Human factors in anaesthetic practice: insights from a task analysis.

D Phipps; G H Meakin; P C W Beatty; C Nsoedo; D Parker

Study

Human factors in anaesthetic practice: insights from a task analysis.

March 19, 2008

Phipps D, Meakin GH, Beatty PCW, et al. Br J Anaesth. 2008;100(3):333-43.

View more articles from the same authors.

Human factors analysis of anesthesiologists' activities revealed several areas where the potential for error could be reduced.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Motivational influences on anaesthetists' use of practice guidelines.

May 13, 2009

Identifying violation-provoking conditions in a healthcare setting.

December 17, 2008

Development of the pharmacy safety climate questionnaire: a principal components analysis.

March 11, 2009

Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.

December 21, 2005

Medication safety in community pharmacy: a qualitative study of the sociotechnical context.

December 2, 2009

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies.

February 6, 2019

Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial.

January 8, 2014

Human factors engineering in healthcare systems: the problem of human error and accident management.

January 21, 2009

Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery.

June 10, 2015

Managing patients with identical names in the same ward.

June 1, 2005

Psychosocial influences on safety climate: evidence from community pharmacies.

December 14, 2011

An investigation of occupational subgroups with respect to patient safety culture.

March 14, 2012

Medication reconciliation in the emergency department: opportunities for workflow redesign.

December 15, 2010

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.

March 31, 2010

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.

January 16, 2013

Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.

September 9, 2015

Psychological responses, coping and supporting needs of healthcare professionals as second victims.

November 2, 2016

Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study.

July 28, 2021

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.

March 14, 2012

Identification and characterization of adverse drug events in primary care.

October 11, 2017

Evaluation of parenteral nutrition errors in an era of drug shortages.

December 16, 2015

Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.

January 30, 2005

Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components.

September 17, 2014

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.

August 3, 2016

Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning.

May 5, 2021

Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review.

September 28, 2016

S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater.

November 2, 2016

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety.

December 4, 2013

Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.

May 8, 2019

What is the role of individual accountability in patient safety? A multi-site ethnographic study.

November 25, 2015

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.

July 1, 2020

TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review.

October 3, 2018

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit.

October 22, 2014

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

Racial disparities in child abuse medicine.

November 3, 2021

Towards a model of surgeons' leadership in the operating room.

March 9, 2011

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.

November 14, 2018

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study.

March 15, 2017

The economic consequences of medical injuries: implications for a no-fault insurance plan.

March 6, 2005

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

August 29, 2012

Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation

October 9, 2019

Patient safety culture in primary care: developing a theoretical framework for practical use.

August 22, 2007

Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program.

June 6, 2018

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Measuring hospital-acquired complications associated with low-value care.

March 6, 2019

Using simulation to identify sources of medical diagnostic error in child physical abuse.

April 27, 2016

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.

June 7, 2023

Preventable harm occurring to critically ill children.

September 5, 2007

Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients.

July 20, 2005

Pharmacist work stress and learning from quality related events.

November 9, 2016

Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach.

May 11, 2016

Preventable deaths in patients admitted from emergency department.

June 21, 2006

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

December 8, 2010

Preventable medication harm across health care settings: a systematic review and meta-analysis.

February 17, 2021

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.

July 31, 2019

Misunderstanding of prescription drug warning labels among patients with low literacy.

June 7, 2006

The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.

March 27, 2005

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings.

August 10, 2022

Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.

February 17, 2010

Patient safety incidents in hospice care: observations from interdisciplinary case conferences.

November 20, 2013

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration.

October 14, 2016

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

August 16, 2006

A communication training program to encourage speaking-up behavior in surgical oncology.

October 11, 2017

Developing team cognition: a role for simulation.

May 31, 2017

Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework.

September 6, 2017

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.

March 31, 2010

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.

February 25, 2015

Variability in pharmacy interpretations of physician prescriptions.

March 4, 2009

Patient-centered approach for improving prescription drug warning labels.

September 24, 2008

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

Predictors of misunderstanding pediatric liquid medication instructions.

December 9, 2009

Taking patients' narratives about clinicians from anecdote to science.

August 19, 2015

Improving patient understanding of prescription drug label instructions.

January 21, 2009

Literacy and misunderstanding prescription drug labels.

December 13, 2006

Visual acuity, literacy, and unintentional misuse of nonprescription medications.

June 13, 2018

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.

December 14, 2022

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

Patient Safety Innovations

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

September 29, 2021

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals.

September 25, 2019

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors.

September 8, 2021

To err is human: patient misinterpretations of prescription drug label instructions.

November 7, 2007

Evaluating an evidence-based bundle for preventing surgical site infection.

December 1, 2010

Parents' medication administration errors: role of dosing instruments and health literacy.

February 10, 2010

Risk of unintentional overdose with non-prescription acetaminophen products.

June 20, 2012

Improving prescription drug warnings to promote patient comprehension.

January 20, 2010

What words convey: the potential for patient narratives to inform quality improvement.

April 24, 2019

Helping patients simplify and safely use complex prescription regimens.

March 16, 2011

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

A patient-centered prescription drug label to promote appropriate medication use and adherence.

January 18, 2017

Diagnostic delays in paediatric stroke.

October 14, 2015

Low literacy impairs comprehension of prescription drug warning labels.

July 26, 2006

Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.

May 31, 2017

Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study.

May 5, 2021

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

December 6, 2006

Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine.

January 15, 2020

Related Resources

Guidelines on Human Factors in Critical Situations 2023.

August 9, 2023

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

WebM&M Cases

Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.

March 29, 2023

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Technology, Education and Safety.

December 7, 2022

Improving safety in the operating room: medication icon labels increase visibility and discrimination.

November 2, 2022

Crisis recovery in surgery: error management and problem solving in safety-critical situations.

September 14, 2022

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach.

June 15, 2022

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.

April 27, 2022

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

Technology, Education and Safety.

December 15, 2021

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Influence of perioperative handoffs on complications and outcomes.

November 17, 2021

Dual surgeon operating to improve patient safety.

September 29, 2021

Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program.

September 22, 2021

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.

June 23, 2021

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

Awareness of human factors in the operating theatres during the COVID-19 pandemic.

January 13, 2021

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.

December 23, 2020

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.

October 28, 2020

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2.

August 12, 2020

Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust.

April 15, 2020

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

March 11, 2020

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.

January 15, 2020

Sharing lessons learned to prevent adverse events in anesthesiology nationwide.

August 21, 2019

See More About The Topic

Anesthesiology

Surgical Complications

Human Factors Engineering

Human factors in anaesthetic practice: insights from a task analysis.

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Human factors in anaesthetic practice: insights from a task analysis.

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site