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Chapter 37 - Human Factors, Ergonomics, and Non-technical Skills

Published online by Cambridge University Press:  18 August 2022

By
Mark Hellaby
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter explore human factors, also known as ergonomics, which is an established scientific discipline that has become integral in healthcare in recent years. The catalyst for this in the UK was the Clinical Human Factors Group led by Martin Bromiley. Martin’s wife Elaine died following errors made during a routine operation when the theatre team failed to respond appropriately to an unanticipated anaesthetic emergency in part because of a variety of human factors. There is still confusion around the term ‘human factors’. This is partly because human factors cannot be explored in isolation but need to be understood in the context of human activity, error, and the culture around error.

Keywords

Human FactorsErgonomicsNon-technical skillsCultureErrorHuman ErrorPatient safetyNever eventHarmIncident
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 422 - 431
Publisher: Cambridge University Press
Print publication year: 2022

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References

White, N.. Understanding the role of non-technical skills in patient safety. Nursing Standard. 2018; 26: 43–48.CrossRefGoogle Scholar
Russ, A., Fairbanks, R., Karsh, B-T, et al. The science of human factors: separating fact from fiction. BMJ Quality and Safety 2013; 22: 802–808.CrossRefGoogle ScholarPubMed
Catchpole, K.. The Department of Health Human Factors Reference Group interim report, 1 March 2012, National Quality Board. Cited in NHS England, Human factors in healthcare: a concordat from the National Quality Board. Available from: www.england.nhs.uk/wp-content/uploads/2013/11/nqb-hum-fact-concord.pdf.Google Scholar
William, Richardson. In Kohn, L. T., Corrigan, J. M, and Donaldson, M. S. (eds.), To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 2000, p. ix.Google Scholar
Reason, J.. Organizational Accidents Revisited. Farnham: Ashgate Publishing, 2016.CrossRefGoogle Scholar
Reason, J.. The Human Contribution. Unsafe Acts, Accidents and Heroic Recoveries. Farnham: Ashgate Publishing, 2008.Google Scholar
Hignett, S., Lang, A., Pickup, L., et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomics 2018; 61: 5–14.CrossRefGoogle ScholarPubMed
Dekker, S.. The Field Guide to Understanding ‘Human Error’, 3rd ed. Boca Raton, FL: CRC Press, 2017.Google Scholar
Quinn, D. and Moohan, J.. Optimal laparoscopic ergonomics in gynaecology. The Obstretician and Gynacologist 2015; 17: 77–82.Google Scholar
Ahmed, Z., Garfield, S., Jani, Y., Jheeta, S., and Franklin, B. D.. Impact of electronic prescribing on patient safety in hospitals: implications for the UK. Clinical Pharmacist 2016; 8: 153–160.Google Scholar
Larmee, C. B., Lesperance, L., Gause, D., and McLeod, K.. Intelligent alarm processing into clinical knowledge. Proceedings of the International Conference of the IEEE Engineering in Medicine and Biology Society, 2006, pp. 6657–6659.Google Scholar
Solet, J. M. and Barach, P. R.. Managing alarm fatigue in cardiac care. Progress in Pediatric Cardiology 2012; 33: 85–90.Google Scholar
M, Broom, A, Capek, A. L., Carachi, P., Akeroyd, M. A., and Hilditch, G.. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia 2011; 66: 175–179.CrossRefGoogle Scholar
Wheelock, A., Suliman, A., Wharton, R., et al. The impact of operating room distractions on stress, workload and teamwork. Annals of Surgery 2015; 261: 1079–1084.CrossRefGoogle ScholarPubMed
Cabral, R., Eggenberger, T., Keller, K., Gallison, B. S., and Newman, D.. Use of a surgical safety checklist to improve team communication. AORN Journal 2016; 104: 206–216.Google Scholar
Holden, R. J., Carayon, P., Gurses, A. P., et al. SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. Ergonomics 2013; 56: 1669–1686.CrossRefGoogle ScholarPubMed
