Reducing human error in urology: lessons from aviation

Coxon, Jonny; Pattison, S.H.; Parks, Joel; Stevenson, P.; Kirby, Ruth

doi:10.1046/j.1464-410x.2003.04003.x

Cited by 35 publications

(23 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Medicine can apply many of the techniques used, particularly 'red flags' to mark a deviation from standard practice or encountering unexpected operative findings. 22 Standard operating procedures in aviation translate into guidelines or formalized protocols in medicine, allowing new and changing teams to work together efficiently and safely. Aviation experts stress the importance of crew resource management, otherwise known as teamwork, in reducing error rates.…”

Section: Risk Managementmentioning

confidence: 99%

'Per ardua...'Training tomorrow's surgeons using inter alia lessons from aviation

Jackson¹,

Gibbin²

2006

Journal of the Royal Society of Medicine

View full text Add to dashboard Cite

Section: Risk Managementmentioning

confidence: 99%

'Per ardua...'Training tomorrow's surgeons using inter alia lessons from aviation

Jackson¹,

Gibbin²

2006

Journal of the Royal Society of Medicine

View full text Add to dashboard Cite

“…However, it is difficult to isolate the effect of the CRM program on the overall performance and patient safety 28,29 . Human factors (errors) are still identified as a common problem that brings its own characteristics and consequences, including increased morbidity and mortality 3,6,11,30 .…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Substantial data also suggest that at least half of all surgical complications are avoidable and attributed to human error [4][5][6] . However, there are no guidelines for the management of interruptions and distractions, which are strong factors influencing human errors in the operating room [7][8][9][10][11][12] .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Interrupções e distrações na sala de cirurgia do trauma: entendendo a ameaça do erro humano

Pereira

Correia

et al. 2011

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

OBJETIVO: Compreender o fator humano como ameaça à segurança do paciente vítima de trauma no centro cirúrgico, traduzindo para a sala de operação algumas regras importantes já aplicadas no campo da aviação. MÉTODOS: A amostra incluiu 50 casos de cirurgia de trauma coletados prospectivamente por observadores em plantões de 12 horas, ,durante seis meses, em um centro de trauma nível I nos Estados Unidos da América. Informações quanto ao tipo de trauma, escore de gravidade e mortalidade foram coletadas, assim como, determinantes de distrações/interrupções e o volume de ruídos na sala de cirurgia durante o ato cirúrgico. RESULTADOS: Ocorreram, em média, 60 interrupções ou distrações durante o ato cirúrgico, na maioria das vezes desencadeado pelo movimento de pessoas na sala. Em pacientes mais graves (ISS > 45), submetidos ao controle de danos, a incidência de distrações foi ainda maior. A média de ruídos na sala de cirurgia do trauma foi muito elevada, com barulho próximo ao de um secador de cabelos. CONCLUSÃO: Interrupções e distrações são frequentes e devem ser estudadas pelo cirurgião do trauma a fim de desenvolver estratégias de prevenção e linhas de defesa para minimizá-las e reduzir seus efeitos.

show abstract

“…Elle connaît une limitation croissante liée à la fois à l'évolution de la pratique chirurgicale et au fonctionnement du système hospitalo-universitaire. À côté de la légi-time question éthique quant à la perte de chance individuelle que peut constituer la réalisation, même sous contrôle, de certains gestes par un novice insuffisamment préparé, on peut citer par exemple : a) la pression économique, qui incite à une optimisation constante du temps d'occupation des salles d'opération ; b) la diminution du temps de présence des internes, qui résulte des directives concernant les repos compensateurs obligatoires les lendemains de gardes ; c) l'accélération de l'innovation technique, qui mobilise les chirurgiens enseignants seniors au service de leur propre formation ; d) la pression médico-légale, qui conduit à tout mettre en oeuvre pour éviter la survenue de complications après une intervention chirurgicale [2,3] .…”

Section: Introductionunclassified

Évaluation préliminaire de l'impact d'un stage pilote d'initiation à la gestuelle chirurgicale sur l'acquisition des habiletés techniques de base par les internes de chirurgie de premier semestre

et al. 2009

View full text Add to dashboard Cite

Résumé -Contexte : L'apprentissage de l'habileté technique chirurgicale (HTC) dans le système français de formation en chirurgie repose essentiellement sur l'immersion en situation réelle et le compagnonnage. De nouvelles contraintes pèsent sur l'exercice de la chirurgie dans les centres hospitaliers universitaires et pourraient réduire l'efficience de ce mode unique de transmission de l'HTC. Objectif : Évaluer l'impact sur l'acquisition de gestes chirurgicaux élémentaires (suture, ligature) Abstract -Context: In the French surgical education system, technical skill acquirement in surgery is based on real situations immersion and apprenticeship. There are new constraints affecting the surgical practice in academic hospital centres and it could reduce the efficacy of this unique surgical technical skill (STS) teaching approaches. Objective: To evaluate the impact of an experimental training course based on the acquisition of basic surgical skills (suture, ligature) on inanimate models outside the operative room. This training course was done in addition to the usual real situations immersion and apprenticeship learning approaches. Method: During a standardized suture and ligature drill, which was proposed 3 months after the beginning of the first semester, we compared the performances (scores and time) of a group of residents exposed to the training course to those of a group of residents not exposed to the training course. Results: The mean score obtained was 23.9 (15-28) and 17.1 (2-24) in the exposed group and in the non-exposed group, respectively: p = 0.036. The score obtained from the test assessing knowledge of surgical equipment was also higher in the exposed group. The mean time to complete the suture drill had a favourable tendency in the exposed group. Conclusion: Our results suggest that there is a positive and measurable impact of a training course given at the beginning of residency in surgery on the early acquisition of basic surgical technical skills. This type of teaching based on simulation should be a valuable complement to the immersion/apprenticeship teaching approaches for STS knowledge transmission.

show abstract

Reducing human error in urology: lessons from aviation

Cited by 35 publications

References 14 publications

'Per ardua...'Training tomorrow's surgeons using inter alia lessons from aviation

'Per ardua...'Training tomorrow's surgeons using inter alia lessons from aviation

Interrupções e distrações na sala de cirurgia do trauma: entendendo a ameaça do erro humano

Évaluation préliminaire de l'impact d'un stage pilote d'initiation à la gestuelle chirurgicale sur l'acquisition des habiletés techniques de base par les internes de chirurgie de premier semestre

Contact Info

Product

Resources

About