메뉴 건너뛰기




Volumn 56, Issue 2, 2013, Pages 205-219

Technologies in the wild (TiW): Human factors implications for patient safety in the cardiovascular operating room

Author keywords

cardiac operating room; cognition; hazards; patient safety; technology

Indexed keywords

COGNITION; COGNITIVE PROCESS; DESIGN AND IMPLEMENTATIONS; ORGANISATIONAL; PATIENT SAFETY; POTENTIAL IMPACTS; QUALITATIVE ANALYSIS; SAFETY CRITICAL SYSTEMS;

EID: 84876293049     PISSN: 00140139     EISSN: 13665847     Source Type: Journal    
DOI: 10.1080/00140139.2012.757655     Document Type: Article
Times cited : (37)

References (46)
  • 1
    • 79952274827 scopus 로고    scopus 로고
    • Alert fatigue leads to OR fatalities
    • Alert fatigue leads to OR fatalities. 2011. Healthcare Benchmarks Quality Improvement 18, pp. 9-11
    • (2011) Healthcare Benchmarks Quality Improvement , vol.18 , pp. 9-11
  • 2
    • 1542327773 scopus 로고    scopus 로고
    • Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information Technology System-Related Errors
    • Ash, J. S., Berg, M. and Coiera, E. 2004. Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information Technology System-Related Errors. Journal of the American Medical Informatics Association, 11(2): 104-112.
    • (2004) Journal of the American Medical Informatics Association , vol.11 , Issue.2 , pp. 104-112
    • Ash, J.S.1    Berg, M.2    Coiera, E.3
  • 3
    • 34247339315 scopus 로고    scopus 로고
    • Categorizing the Unintended Sociotechnical Consequences of Computerized Provider Order Entry
    • Ash, J. S., Sittig, D. F. and Dykstra, R. H. 2007. Categorizing the Unintended Sociotechnical Consequences of Computerized Provider Order Entry. International Journal of Medical Informatics, 76(1): s21-s27.
    • (2007) International Journal of Medical Informatics , vol.76 , Issue.1
    • Ash, J.S.1    Sittig, D.F.2    Dykstra, R.H.3
  • 4
    • 34347388420 scopus 로고    scopus 로고
    • Qualitative Data Analysis for Health Services Research: Developing Taxonomy
    • Bradley, E. H., Curry, L. A. and Devers, K. J. 2007. Qualitative Data Analysis for Health Services Research: Developing Taxonomy. Themes, and Theory. Health Services Research, 42(4): 1758-1772.
    • (2007) Themes, and Theory. Health Services Research , vol.42 , Issue.4 , pp. 1758-1772
    • Bradley, E.H.1    Curry, L.A.2    Devers, K.J.3
  • 7
    • 0025774017 scopus 로고
    • Evaluating the Human Engineering of Microprocessor-Controlled Operating Room Devices
    • Cook, R. I., Potter, S. S., Woods, D. D. and McDonald, J. S. 1991. Evaluating the Human Engineering of Microprocessor-Controlled Operating Room Devices. Journal of Clinical Monitoring, 7: 217-226.
    • (1991) Journal of Clinical Monitoring , vol.7 , pp. 217-226
    • Cook, R.I.1    Potter, S.S.2    Woods, D.D.3    McDonald, J.S.4
  • 8
    • 0030452804 scopus 로고    scopus 로고
    • Adapting to New Technology in the Operating Room
    • Cook, R. I. and Woods, D. D. 1996. Adapting to New Technology in the Operating Room. Human Factors, 38(4): 593-613.
    • (1996) Human Factors , vol.38 , Issue.4 , pp. 593-613
    • Cook, R.I.1    Woods, D.D.2
  • 9
    • 0018174860 scopus 로고
    • Preventable Anesthesia Mishaps: A Study of Human Factors
    • Cooper, J. B., Newbower, R. S., Long, C. D. and McPeek, B. 1978. Preventable Anesthesia Mishaps: A Study of Human Factors. Anesthesiology, 49(6): 399-406.
    • (1978) Anesthesiology , vol.49 , Issue.6 , pp. 399-406
    • Cooper, J.B.1    Newbower, R.S.2    Long, C.D.3    McPeek, B.4
  • 11
    • 0037359848 scopus 로고    scopus 로고
