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Search results for "Human Factors Engineering"
Casey SM. Santa Barbara, CA: Aegean Publishing Company; 1998. ISBN 13: 9780963617880.
This book introduces important human factors issues using a series of real cases and incidents from health care and a variety of other industries. The title refers to the disastrous death of a patient due to a design flaw in the radiotherapy accelerator, Therac-25. A plausible but unanticipated series of keystrokes by the operator resulted in the delivery of more than 100 times the intended dose of radiation. Other chapters discuss events as diverse as the Union Carbide disaster in Bhopal, India, an incorrect stock trade that nearly caused a market collapse, a variety of military and industrial examples, as well other cases from health care. The book provides numerous real-world examples of misadventures in human–system interactions.
Journal Article > Commentary
Beet C, Benoit D, Bion J. Intensive Care Med. 2019;45:505-507.
This commentary discusses current challenges to safety in critical care, such as underperforming decision support, poor organizational learning, and clinician burnout. The authors envision safety improvements due to innovations in processes like wearable monitoring technology that enables rapid response activation, workflow-embedded reflective learning, and patient–clinician collaboration.
Journal Article > Study
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Alidina S, Hur HC, Berry WR, et al. Int J Qual Health Care. 2017;29:461-469.
This qualitative study used data from free-text survey comments to examine the effectiveness of surgical safety checklist implementation at 11 hospitals. Although most operating room staff viewed the checklist positively, obtaining buy-in for consistent checklist use by all staff remained challenging.
Bogner MS, ed. Mahwah, NJ: Lawrence Erlbaum Associates; 2004. ISBN: 0805833781.