Fighting Human Error: What Surgeons Can Learn from Aviators

Aerden, Dimitri; Smets, Dirk; Poelaert, Jan; Osté, J.P.; Brande, P. Van den

doi:10.1080/00015458.2014.11681017

Cited by 15 publications

(13 citation statements)

References 1 publication

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“…Without necessarily seeking total silence in the operating theater, simple measures such as banning unnecessary movement of people, reducing background noise, temporarily diverting telephone calls can create a more serene, professional and safe atmosphere. The physician (surgeon or anaesthesist) can also ask team members to refocus by warning them that a risky phase of a procedure is about to begin ( 18 ). Finally, training physicians to perform or manage multiple tasks simultaneously appears to be an interesting way ( 19 , 20 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Time Spent by Anesthetist on Clinical Tasks in the Operating Room

et al. 2022

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BackgroundChanges in the health system in Western countries have increased the scope of the daily tasks assigned to physicians', anesthetists included. As already shown in other specialties, increased non-clinical burden reduces the clinical time spent with patients.MethodsThis was a multicenter, prospective, observational study conducted in 6 public and private hospitals in France. The primary endpoint was the evaluation by an external observer of the time spent per day (in minutes) by anesthetists on clinical tasks in the operating room. Secondary endpoints were the time spent per day (in minutes) on non-clinical organizational tasks and the number of task interruptions per hour of work.ResultsBetween October 2017 and April 2018, 54 anesthetists from six hospitals (1 public university hospital, two public general hospitals and three private hospitals) were included. They were followed for 96 days corresponding to 550 hours of work. The proportion of overall clinical time was 62% (58% 95%CI [53; 63] for direct care. The proportion of organizational time was higher in public hospitals (11% in the university hospital (p < 0.001) and 4% in general hospitals (p < 0.01)) compared to private hospitals (1%). The number of task interruptions (1.5/h ± 1.4 in all hospitals) was 4 times higher in the university hospital (2.2/h ± 1.6) compared to private hospitals (0.5/h ± 0.3) (p < 0.05).ConclusionsMost time in the operating room was spent on clinical care with a significant contrast between public and private hospitals for organizational time.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Time Spent by Anesthetist on Clinical Tasks in the Operating Room

et al. 2022

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“…Although the effects of mental fatigue on the skills of both drivers [7][8][9], air pilots [10][11][12][13], and financial workers [14] have been evaluated, data on mental fatigue and its implications in a clinical context are scarce in the medical literature. Although aviation and surgery are different domains, they show similarities, and there are studies that prove that there are concepts used by air pilots that can be translated to surgery [15]. Also, there have been studies comparing mental fatigue between doctors and firefighters [16].…”

Section: Discussionmentioning

confidence: 99%

Mental Fatigue Evaluation of Surgical Teams during a Regular Workday in a High-Volume Tertiary Healthcare Center

et al. 2020

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Introduction: Considering the complex set of manual and psychological tasks a surgeon has to perform during the day, it is very important to assess the surgeon's fatigability, reaction time, attention, and memory. Objective: Here, we wanted to determine the mental fatigue status of surgeons and how their abilities are affected through a regular workday. Methods: We included 3 senior urologists and 6 urology residents. In a set period of time, we assessed their fatigue through self-assessed fatigue, Samn-Perelli score, and Karolinska sleepiness scale score. Further, reaction time, attention, and memory correlated with the number of the operations in the day, and total number of operations in that day were assessed. Results: As the number of tasks increases, and as the surgeons advance to the end of the workday, they become more fatigued, reaction time ultimately increases, and attention and memory become slightly altered. Conclusions: Complications resulting from the fatigue of surgeons could be serious. Their performance status and skills decrease as they perform more tasks or advance through the day.

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“…Of course, the highlighting of the role of nontechnical factors should in no way be interpreted as a denial of the vital importance of solid theoretical knowledge. However, there is a pressing need to introduce the concept of "Human Factors" into both the teaching of medicine and its everyday working practices, 58 including in the field of implant dentistry. Specific protocols have been implemented in the aviation sector and in high-risk industries.…”

Section: Discussionmentioning

confidence: 99%

Are “Human Factors” the Primary Cause of Complications in the Field of Implant Dentistry?

Renouard¹,

Amalberti²

2017

Int J Oral Maxillofac Implants

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Complications in medicine and dentistry are usually analyzed from a purely technical point of view. Rarely is the role of human behavior or judgment considered as a reason for adverse outcomes. When the role of human factors is considered, these are usually described in general terms rather than specifically identifying the factors responsible for an adverse event. The impact of cognitive and behavioral factors in the explanation of adverse events has been studied in other high-stakes areas such as aviation and nuclear power. Specific protocols have been developed to reduce rates of human error, and, where human error is unavoidable, to lessen its impact. This approach has dramatically reduced the incidence of accidents in these fields. This article aims to review how a similar approach may prove valuable in the reduction of complications in implant dentistry.

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Fighting Human Error: What Surgeons Can Learn from Aviators

Cited by 15 publications

References 1 publication

Evaluation of the Time Spent by Anesthetist on Clinical Tasks in the Operating Room

Evaluation of the Time Spent by Anesthetist on Clinical Tasks in the Operating Room

Mental Fatigue Evaluation of Surgical Teams during a Regular Workday in a High-Volume Tertiary Healthcare Center

Are “Human Factors” the Primary Cause of Complications in the Field of Implant Dentistry?

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