    • Current Equipment Alarm Sounds: Friend or Foe?
    • Dain, S. 2003. Current Equipment Alarm Sounds: Friend or Foe?. Journal Canadien d'Anesthesie, 50: 209-214.
    • (2003) Journal Canadien d'Anesthesie , vol.50 , pp. 209-214
    • Dain, S.1
  • 12
    • 84859587430 scopus 로고    scopus 로고
    • Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
    • In: Henrickson K, Battles J. B., Keyes M. A., editors, Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug. Available from:
    • Davis, S., Riley, W., Gurses, A. P, Miller, K and Hansen, H. 2008. "Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures". Edited by: Henrickson, K, Battles, J. B. and Keyes, M. A. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug. Available from: http://www.ncbi.nlm.nih.gov/books/NBK43662/
    • (2008) Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools)
    • Davis, S.1    Riley, W.2    Gurses, A.P.3    Miller, K.4    Hansen, H.5
  • 14
    • 84867668145 scopus 로고    scopus 로고
    • Identifying and Categorising Patient Safety Hazards in Cardiovascular Operating Rooms Using an Interdisciplinary Approach: A Multisite Study
    • doi: 10.1136/bmjqs-2011-000625
    • Gurses, A. P., Kim, G. R., Martinez, E. A., Marstellar, J. A., Bauer, L., Lubomski, L. H., Pronovost, P. J. and Thompson, D. 2012. Identifying and Categorising Patient Safety Hazards in Cardiovascular Operating Rooms Using an Interdisciplinary Approach: A Multisite Study. BMJ Quality and Safety, 21(10): 810-818. doi: 10.1136/bmjqs-2011-000625
    • (2012) BMJ Quality and Safety , vol.21 , Issue.10 , pp. 810-818
    • Gurses, A.P.1    Kim, G.R.2    Martinez, E.A.3    Marstellar, J.A.4    Bauer, L.5    Lubomski, L.H.6    Pronovost, P.J.7    Thompson, D.8
  • 15
    • 84858754287 scopus 로고    scopus 로고
    • Time to Accelerate Integration of Human Factors and Ergonomics in Patient Safety
    • Gurses, A. P., Ozok, A. A. and Pronovost, P. J. 2011. Time to Accelerate Integration of Human Factors and Ergonomics in Patient Safety. BMJ Quality & Safety, 21(4): 347-351.
    • (2011) BMJ Quality & Safety , vol.21 , Issue.4 , pp. 347-351
    • Gurses, A.P.1    Ozok, A.A.2    Pronovost, P.J.3
  • 16
    • 67649383347 scopus 로고    scopus 로고
    • User-Designed Information Tools to Support Communication and Care Coordination in a Trauma Hospital
    • Gurses, A. P., Xiao, Y. and Hu, P. 2009. User-Designed Information Tools to Support Communication and Care Coordination in a Trauma Hospital. Journal of Biomedical Informatics, 42(4): 667-677.
    • (2009) Journal of Biomedical Informatics , vol.42 , Issue.4 , pp. 667-677
    • Gurses, A.P.1    Xiao, Y.2    Hu, P.3
  • 17
    • 37349064443 scopus 로고    scopus 로고
    • Workarounds in Health Care Settings: Literature Review and Research Agenda
    • Halbesleben, J. R. B. 2008. Workarounds in Health Care Settings: Literature Review and Research Agenda. Health Care Management Review, 33(1): 2-12.
    • (2008) Health Care Management Review , vol.33 , Issue.1 , pp. 2-12
    • Halbesleben, J.R.B.1
  • 18
    • 77957950332 scopus 로고    scopus 로고
    • Hazard Report: Overlap of Surgical Lighthead Beams May Present Burn Risk, ECRI Institute
    • Hazard Report: Overlap of Surgical Lighthead Beams May Present Burn Risk. 2009. ECRI Institute. Health Devices 38 (10): 341-342
    • (2009) Health Devices , vol.38 , Issue.10 , pp. 341-342
  • 22
    • 45849139772 scopus 로고    scopus 로고
    • Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety
