Identifying systemic factors that impact performance in the cardiac surgery operating room

Douglas A. Wiegmann, Andrew W. ElBardissi, Joseph A. Dearani, Thoralf M. Sundt

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Scopus citations

Abstract

Errors with serious consequences continue to occur at a high rate in many surgical specialties. In this study, the Human Factors Analysis and Classification System (Wiegmann & Shappell, 2003) was used to develop a structured interviewing tool for prospectively assessing the systemic factors that may predispose operating room (OR) personnel to making errors. Approximately 50% (n = 68) of all staff involved in patient care within the cardiac surgery OR at our institution participated, with an equal proportion represented across staff specialties (Surgeons, Anesthesiologists, Nurses, Perfusionists and Technicians). Results identified a variety of potential error-producing factors present in the OR setting. While such factors were viewed by OR staff as occurring infrequently, significant relationships between the estimated frequency of systemic problems and specific error forms were identified. These findings can inform both the development of theoretical models of surgical error, as well as the practice of developing targeted intervention programs.

Original languageEnglish (US)
Title of host publicationProceedings of the Human Factors and Ergonomics Society 50th Annual Meeting, HFES 2006
PublisherHuman Factors and Ergonomics Society Inc.
Pages822-824
Number of pages3
ISBN (Print)9780945289296
DOIs
StatePublished - Jan 1 2006
Event50th Annual Meeting of the Human Factors and Ergonomics Society, HFES 2006 - San Francisco, CA, United States
Duration: Oct 16 2006Oct 20 2006

Publication series

NameProceedings of the Human Factors and Ergonomics Society
ISSN (Print)1071-1813

Other

Other50th Annual Meeting of the Human Factors and Ergonomics Society, HFES 2006
CountryUnited States
CitySan Francisco, CA
Period10/16/0610/20/06

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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