Abstract
Motivation: Our study is designed to identify human factors that are a threat to the safety of children with heart disease.
Research approach: After an initial observation period, we will apply a major safety intervention. We will then re-measure the occurrence and types of human factors in the operating room, and the incidence of adverse events, near misses and hospital death, to evaluate if there was a significant post-intervention reduction.
Findings/design: We focus on challenges encountered during the training of the observers.
Research Limitations: Because of the complexity of the OR, observations are necessarily subjective.
Originality/Value: This work is original because of the systematic evaluation of a safety intevention and the training protocol for the observers.
Take Away Message: Systematic and periodic assessment of observers is required when teamwork is observed in complex, dynamic settings.
Research approach: After an initial observation period, we will apply a major safety intervention. We will then re-measure the occurrence and types of human factors in the operating room, and the incidence of adverse events, near misses and hospital death, to evaluate if there was a significant post-intervention reduction.
Findings/design: We focus on challenges encountered during the training of the observers.
Research Limitations: Because of the complexity of the OR, observations are necessarily subjective.
Originality/Value: This work is original because of the systematic evaluation of a safety intevention and the training protocol for the observers.
Take Away Message: Systematic and periodic assessment of observers is required when teamwork is observed in complex, dynamic settings.
| Original language | English |
|---|---|
| Number of pages | 8 |
| Publication status | Published - 2009 |
| Event | 9th Bi-Annual International Conference on Naturalistic Decision Making, NDM 2009: NDM and Computers - Covent Garden, London, United Kingdom Duration: 23 Jun 2009 → 26 Jun 2009 Conference number: 9 |
Conference
| Conference | 9th Bi-Annual International Conference on Naturalistic Decision Making, NDM 2009 |
|---|---|
| Abbreviated title | NDM |
| Country/Territory | United Kingdom |
| City | London |
| Period | 23/06/09 → 26/06/09 |
Keywords
- IR-73371
- Medical errors
- Patient safety
- Medical teams