Human reliability assessment of a critical nursing task in a radiotherapy treatment process

Chadwick, Liam; Fallon, Enda

doi:10.1016/j.apergo.2011.03.011

Cited by 32 publications

(46 citation statements)

References 16 publications

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“…This represents a significant cultural shift from industrial practice, where it is more common for safety experts to undertake and own such analyses, and where subject matter experts are involved as appropriate. An example of such a participative approach to HRA was also demonstrated in a study that used a modified, team-based version of HEART to the analysis of human error in a radiotherapy task [35]. The authors point out that for this approach to work, healthcare professionals require suitably tailored training materials and experienced facilitators with a human factors and HRA background.…”

Section: Accepted Manuscriptmentioning

confidence: 97%

“…The Observational Clinical Human Reliability Analysis technique (OCHRA) is based on the action errors classification used in SHERPA, and has been applied for describing and classifying technical errors in surgery [32][33][34]. HEART was used to determine HEPs of data entry tasks in radiotherapy [35]. A study applying SPAR-H in order to quantify human error probabilities in a radiation therapy preparation task found that the predicted HEP values demonstrated good validity when compared to A C C E P T E D M A N U S C R I P T actual observations [36].…”

Section: Introductionmentioning

confidence: 99%

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On the application of Human Reliability Analysis in healthcare: Opportunities and challenges

Sujan

Embrey

Huang

2020

Reliability Engineering & System Safety

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A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP url' above for details on accessing the published version and note that access may require a subscription.For more information, please contact the WRAP Team at: wrap@warwick.ac.uk ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P TResearch Highlights: Experience-based analysis of opportunities and challenges for using HRA in health  Considers reliability, performance variability, regulator, and patient role  HRA should have clinical engagement and patient participation  HRA cost-effectiveness should be rigorously evaluated  HRA can provide requisite imagination and build social safety infrastructure Abstract: Safety in healthcare is a relatively recent field, but has received considerable attention over the past 15 years. Healthcare organisations have been encouraged to learn from safety management practices in other industries. In this paper we analyse opportunities and challenges for the application of Human Reliability Analysis (HRA) in healthcare. We consider the poor levels of reliability of many healthcare processes, performance variability, the absence of regulatory frameworks that incentivise proactive risk management, and the unique role of the patient. We conclude that HRA could provide a useful framework for the analysis and reduction of risk in healthcare, but techniques might have to be adapted and applied with due consideration of the specifics of the cultural and regulatory context of this domain. This includes clinical engagement with and ownership of the HRA process, greater focus on rigorous evaluation of costeffectiveness of HRA techniques, and active involvement of patients.

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Section: Accepted Manuscriptmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

On the application of Human Reliability Analysis in healthcare: Opportunities and challenges

Sujan

Embrey

Huang

2020

Reliability Engineering & System Safety

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“…Furthermore, Williams (1988) introduced a useful tool namely called HEART (Human Error Assessment and Reduction Technique) in order to analyse human tasks with identify HEP value by applying weighting factors. The HEART has been successfully modified and applied in numerous disciplines such as petrochemical industry (Noroozi et al, 2014), road transportation (Castiglia and Giardina, 2013), healthcare (Chadwick and Fallon, 2012) and nuclear energy (Kirwan, 1997). Furthermore, another HRA method, ATHEANA (A Technique for Human Error Analysis), was introduced as second generation technique in order to define human actions in nuclear industry (Cooper et al, 1996).…”

Section: Literature Reviewmentioning

confidence: 99%

A methodological extension to human reliability analysis for cargo tank cleaning operation on board chemical tanker ships

Akyüz

Celik

2015

Safety Science

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“…The obtained results have been compared with the results obtained using CREAM. Chadwick and Fallon (2012) proposed a modified HEART for healthcare. To obtain the weight for each EPC graphic rating scales were utilized in the modified HEART.…”

Section: Literature Reviewmentioning

confidence: 99%

An advanced human error assessment approach: HEART and AV‐DEMATEL

Can

Delice

2019

Hum Ftrs & Erg Mfg Svc

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Human error assessment and reduction technique (HEART) is one of the most commonly used human error assessment approaches which computes human error probability (HEP) to prioritize errors related to human actions. HEART is a powerful tool considering error producing conditions (EPCs) which increase the HEP for generalized task versions named as generic task types (GTTs). HEART can give a solution including prevention of human-related errors (HREs) and reduction of the HREs' impacts via implementing additional controls. However, it has many shortcomings for real-life error assessments. In this context, this study aims to improve effective usage of HEART through an advanced version of decision-making trial and evaluation laboratory (AV-DEMATEL). The reason to perform AV-DEMATEL is to show the complex effect relations between main tasks (MTs), subtasks (STs), and EPCs in a process. For this aim, an integrated effect relation matrix is proposed for DEMATEL and importance weights of MTs, STs, and EPCs are computed based on this matrix. In addition, not only HREs are considered but also machine-related errors (MREs) are taken into account to make error assessment for the process. The proposed approach also provides flexibility to categorize STs in different GTTs. Finally, a new term "process error probability" including HREs' probabilities and MREs' probabilities is recommended to compute error probability in an integrated manner for the process. To utilize the proposed approach, an example of a steam boiler daily control process is given.

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Human reliability assessment of a critical nursing task in a radiotherapy treatment process

Cited by 32 publications

References 16 publications

On the application of Human Reliability Analysis in healthcare: Opportunities and challenges

On the application of Human Reliability Analysis in healthcare: Opportunities and challenges

A methodological extension to human reliability analysis for cargo tank cleaning operation on board chemical tanker ships

An advanced human error assessment approach: HEART and AV‐DEMATEL

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