Human factors and safety in emergency medicine

Schaefer, H. G.; Helmreich, Robert L.; Scheidegger, D.

doi:10.1016/0300-9572(94)90067-1

Cited by 70 publications

(39 citation statements)

References 6 publications

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“…This study identified almost all facets of effective interdisciplinary collaboration as potential targets for intervention in efforts to enhance ACP for patients with advanced kidney disease (31,(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48). First, although most providers interviewed seemed to appreciate the potential value of ACP for patients with advanced kidney disease, they did not share a common vision or understanding of ACP and its relationship with other aspects of care, such as dialysis decision making.…”

Section: Discussionmentioning

confidence: 99%

Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?

O’Hare

Szarka

McFarland

et al. 2016

CJASN

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Background and objectives There is growing interest in efforts to enhance advance care planning for patients with kidney disease. Our goal was to elicit the perspectives on advance care planning of multidisciplinary providers who care for patients with advanced kidney disease.Design, setting, participants, & measurements Between April and December of 2014, we conducted semistructured interviews at the Department of Veterans Affairs Puget Sound Health Care System with 26 providers from a range of disciplines and specialties who care for patients with advanced kidney disease. Participants were asked about their perspectives and experiences related to advance care planning in this population. Interviews were audiotaped, transcribed, and analyzed inductively using grounded theory.Results The comments of providers interviewed for this study spoke to significant system-level barriers to supporting the process of advance care planning for patients with advanced kidney disease. We identified four overlapping themes: (1) medical care for this population is complex and fragmented across settings and providers and over time; (2) lack of a shared understanding and vision of advance care planning and its relationship with other aspects of care, such as dialysis decision making; (3) unclear locus of responsibility and authority for advance care planning; and (4) lack of active collaboration and communication around advance care planning among different providers caring for the same patients. ConclusionsThe comments of providers who care for patients with advanced kidney disease spotlight both the need for and the challenges to interdisciplinary collaboration around advance care planning for this population. Systematic efforts at a variety of organizational levels will likely be needed to support teamwork around advance care planning among the different providers who care for patients with advanced kidney disease.

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Section: Discussionmentioning

confidence: 99%

Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?

O’Hare

Szarka

McFarland

et al. 2016

CJASN

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“…At the same time, medical error is estimated to be "the third most common cause of death in the US" [1], and teamwork failures (e.g., failures in communication) account for up to 70-80 percent of serious medical errors [2][3][4][5]. The shift to providing care in teams is well founded given the potential for improved performance that comes with teamwork [6], but, as demonstrated by these grave statistics, teamwork does not come without challenges.…”

Section: The Promise and Challenge Of Team-based Cross-disciplinary Cmentioning

confidence: 99%

“…The potentially harmful consequences for patients cannot be ignored: poor teamwork-such as incomplete communication and failing to use available expertise-increases the risk of medical error and decreases quality of care [2][3][4][5].…”

mentioning

confidence: 99%

Teamwork in Health Care: Maximizing Collective Intelligence via Inclusive Collaboration and Open Communication

Mayo¹,

Woolley

2016

AMA Journal of Ethics

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Teams offer the potential to achieve more than any person could achieve working alone; yet, particularly in teams that span professional boundaries, it is critical to capitalize on the variety of knowledge, skills, and abilities available. This article reviews research from the field of organizational behavior to shed light on what makes for a collectively intelligent team. In doing so, we highlight the importance of moving beyond simply including smart people on a team to thinking about how those people can effectively coordinate and collaborate. In particular, we review the importance of two communication processes: ensuring that team members with relevant knowledge (1) speak up when one's expertise can be helpful and (2) influence the team's work so that the team does its collective best for the patient. The Promise and Challenge of Team-Based Cross-Disciplinary Collaboration in Health CareAcross health care, there is an increasing reliance on teams from a variety of specialties (e.g., nursing, physician specialties, physical therapy, social work) to care for patients. At the same time, medical error is estimated to be "the third most common cause of death in the US" [1], and teamwork failures (e.g., failures in communication) account for up to 70-80 percent of serious medical errors [2][3][4][5]. The shift to providing care in teams is well founded given the potential for improved performance that comes with teamwork [6], but, as demonstrated by these grave statistics, teamwork does not come without challenges. Consequently, there is a critical need for health care professionals, particularly those in leadership roles, to consider strategies for improving team-based approaches to providing quality patient care.Teams offer the promise to improve clinical care because they can aggregate, modify, combine, and apply a greater amount and variety of knowledge in order to make decisions, solve problems, generate ideas, and execute tasks more effectively and efficiently than any individual working alone [6]. Given this potential, a multidisciplinary team of health care professionals could ideally work together to determine diagnoses,

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“…28 Developing a strong communication and teamwork can also contribute to building additional layers of safety into the medication use system and compensate for the inevitable weakness of healthcare professionals 30 -a fundamental tenet in the discipline of human factors engineering. [16][17][18][19] For example, creating a standardized documentation system and a common language around medication use can be a good starting point for the ED and hospital leaders. This is particularly important because of the EDs place as a major training site for trainee resident doctors who may speak a "different language" than the nurses and pharmacists who are …”

Section: Discussionmentioning

confidence: 99%

“…15 The SEIPS model is anchored in the disciplines of human factors and systems engineering-which examine performance of humans and their interactions with technology and the surrounding environment while acknowledging their limitations. [16][17][18][19] According to the SEIPS model, a person (e.g., an ED nurse) performs different tasks (e.g., administration of medications) using various tools and technologies (e.g., medication administration sign-out sheet). These tasks occur within the immediate physical environment (e.g., the ED workspace) under some organizational constraints (e.g., policies guiding medication administration).…”

Section: Study Setting and Designmentioning

confidence: 99%

Exploring Barriers to Medication Safety in an Ethiopian Hospital Emergency Department: A Human Factors Engineering Approach

Abebe

Chui

2018

Innov Pharm

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Human factors and safety in emergency medicine

Cited by 70 publications

References 6 publications

Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?

Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?

Teamwork in Health Care: Maximizing Collective Intelligence via Inclusive Collaboration and Open Communication

Exploring Barriers to Medication Safety in an Ethiopian Hospital Emergency Department: A Human Factors Engineering Approach

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