evidence from the adoption of minimally invasive cardiac surgery. Manag Sci 2001, 47:752-768.
40. Rogers A.E., Hwang W.T., Scott L.D. The effects of work breaks on staff nurse performance. JNurs Adm 2004, 34:512-519.