    • Koppel, R., Wetterneck, T., Telles, J. L. and Karsh, B.-T. 2008. Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Journal of the American Medical Informatics Association, 15(4): 408-423.
    • (2008) Journal of the American Medical Informatics Association , vol.15 , Issue.4 , pp. 408-423
    • Koppel, R.1    Wetterneck, T.2    Telles, J.L.3    Karsh, B.-T.4
  • 24
    • 77649126524 scopus 로고    scopus 로고
    • Heart Disease and Stroke Statistics - 2010 Update: A Report From the American Heart Association
    • Lloyd-Jones, D., Adams, R. J., Brown, T. M., Carnethon, M., Dai, S.De, S. G. 2010. Heart Disease and Stroke Statistics-2010 Update: A Report From the American Heart Association. Circulation, 121(7): e46-e215.
    • (2010) Circulation , vol.121 , Issue.7
    • Lloyd-Jones, D.1    Adams, R.J.2    Brown, T.M.3    Carnethon, M.4    Dai, S.5    De, S.G.6
  • 25
    • 0035031278 scopus 로고    scopus 로고
    • The Graphical Presentation of Decision Support Information in an Intelligent Anesthesia Monitor
    • Lowe, A., Jones, R. W. and Harrison, M. J. 2001. The Graphical Presentation of Decision Support Information in an Intelligent Anesthesia Monitor. Artificial Intelligence in Medicine, 22(2): 173-191.
    • (2001) Artificial Intelligence in Medicine , vol.22 , Issue.2 , pp. 173-191
    • Lowe, A.1    Jones, R.W.2    Harrison, M.J.3
  • 26
    • 0028542416 scopus 로고
    • The National Confidential Enquiry Into Perioperative Deaths
    • Lunn, J. N. 1994. The National Confidential Enquiry Into Perioperative Deaths. Journal of Clinical Monitoring, 10: 426-428.
    • (1994) Journal of Clinical Monitoring , vol.10 , pp. 426-428
    • Lunn, J.N.1
  • 27
    • 85025384616 scopus 로고    scopus 로고
    • Is Paper Safer? The Role of Paper Flight Strips in Air Traffic Control
    • Mackay, W. E. 1999. Is Paper Safer? The Role of Paper Flight Strips in Air Traffic Control. ACM Transactions on Computer-Human Interaction, 6(4): 311-340.
    • (1999) ACM Transactions on Computer-Human Interaction , vol.6 , Issue.4 , pp. 311-340
    • Mackay, W.E.1
  • 28
    • 76249085206 scopus 로고    scopus 로고
    • The Society of Cardiovascular Anesthesiologists' FOCUS Initiative: Locating Errors Through Networked Surveillance (LENS) Project Vision
    • Martinez, E. A., Marstellar, J. A., Thompson, D. A., Gurses, A. P., Goeschel, C. A.Lubomski, L. H. 2010. The Society of Cardiovascular Anesthesiologists' FOCUS Initiative: Locating Errors Through Networked Surveillance (LENS) Project Vision. Anesthesia and Analgesia, 110(2): 307-311.
    • (2010) Anesthesia and Analgesia , vol.110 , Issue.2 , pp. 307-311
    • Martinez, E.A.1    Marstellar, J.A.2    Thompson, D.A.3    Gurses, A.P.4    Goeschel, C.A.5    Lubomski, L.H.6
  • 34
    • 34548607610 scopus 로고    scopus 로고
    • Fort Detrick, MD, Fort Detrick, MD,: Telemedicine and Advanced Technology Research Center, United States Army Medical and Material Command
    • Schimpff, S. C. 2005. Operating Room and Perioperative Safety: A Beginning Roadmap for Action, Fort Detrick, MD: Telemedicine and Advanced Technology Research Center, United States Army Medical and Material Command.
    • (2005) Operating Room and Perioperative Safety: A Beginning Roadmap for Action
    • Schimpff, S.C.1
  • 35
    • 78650927215 scopus 로고    scopus 로고
    • The Wolf is Crying in the Operating Room: Patient Monitor and Anesthesia Workstation Alarming Patterns during Cardiac Surgery
    • Schmid, F., Goepfert, M. S.Kuhnt, D. 2011. The Wolf is Crying in the Operating Room: Patient Monitor and Anesthesia Workstation Alarming Patterns during Cardiac Surgery. Anesthesia and Analgesia, 112: 78-83.
