OUTLINE
SEARCH RESULTS:
Human Factors
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Studies show that as many as 10% of patients experience harm.
Hazardous health care – Almaberti, R & Leape, LL (2002). The image shows that health care is much more hazardous than flying and the nuclear power industry. Both of which have had a systematic focus on human factors in their safety systems.
“Mastery of quality and patient safety sciences and practises should be part of initial preparation and life long education of all health care professionals, including managers and executives” Professor Don Berwick. A Promise to Learn – a commitment to act Improving the Safety of Patients in England August 2013 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf
Understanding the role of Human Factors and the impact of failing to address them.
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NQB Human Factors Concordat.
NQB Human Factors Concordat.
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Never Events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented. NHS England
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Findings from serious case reviews
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Patient Safety and the role of Human Factors
Human factors examines the relationship between human beings and the systems with which they interact, and focuses on improving efficiency, productivity, creativity and job satisfaction, with the goal of minimizing errors. World Health Organization
The benefits of applying human factors in health care
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“Just a Routine Operation” https://www.youtube.com/watch?v=JzlvgtPIof4
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The Swiss cheese model of accident causation, illustrates that, although many layers of defense lie between hazards and accidents, there are flaws in each layer that, if aligned, can allow the accident to occur, Human Error. J T Reason. Cambridge University Press. 1990
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Using incident data.
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The Importance of Culture.
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Based on Reason (1997)
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Clinical Leaders Improving Patient Safety Outcomes through the Implementation of Human Factors.
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Recommended Reading.
References
