Relationships between observed and perceived deviations from normative work procedures

Lindroos, Ola

doi:10.1080/00140130903197461

Cited by 9 publications

(2 citation statements)

References 33 publications

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“…Sometimes, the implementation of guidelines is hindered by organisational constraints 36. Sometimes people are simply unaware of their deviations 37. Thus, in the same way that errors cannot necessarily be avoided through ‘trying harder’, seeing violations of safety processes as purely due to individual will does not account for the systemic pressures upon the individuals delivering care.…”

Section: Compliance and Violations In Complex Systemsmentioning

confidence: 99%

Toward the modelling of safety violations in healthcare systems

Catchpole

2013

BMJ Qual Saf

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When frontline staff do not adhere to policies, protocols, or checklists, managers often regard these violations as indicating poor practice or even negligence. More often than not, however, these policy and protocol violations reflect the efforts of well intentioned professionals to carry out their work efficiently in the face of systems poorly designed to meet the diverse demands of patient care. Thus, non-compliance with institutional policies and protocols often signals a systems problem, rather than a people problem, and can be influenced among other things by training, competing goals, context, process, location, case complexity, individual beliefs, the direct or indirect influence of others, job pressure, flexibility, rule definition, and clinician-centred design. Three candidates are considered for developing a model of safety behaviour and decision making. The dynamic safety model helps to understand the relationship between systems designs and human performance. The theory of planned behaviour suggests that intention is a function of attitudes, social norms and perceived behavioural control. The naturalistic decision making paradigm posits that decisions are based on a wider view of multiple patients, expertise, systems complexity, behavioural intention, individual beliefs and current understanding of the system. Understanding and predicting behavioural safety decisions could help us to encourage compliance to current processes and to design better interventions.

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Section: Compliance and Violations In Complex Systemsmentioning

confidence: 99%

Toward the modelling of safety violations in healthcare systems

Catchpole

2013

BMJ Qual Saf

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“…Naturalistic observations in real work situations are required to get this insight (Lawton 1998, Phipps et al 2008. In a recent study, Lindroos (2009) compared observed and perceived deviations for different machine complexity and showed a positive relationship only for simple machines. For more complex machine work, it was difficult to match observers' and operators' perception of deviations.…”

Section: Introductionmentioning

confidence: 96%

Motivational mechanisms at the origin of control task violations: An analytical case study in the pharmaceutical industry

Nyssen

Côte

2010

Ergonomics

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The introduction of rules and procedures to guide front-line operators' behaviour and to decrease the frequency of errors is a growing safety strategy in complex risk systems. It is thought to be a useful way of controlling and standardising human practices and of increasing safety and quality. However, merely developing procedures does not ensure that they are followed. In this study, observation was used to collect information on procedural violations in a pharmaceutical company. Interviews were conducted with the operators and the prescriptors to better understand how and why these violations were occurring. Results showed that a small number of procedures were breached by the majority of operators and that the rules that were violated were the ones associated with a perception of minimum risk. Results suggest the rationality of operators is a response to cognitive and social influences, which must be taken into account when designing procedures. STATEMENT OF RELEVANCE: This paper is about violation and risk perception. This focus is relevant for ergonomic research and practice, taking into account the accumulation of rules and procedures that are found in work in order to improve safety. The results help to better understand the cognitive and social mechanisms underlying violations and give some insights for designing procedures.

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