Singelis, T. and Brown, W.. Culture, self, and collectivist communication. Linking culture to individual behavior. Human Communication Research. 1995; 21: 354–389.Google Scholar
Müller, M., Jürgens, J., Redaėlli, M., et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open 2018; 8: e022202.Google Scholar
Haugen, A. S., Søfteland, E., Eide, G. E., et al. Impact of the World health Organization’s Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. British Journal of Anaesthesia 2013; 110: 807–815.CrossRefGoogle ScholarPubMed
Coe, R. and Gould, D.. Disagreement and aggression in the operating theatre. Journal of Advanced Nursing 2008; 61: 609–618.Google Scholar
Halin, U. A. and Riding, D. M.. Systematic review of the prevalence, impact and mitigating strategies for bullying, undermining behaviour and harassment in the surgical workplace. British Journal of Surgery 2018; 105: 1390–1397.CrossRefGoogle Scholar
Porath, C. and Pearson, C.. The price of incivility. Harvard Business Review 2013; 91: 114–21.Google Scholar
Peerally, M. F., Carr, S., Waring, J., and Dixon-Woods, M.. The problem with root cause analysis. BMJ Quality and Safety 2016; 26: 417–422.Google ScholarPubMed
Hollnagel, E., Braithwaite, J., and Waers, R.. Resilient Healthcare. Farnham: Ashgate Publishing, 2013.Google Scholar
NHS Improvement. Never events policy and framework. Available from: https://improvement.nhs.uk/resources/never-events-policy-and-framework/ (accessed July 2020).Google Scholar
Care Quality Commission. Opening the door to change. NHS safety culture and the need for transformation. Available from: www.cqc.org.uk/publications/themed-work/opening-door-change.Google Scholar
Kurmann, A., Keller, S., Tschan-Semmer, F., et al. Impact of team familiarity in the operating room on surgical complications. World Journal of Surgery 2014; 38: 3047–3052.CrossRefGoogle ScholarPubMed
Salas, E., Cannon-Bowers, J. A., and Johnston, J. H.. How can you turn a team of experts into an expert team? In Zsambok, C. E. and Klein, G. (eds.), Naturalistic Decision Making. Mahwah, NJ: Erlbaum, 1997, pp. 359–370.Google Scholar
Flin, R., O’Connor, P., and Crichton, M.. Safety at the Sharp End. A Guide to Non-technical Skills. Farnham: Ashgate Publishing, 2007.Google Scholar
Armenia, S, Thanganathesvaran, L., Caine, A. D., et al., The role of high-fidelity team-based simulation in acute care settings: a systematic review. The Surgery Journal 2018; 4: e136–e151.Google Scholar
Fletcher, G., Flin, R., McGeorge, P., et al. Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioral marker system. British Journal of Anaesthesia 2003; 90: 580–588.CrossRefGoogle Scholar
Yule, S., Flin, R., Paterson-Brown, S., et al. Development of a rating system for surgeons’ non-technical skills. Medical Education 2006; 40: 1098–1104.CrossRefGoogle ScholarPubMed
Mitchell, L., Flin, R., Yule, S., et al. Development of a behavioural marker system for Scrub Practitioners’ Non-Technical Skills (SPLINTS system). Journal of Evaluation in Clinical Practice 2013; 19: 317–323.Google Scholar
Rutherford, J. S., Flin, R., Irwin, A., and McFadyen, A. K.. Evaluation of the prototype Anaesthetic Non‐technical Skills for Anaesthetic Practitioners (ANTS‐AP) system: a behavioural rating system to assess the non‐technical skills used by staff assisting the anaesthetist. Anaesthesia 2015; 70: 907–914.Google Scholar
Hellaby, M., Wood, S., and Herbert, N.. Safely moving a hospital. In The Human Connection II. Loughborough: Chartered Institute of Ergonomists and Human Factors, 2018, pp. 18–19.Google Scholar
Fowler, A. J.. A review of recent advances in perioperative patient safety. Annals of Medicine and Surgery 2013; 2: 10–14.Google Scholar
Lingard, L., Espin, S., Whyte, S., et al., Communication failures in the operating room: an observational classification of recurrent types and effects. Quality and Safety in Health Care 2004; 13: 330–334.CrossRefGoogle ScholarPubMed

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