The science of human factors: separating fact from fiction

被引:142
作者
Russ, Alissa L. [1 ,2 ,3 ,4 ]
Fairbanks, Rollin J. [5 ,6 ,7 ]
Karsh, Ben-Tzion [8 ,9 ,10 ]
Militello, Laura G. [11 ]
Saleem, Jason J. [1 ,2 ,3 ,12 ]
Wears, Robert L. [13 ,14 ]
机构
[1] Roudebush VA Med Ctr, Vet Affairs VA Hlth Serv Res & Dev Ctr Implementi, Indianapolis, IN USA
[2] Regenstrief Inst Inc, Indianapolis, IN USA
[3] Indiana Univ, Ctr Hlth Serv & Outcomes Res, Indianapolis, IN 46204 USA
[4] Purdue Univ, Coll Pharm, Dept Pharm Practice, W Lafayette, IN 47907 USA
[5] Natl Ctr Human Factors Engn Healthcare, MedStar Inst Innovat, Washington, DC USA
[6] Georgetown Univ, Dept Emergency Med, Washington, DC USA
[7] SUNY Coll Buffalo, Dept Ind & Syst Engn, Buffalo, NY 14222 USA
[8] Univ Wisconsin, Dept Ind & Syst Engn, Madison, WI USA
[9] Univ Wisconsin, Dept Family Med, Madison, WI USA
[10] Univ Wisconsin, Dept Populat Hlth Sci, Madison, WI USA
[11] Appl Decis Sci LLC, Dayton, OH USA
[12] IUPUI, Dept Elect & Comp Engn, Indianapolis, IN USA
[13] Univ Florida, Dept Emergency Med, Jacksonville, FL USA
[14] Univ London Imperial Coll Sci Technol & Med, Clin Safety Res Unit, London, England
关键词
Human factors; Patient safety; Information technology; Human error; Quality improvement; INTENSIVE-CARE-UNIT; PATIENT SAFETY; HEALTH-CARE; SURGICAL COMPLICATIONS; SYSTEMS; TECHNOLOGY; COMMUNICATION; PERFORMANCE; ENVIRONMENT; INTEGRATION;
D O I
10.1136/bmjqs-2012-001450
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Interest in human factors has increased across healthcare communities and institutions as the value of human centred design in healthcare becomes increasingly clear. However, as human factors is becoming more prominent, there is growing evidence of confusion about human factors science, both anecdotally and in scientific literature. Some of the misconceptions about human factors may inadvertently create missed opportunities for healthcare improvement. Methods The objective of this article is to describe the scientific discipline of human factors and provide common ground for partnerships between healthcare and human factors communities. Results The primary goal of human factors science is to promote efficiency, safety and effectiveness by improving the design of technologies, processes and work systems. As described in this article, human factors also provides insight on when training is likely (or unlikely) to be effective for improving patient safety. Finally, we outline human factors specialty areas that may be particularly relevant for improving healthcare delivery and provide examples to demonstrate their value. Conclusions The human factors concepts presented in this article may foster interdisciplinary collaborations to yield new, sustainable solutions for healthcare quality and patient safety.
引用
收藏
页码:802 / 808
页数:7
相关论文
共 62 条
[51]   Paper persistence, workarounds, and communication breakdowns in computerized consultation management [J].
Saleem, Jason J. ;
Russ, Alissa L. ;
Neddo, Adam ;
Blades, Paul T. ;
Doebbeling, Bradley N. ;
Foresman, Brian H. .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2011, 80 (07) :466-479
[52]   Advanced auditory displays and head-mounted displays: Advantages and disadvantages for monitoring by the distracted anesthesiologist [J].
Sanderson, Penelope M. ;
Watson, Marcus O. ;
Russell, Walter John ;
Jenkins, Simon ;
Liu, David ;
Green, Norris ;
Llewelyn, Kristen ;
Cole, Phil ;
Shek, Vivian ;
Krupenia, Stas S. .
ANESTHESIA AND ANALGESIA, 2008, 106 (06) :1787-1797
[53]   Value of human factors to medication and patient safety in the intensive care unit [J].
Scanlon, Matthew C. ;
Karsh, Ben-Tzion .
CRITICAL CARE MEDICINE, 2010, 38 :S90-S96
[54]  
Secondary U.S. Food and Drug Administration, MAN US FAC DEV EXP M
[55]   Using Patient Safety Morbidity and Mortality Conferences to Promote Transparency and a Culture of Safety [J].
Szekendi, Marilyn K. ;
Barnard, Cynthia ;
Creamer, Julie ;
Noskin, Gary A. .
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2010, 36 (01) :3-+
[56]  
Valdez RS, 2010, IND SYSTEMS ENG HEAL, P97
[57]   From patients to politicians: a cognitive engineering view of patient safety [J].
Vicente, KJ .
QUALITY & SAFETY IN HEALTH CARE, 2002, 11 (04) :302-304
[58]   The Problem of Orthodoxy in Safety Research: Time for a Reformation [J].
Wears, Robert L. ;
Kneebone, Roger L. .
ANNALS OF EMERGENCY MEDICINE, 2012, 60 (05) :580-581
[59]   The Effect of Augmented Feedback on Grasp Force in Laparoscopic Grasp Control [J].
Westebring-van der Putten, Eleonora Patricia ;
van den Dobbelsteen, John J. ;
Goossens, Richard H. M. ;
Jakimowicz, Jack J. ;
Dankelman, Jenny .
IEEE TRANSACTIONS ON HAPTICS, 2010, 3 (04) :280-291
[60]   COGNITIVE ENGINEERING - HUMAN PROBLEM-SOLVING WITH TOOLS [J].
WOODS, DD ;
ROTH, EM .
HUMAN FACTORS, 1988, 30 (04) :415-430