Human Factors and Operating Room Design Challenges

Korne, Dirk de; Loh, Huey Peng; Yin, Shen

doi:10.1007/978-3-319-44010-1_24

Cited by 2 publications

(2 citation statements)

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“…Identification and quantification of systemic intraoperative errors can be quite a challenge especially on retrospective level given the inherent hindsight bias. 12,16,27 This has led researchers to look for indirect predictors of irreversible or fatal events, such as flow disruptions. Through the observation of 31 cardiac surgery operations, Wiegmann et al 18 have proposed the distinction of surgical errors and Surgical Flow Disruptions (SFDs) defining the latter as ''deviations from the natural progression of an operation that potentially compromise the safety of the operation.''…”

Section: Surgical Flow Disruptions and Hfe In Operating Roomsmentioning

confidence: 99%

“…Several observational tools, methodologies and analytical approaches have since been developed to identify and address SFDs. 14,16,[28][29][30] The interventions most often proposed in the literature and used in surgical practice include use of checklists, 12,28,31 preoperative briefing, 12 team workbased training courses, 12,27 usability testing to enhance surgical safety, 15,23,26,32,33 standardization of processes and development of a culture safety. 16,34 Although most of the above may be considered as 'common sense,' 33 the effectiveness of an HFE program designed to address OR resiliency cannot be taken for granted.…”

Section: Surgical Flow Disruptions and Hfe In Operating Roomsmentioning

confidence: 99%

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The Impact of Human Factors on the Safety of Operating Rooms and everyday Surgical Practice

Tsianos¹

2020

JoARMST

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Human Factors Engineering (HFE) principles were initially implemented in safety-related procedures in aviation and other high-risk industries to minimize human error-related risks. The introduction of HFE in healthcare aims not to eliminate the 'human factor,' but rather to enable 'engineering' to redesign clinical settings to become resilient to unanticipated events related to operational and/or safety shortcomings. Given the complexity of the Operating Room (OR) and the sociotechnico-cognitive activities that occur during a surgical operation, HFE needs to consider a wide spectrum of Surgical Flow Disruptions (SFD), such as miscommunications, fatigue, workload, physical layout of the site etc. The increase of fully automated/computer-assisted surgical systems into everyday surgical practice highlights the need for specialized technical skills and a subsequent change in mind-set and intraoperative decision-making. The complexity of the modern OR calls out for incorporation of a culture safety also illustrated by the close interaction of Usability Engineering (UE) and Risk Management (RM) throughout the lifecycle of a medical system and by Regulations currently in force. This article discusses the practical parameters of HFE incorporation into surgical practice and aims to highlight how this holistic redefinition of OR settings promotes patient and medical staff safety through mitigation of error-prone processes.

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Section: Surgical Flow Disruptions and Hfe In Operating Roomsmentioning

confidence: 99%