The discipline (actually interdisciplinary area) of Human Factors is undertaught in medical and nursing education. As a result, error and safety are widely misunderstood. Worse, the topic is feared and avoided, obviously an undesirable circumstance.
Society is engaged in the biggest overhaul of health care education since the Flexner Report. Witness the ACGME Outcomes Project, Core competencies, CANmeds, and the Milestones initiatives. While we are changing things around anyway, why preserve obsolete views of error, which train generation after generation to be ashamed of and cover up our most important source of learning?
All types of Anesthesia practitioners (faculty, ancillary staff, and residents).
Objectives; Participants will:
- Explain 3 potential paradoxes related to human error in the workplace
- Evaluate, compare and contrast common definitions of safety, and revise one definition to account for newer views on error
- Appraise various theories of errors/accidents/incidents for their weak spots
- Question current concepts of accountability and synthesize a new one which is sustainable
- Adapt current practices of error reporting in commercial aviation to health care, or argue for a diminished role for error reporting
- Using Situational Awareness as an example, analyze the role or nonrole of state-of-mind assessments in the study of error
Meir Chernofsky, MD
Uniformed Services University of Health Sciences, Bethesda, MD
Drs. T. Ebert , D. Warltier, K. Lauer, S. Dolinski, C. Fox
All persons in control of content have NO relevant financial interests to disclose.
- 1.00 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 1.00 Hours of ParticipationHours of Participation credit.