Human Error and Disturbance Occurrence in Manufacturing Systems (HEDOMS): A Framework and a Toolkit for Practical Analysis

Barroso, Mónica Paz; Wilson, John R.

doi:10.1007/s101110050027

Cited by 13 publications

(6 citation statements)

References 29 publications

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“…The relevance of Lucas and Reason's approach has been witnessed by many authors (Harms-Ringdahl, 2009;Henriksen et al, 2008;Paz Barroso and Wilson, 2000;Wiegmann and Shappell, 2001). However, adopting one of these perspectives alone is not so beneficial.…”

Section: Managing Clinical Risk By Working On Errorsmentioning

confidence: 99%

A systemic methodology for risk management in healthcare sector

2011

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The recent biomedical, technological, and normative changes have led healthcare organizations to the implementation of clinical governance as a way to ensure the best quality of care in an increasingly complex environment. Risk management is one of the most relevant aspects of clinical governance and approaches put forward in literature highlight the necessity to perform comprehensive analyses intended to uncover root causes of adverse events.Contributing to this field, the present paper applies Reason's theory of failures to work out a systemic methodology to study risks impacting not only directly but also indirectly on patients. Also, the steps of such approach are organized around Human Reliability Assessment phases, in order to take into account the human component of healthcare systems. This framework is able to foster effective decision making about reducing failures and waste and to improve healthcare organizations' maturity towards risk management.The developed methodology is applied to the pharmacy department of a large Italian hospital.An extensive validation in different healthcare settings is required to fully prove benefits and limitations.

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Section: Managing Clinical Risk By Working On Errorsmentioning

confidence: 99%

A systemic methodology for risk management in healthcare sector

2011

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“…Reason's model defines an adverse event as an unexpected release of energy that may be prevented by erecting barriers between the source of the energy and the person or object to be protected (Harms-Ringdahl, 2009). Lucas (1997) followed by Reason (2001) and by other authors (Harms-Ringdahl, 2009;Henriksen et al, 2008;Paz Barroso and Wilson, 2000;Wiegmann and Shappell, 2001) have suggested that in order to reduce the incidence of errors in the healthcare system it is necessary to develop a model of RM mainly based on four integrated dimensions: organizational (systemic), individual, technical, and psychological. Following this approach, our research aims to underline how education and training can be considered a cross-sectional dimension between the organization and the individual.…”

Section: Literature Reviewmentioning

confidence: 99%

Risk Management in the Healthcare Sector and the Important Role of Education and Training Activities: The Case of Regione Lombardia

Capocchi¹,

Orlandini²,

Pierotti³

et al. 2018

IJBM

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Purpose-Risk is intrinsically linked to all economic activity, and can never be completely eliminated; however, in certain cases and conditions, it can be mitigated. From the managerial perspective, it is possible to distinguish between speculative risks and pure risks. This distinction is made in relation to the effects produced from particular events on the economic conditions of the company. Speculative risks can lead to profits or losses, as they are connected to both unfavorable and favorable events, whereas pure risks uniquely produce losses or negative effects. There have been several studies on this topic from various perspectives. Our paper is based on an empirical investigation that aims to verify whether there is a direct or indirect correlation between risk-management policies in the healthcare sector and education and training activities.Design/methodology/approach-The analysis is based on an inductive research method that uses the case study methodology in order to verify and measure the direct or indirect correlation between risk-management policies and education and training activities in the healthcare sector of Regione Lombardia.Findings-The paper makes a clear contribution to the knowledge related to risk-management policies in the healthcare sector. Based on the case study of Regione Lombardia, integrates the dimensions of organization and individuals with the cross-section of education and training in new risk-management systems.Research limitations/implications-This paper has several limitations. First, it considers only a single case, in Regione Lombardia. The distinctive features of the case may have led to specific empirical evidence and, moreover, the empirical evidence cannot be generalized to other territorial contexts/destinations. Second, the data set is limited to five years and is not sufficient to measure the direct correlation between the two aspects under study.Originality/value-This is the first paper to have approached, using an inductive research method, the issue of risk management connected to the education/training dimension by analyzing the case of Regione Lombardia. The findings should stimulate new debate in the business economics literature.

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“…One possible way is to follow the image of a window over the areas and domains of interest and scan through the journal issues. Focusing on domains of application, it is possible to look for energy/nuclear production (CTW, 2 (4), 2000; CTW, 15 (1), 2013), process and chemical industry (Salo and Svenson 2003;Baranzini and Christou 2010), manufacturing industry (Barroso and Wilson 2000;Upton et al 2010), road transport (CTW, 8 (3), 2006a, b), maritime transport (Itoh et al 2001;van Westrenen and Praetorius 2014), rail transport (CTW, 8 (1), 2006a, b) and aviation (Dekker and Woods 1999;Masson and Koning 2001;Rashid et al 2013), household (CTW, 5 (1), 2003, healthcare (McCarthy and O'Connor 1999;Xiao and Sanderson 2013;Parush et al 2014) and social services and emergency management (Militello et al 2007;Kylesten and Nählinder 2011). Although in some cases the societal impact of certain events has increased the attention on specific issues (Johnson 2005), in general, the need to keep under attention the role of humans in managing systems and interacting with the actual control systems of real processes has always been favoured.…”

Section: Looking Backmentioning

confidence: 99%