Human factors engineering in patient safety

Anesthesiology

Volumn 120, Issue 4, 2014, Pages 801-806

  Weinger, Matthew B ^a,b   Gaba, David M ^c,d  

^a GERIATRIC RESEARCH EDUCATION AND CLINICAL CENTER   (United States)

^b VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^c STANFORD UNIVERSITY   (United States)

^d VA PALO ALTO HEALTH CARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE QUALITY; HUMAN; MEDICAL EDUCATION; PATIENT SAFETY; PRIORITY JOURNAL; REVIEW; TEAMWORK; ANESTHESIOLOGY; METHODOLOGY; NOTE; TECHNOLOGY;

ANESTHESIOLOGY; HUMANS; PATIENT SAFETY; TECHNOLOGY;

EID: 84901700250     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0000000000000144     Document Type: Review

References (24)

1. Gaba D: Structural and organizational issues in patient safety: A comparison of health care to other high-hazard industries. Calif Manage Rev 2000; 43:83-102.
2. Reason J: Human Error. Cambridge, Cambridge University Press, 1990.
3. Landau M, Chisholm D: The arrogance of optimism: Notes on failure-avoidance management. J Conting Crisis Manage 1995; 3: 67-80.
4. Cook R, Woods D, Bogner M: Operating at the sharp end: The complexity of human error, Human Error in Medicine. Hillsdale, Lawrence Erlbaum Associates, 1994, pp 255-310.
5. Cook RI, Render M, Woods DD: Gaps in the continuity of care and progress on patient safety. BMJ 2000; 320:791-4.
6. Tucker A, Edmondson A: Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. Calif Manage Rev 2003; 45:55-72.
7. Pronovost PJ, Bo-Linn, GW, Saperstein A: From heroism to safe design: Leveraging technology. Anesthesiology 2014; 120:526-9.
8. Weinger MB, Englund CE: Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology 1990; 73:995-21.
9. Handbook of Human Factors and Ergonomics, 3rd edition. Edited by Salvendy G. New York, John Wiley and Sons, 2006.
10. Handbook of Human Factors in Medical Device Design. Edited by Weinger MB, Wiklund M, Gardner-Bonneau D. Boca Raton, CRC Press, 2011.
11. Norman D: The Design of Everyday Things (Revised & Expanded Edition). New York, Basic Books, 2013.
12. Burke C, Salas E, Wilson-Donnelly K, Priest H: How to turn a team of experts into an expert medical team: Guidance from the aviation and military communities. Qual Saf Health Care 2004; 13(suppl 1):96-104.
13. Salas E, Frush K: Improving Patient Safety Through Teamwork and Team Training. Cary, Oxford University Press, 2012.
14. Gaba DM: The future vision of simulation in health care. Qual Saf Health Care 2004; 13(suppl 1):i2-10.
15. Weick KE, Sutcliffe KM: Managing the Unexpected: Resilient Performance in an Age of Uncertainty, 2nd edition. San Francisco, Jossey-Bass, 2007.
16. Eisenkraft J: The anesthesia machine and workstation (Chapter 2), Anesthesia Equipment: Principles and Applications. Edited by Ehrenwerth J, Eisenkraft J, Berry, J. Philadelphia, Elsevier-Saunders, 2013, pp 25-63.
17. Malayaman SN, Mychaskiw G, Ehrenwerth J: Medical gases: Storage and supply (Chapter 1), Anesthesia Equipment: Principles and Applications. Edited by Ehrenwerth J, Eisenkraft J, Berry J. Philadelphia, Elsevier-Saunders, 2013, pp 3-24.
18. Fanning RM, Goldhaber-Fiebert SN, Udani AD, Gaba DM: Crisis resource management, The Comprehensive Textbook of Healthcare Simulation. Edited by Levine AI, DeMaria S, Schwartz AD, Sim AJ. New York, Springer, 2013, pp 95-109.
19. Goldhaber-Fiebert SN, Howard SK: Implementing emergency manuals: Can cognitive aids help translate best practices for patient care during acute events? Anesth Analg 2013; 117:1149-61.
20. Howard SK, Gaba DM, Smith BE, Weinger MB, Herndon C, Keshavacharya S, Rosekind MR: Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology 2003; 98:1345-55; discussion 5A.
21. Weinger MB, Berry J: Vigilance, alarms, and integrated monitoring systems (Chapter 23), Anesthesia Equipment: Principles and Applications. Edited by Ehrenwerth J, Eisenkraft J, Berry, J. Philadelphia, Elsevier-Saunders, 2013, pp 448-85.
22. Slagle JM, Weinger MB: Effects of intraoperative reading on vigilance and workload during anesthesia care in an academic medical center. Anesthesiology 2009; 110:275-83.
23. Salzwedel C, Bartz HJ, Kühnelt I, Appel D, Haupt O, Maisch S, Schmidt GN: The effect of a checklist on the quality of post-anaesthesia patient handover: A randomized controlled trial. Int J Qual Health Care 2013; 25:176-81.
24. Kaufmnan J, Twite M, Barrett C, Peyton C, Koehler J, Rannie M, Kahn MG, Schofield S, Ing RJ, Jaggers J, Hyman D, da-Cruz EM: A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. Jt Comm J Qual Patient Saf 2013; 39:306-11.