    • (2011) Anesthesia and Analgesia , vol.112 , pp. 78-83
    • Schmid, F.1    Goepfert, M.S.2    Kuhnt, D.3
  • 36
    • 84876284797 scopus 로고    scopus 로고
    • Software, N.q.d.a, Cambridge, MA, Cambridge, MA,: QSR International
    • Software, N.q.d.a. 2012. Version8, 2008, Cambridge, MA: QSR International.
    • (2012) Version8, 2008
  • 38
    • 33646548956 scopus 로고    scopus 로고
    • Operational Failures and Interruptions in Hospital Nursing
    • Tucker, A. L. and Spear, S. J. 2006. Operational Failures and Interruptions in Hospital Nursing. Health Services Research, 41(3 pt 1): 643-662.
    • (2006) Health Services Research , vol.41 , Issue.3 Pt 1 , pp. 643-662
    • Tucker, A.L.1    Spear, S.J.2
  • 39
    • 0032507502 scopus 로고    scopus 로고
    • Framework for Analysing Risk and Safety in Clinical Medicine
    • Vincent, C. A., Taylor-Adams, S. and Stanhope, N. 1998. Framework for Analysing Risk and Safety in Clinical Medicine. British Medical Journal, 316(7138): 1154-1157.
    • (1998) British Medical Journal , vol.316 , Issue.7138 , pp. 1154-1157
    • Vincent, C.A.1    Taylor-Adams, S.2    Stanhope, N.3
  • 40
    • 74549151910 scopus 로고    scopus 로고
    • Is the 'sterile cockpit' concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass
    • Wadhera, R. K, Parker, S. H.Burkhart., H. M. 2010. "Is the 'sterile cockpit' concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass". In The Journal of Throracic and Cardiovascular Surgery Vol. 139, 312-319.
    • (2010) The Journal of Throracic and Cardiovascular Surgery , vol.139 , pp. 312-319
    • Wadhera, R.K.1    Parker, S.H.2    Burkhart, H.M.3
  • 41
    • 35548959092 scopus 로고    scopus 로고
    • Disruptions in Surgical Flow and Their Relationship to Surgical Errors: An Exploratory Investigation
    • Weigmann, D. A., ElBardissi, A. W., Dearani, J. A., Daly, R. C. and Sundt III, T. M. 2007. Disruptions in Surgical Flow and Their Relationship to Surgical Errors: An Exploratory Investigation. Surgery, 142(5): 658-665.
    • (2007) Surgery , vol.142 , Issue.5 , pp. 658-665
    • Weigmann, D.A.1    ElBardissi, A.W.2    Dearani, J.A.3    Daly, R.C.4    Sundt III, T.M.5
  • 42
    • 0032700667 scopus 로고    scopus 로고
    • Anesthesia Equipment and Human Error
    • Weinger, M. B. 1999. Anesthesia Equipment and Human Error. Journal of Clinical Monitoring, 15: 319-323.
    • (1999) Journal of Clinical Monitoring , vol.15 , pp. 319-323
    • Weinger, M.B.1
  • 45
    • 84876296238 scopus 로고    scopus 로고
    • Operating Room Safety
    • In: Basow D. S., editors Waltham, MA, Waltham, MA,: UpToDate
    • Winters, B. D., Pronovost, P. J. and Gurses, A. P. 2011. "Operating Room Safety". In In Up toDate, Edited by: Basow, D. S. Waltham, MA: UpToDate.
    • (2011) In Up toDate
    • Winters, B.D.1    Pronovost, P.J.2    Gurses, A.P.3
  • 46
    • 78650378905 scopus 로고    scopus 로고
    • Equipment-Related Incidents in the Operating Room: An Analysis of Occurrence, Underlying Causes and Consequences for the Clinical Process
    • Wubben, I., van Mannen, J. G., van den Akker, B. J., Vaartjes, S. R. and van Harten, W. H. 2010. Equipment-Related Incidents in the Operating Room: An Analysis of Occurrence, Underlying Causes and Consequences for the Clinical Process. Quality and Safety in Healthcare, 19(e64): 1-7.
    • (2010) Quality and Safety in Healthcare , vol.19 , Issue.e64 , pp. 1-7
    • Wubben, I.1    van Mannen, J.G.2    van den Akker, B.J.3    Vaartjes, S.R.4    van Harten, W.H.5


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.