A systematic approach to public health – Novel application of the human factors analysis and classification system to public health and COVID-19

Bickley, Steve J.; Torgler, Benno

doi:10.1016/j.ssci.2021.105312

Cited by 15 publications

(9 citation statements)

References 128 publications

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“…They pointed out that the key factors leading to human error were cognitive and organizational. In public health, Bickley et al ( 21 ) applied the improved HFACS model to public health to reduce potential errors at different levels in public health systems. Tang et al ( 22 ) proposed an enhanced HFACS personalized safety management model to analyze the impact of human error on construction accidents.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors Identification of Unsafe Acts in Deep Coal Mine Workers Based on Grounded Theory and HFACS

Yang

Wang

Zhu

et al. 2022

Front. Public Health

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The risk factors affecting workers' unsafe acts were comprehensively identified by Human Factors Analysis and Classification System (HFACS) and grounded theory based on interview data and accident reports from deep coal mines. Firstly, we collected accident case and field interview data from deep coal mines issued by authoritative institutions. Then, the data were coded according to grounded theory to obtain relevant concepts and types. The HFACS model was used to classify the concepts and categories. Finally, the relationship between core and secondary categories was sorted out by applying a story plot. The results show that risk factors of unsafe acts of deep coal mine workers include environmental factors, organizational influence, unsafe supervision and unsafe state of miners, and the main manifestations of unsafe acts are errors and violations. Among them, the unsafe state of miners is the intermediate variable, and other factors indirectly affect risky actions of coal miners through unsafe sates. Resource management, organizational processes and failure to correct problems are the top three risk factors that occur more frequently in unsafe acts. The three most common types of unsafe act are unreasonable labor organization, failure to enforce rules, and inadequate technical specifications. By combining grounded theory and the HFACS framework to analyze data, risk factors for deep coal miners can be quickly identified, and more precise and comprehensive conceptual models of risk factors in unsafe acts of deep coal miners can be obtained.

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Section: Methodsmentioning

confidence: 99%

Risk Factors Identification of Unsafe Acts in Deep Coal Mine Workers Based on Grounded Theory and HFACS

Yang

Wang

Zhu

et al. 2022

Front. Public Health

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“…Essentially, these errors relate to deficiencies of knowledge or experience. The development of clear, user-friendly protocols, behavioural 'nudges' and cognitive aids may help to reduce error [25]. Engagement with safety checklists and pre and post-procedural debrief aids should be encouraged [26].…”

Section: Error In Endoscopymentioning

confidence: 99%

“…help to reduce such errors [25]. Engagement with safety checklists and pre-and postprocedural debrief aids should be encouraged [26].…”

Section: Exemplar Interventionsmentioning

confidence: 99%

Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents from the National Reporting and Learning System (NRLS)

Ravindran,

Matharoo,

Rutter

et al. 2023

Endoscopy

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BACKGROUND AND AIMS Despite advances in understanding and reducing risk of endoscopic procedures, there is little consideration of the safety of the wider endoscopy service. Patient safety incidents (PSIs) still occur. We sought to identify non-procedural PSIs (nPSIs) and their causative factors from a human factors perspective and generate ideas for safety improvement. METHODS Endoscopy-specific PSI reports were extracted from the National Reporting and Learning System (NRLS). A retrospective, cross-sectional human factors analysis of data was performed. Two independent researchers coded data using a hybrid thematic analysis approach. The Human Factors Analysis and Classification System (HFACS) was used to code contributory factors. Analysis informed creation of driver diagrams and key recommendations for safety improvement in endoscopy. RESULTS From 2017 – 2019, 1181 endoscopy-specific PSIs of significant harm were reported across England and Wales. Of these, 539 (45.6%) were nPSIs. Five categories accounted for over 80% of all incidents with ‘follow up and surveillance’ being the largest (23.4% of all nPSIs). 487 human factors codes were identified from free-text incident reports. Decision-based errors were the most common act prior to PSI occurrence. Preconditions to incident focussed on environmental factors, particularly overwhelmed resources, patient factors, and ineffective team communication. Lack of staffing, standard operating procedures, effective systems, and clinical pathways were also contributory. Seven key recommendations for improving safety are made in response to our findings. CONCLUSIONS This was the first national-level human factors analysis of endoscopy-specific PSIs. This work will inform safety improvement strategies and should empower individual services to review their approach to safety.

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“…For example, the nurses' and physicians' duties have changed based on new protocols in treatment as well as their self-protection, or crisis management specialists have faced new tasks. Therefore, it is necessary to identify skill and cognitive needs to improve performance and identify its determinants (Bickley and Torgler 2020;Gurses et al 2020). Cognitive ergonomics can use methods and techniques such as cognitive work analysis (CWA) and Applied Task Cognitive Analysis to examine tasks and determine their necessary cognitive and skill needs (Sanderson et al 1999).…”

Section: Re-conceptualizing Expertise Developmentmentioning

confidence: 99%

Overcoming COVID-19 pandemic: emerging challenges of human factors and the role of cognitive ergonomics

Kazemi

Smith

2022

Theoretical Issues in Ergonomics Science

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The present study, an expert review, aimed to discuss the emerging challenges of overcoming COviD-19 from the perspective of human factors and the importance of cognitive ergonomics in helping to cope with the epidemic. identifying these challenges and the use of cognitive ergonomics to optimize human well-being and system performance can be effective in managing COviD-19. Generally, two main preventive approaches such as social distancing and patient care or treatment approaches are being utilized in response to COviD-19. in this paper, human factors challenges that could emerge from covid-19 preventive approaches were discussed. Social distancing forces presence and increases automated systems that lead to increases in cognitive needs, mental workload, stress, etc. Challenges of treatment and health care include the increased workload of healthcare personnel, stress, changing work systems and task allocation that led to fatigue and stress, threats to patient safety, and disruption of interpersonal interactions from a cognitive ergonomic perspective. it is concluded that the challenges of coping with COviD-19 were numerous and important from the perspective of human factors and the role of cognitive ergonomics is important in controlling the disease; hence, it should be taken into consideration.

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A systematic approach to public health – Novel application of the human factors analysis and classification system to public health and COVID-19

Cited by 15 publications

References 128 publications

Risk Factors Identification of Unsafe Acts in Deep Coal Mine Workers Based on Grounded Theory and HFACS

Risk Factors Identification of Unsafe Acts in Deep Coal Mine Workers Based on Grounded Theory and HFACS

Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents from the National Reporting and Learning System (NRLS)

Overcoming COVID-19 pandemic: emerging challenges of human factors and the role of cognitive ergonomics

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