BookTara N. Cohen, Eric J. Ley, Bruce L. Gewertz, editors.
Summary: This book delivers a comprehensive review of human factors principles as they relate to surgical care inside and outside of the operating theatre. It provides multi-dimensional human-centered insights from the viewpoint of academic surgeons and experts in human factors engineering to improve workflow, treatment time, and outcomes. To guide the reader, the book begins broadly with Human Factors Principles for Surgery then narrows to a discussion of surgical specialties and scenarios. Each chapter follows the following structure: (1) An overview of the topic at hand to provide a reference for readers; (2) a case study or story to illustrate the topic; (3) a discussion of the topic including human factors insights; (4) lessons learned, or personal "pearls" related to improving the specific system described. Written by experts in the field, Human Factors in Surgery: Enhancing Safety and Flow in Patient Care describes elements of the surgical system and highlights the lessons learned from systems engineering. It serves as a valuable resource for surgeons at any level in their training that wish to improve their practice.
Contents:
Intro
Foreword
Acknowledgments
About the Book
Contents
Editors and Contributors
About the Editors
Contributors
Part I: Introduction
1: Introduction to Human Factors in Surgery
Part II: Human Factors
2: Human Factors Principles of Surgery
What Is Human Factors?
A (Very) Brief History of Human Factors
What Is a System?
What Does This Mean for Surgery?
The Person
Teamwork/Communication
Tasks
Tools/Technologies
Physical Environment
Organizational Conditions
Human Factors Methods
Conclusion
References 3: The Person: Individual- and Team-Level Factors Contributing to Safe and Successful Surgery
Who is Involved in Surgery?
Case Study
Overview
Methods for Measuring and Optimizing Individual- and Team-Level Constructs
Individual-Level Constructs
Team-Level Constructs
Conclusion
References
4: Safe and Effective Use of Tools and Technology in the Operating Room
Inroduction
Case Study
Methods
Workflow Analysis
Ethnography Analysis
Future Technologies and Considerations
References
5: Work System Tasks: Blending Art and Science
The Task Example of Task-Specific Surgical Workload
Surgical Tasks
Surgical Task Factors and Task Implications
Human Factors Approach to the Task
Task Analysis
Workflow Analysis
Workload Measurement
Outcome Measures
References
6: Surgical Performance and the Working Environment
Case Studies
The Surgical Work Environment
The Built Environment
The Operating Room Layout
Ancillary Space and the OR Suite
Ventilation, Temperature, and Humidity
Visual Environment
Acoustic Environment
Human Factors Approaches
Summary
References 7: Organizational Influences and Surgical System Safety
What Role Does the Organization Play in Surgical Safety and Performance?
Applying the Concepts in Real Life
Organizational Influences
Resource Allocation
Operational Aspects
Organizational Culture
Tools and Techniques to Understand Organizational Influences
Using the Human Factors Analysis and Classification System as a Framework to Understand Organizational Influences on Surgery
The Categorization of Unsafe Acts
The Just Culture
Creating a Safe Error Reporting Environment Organizational Change and Persistence
Responding to the Wrong-Side Surgery
Conclusion
References
Part III: Broad Surgical Considerations
8: Human Factors in Perioperative Care
Introduction/Overview
Preoperative Considerations/Human Factors
Case
Intraop Emergencies/Incidents
Case
Postoperative Care
Case
References
9: Counting Backwards: Tracing the Effect of Human Factors in Anesthesiology
What Is Anesthesiology
Case Study
How Can We Improve Anesthesiology Using Human Factor Principles?
Physical Ergonomics
Cognitive Support
Communication