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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/23556

Title: Can we learn about human and organisation factors from past transfusion errors?
Authors: Watt, Alison
Jun, Gyuchan Thomas
Waterson, Patrick
Keywords: Transfusion
Issue Date: 2017
Publisher: Chartered Institute of Ergonomics and Human Affairs (CIEHF)
Citation: WATT, A., JUN, G.T. and WATERSON, P., Can we learn about human and organisation factors from past transfusion errors? IN: Charles, R. and Wilkinson, J. (eds), Contemporary Ergonomics & Human Factors 2017. Loughborough: Chartered Institute of Ergonomics and Human Affairs.
Abstract: Seven human factors models were evaluated using a small number of historical transfusion error reports to explore learning from human and organisation factors and decide the best model for a planned larger retrospective study. Insufficient information given in many reports led to subjectivity in categorisation, but the conclusion was that systems engineering initiative for patient safety 2.0 may be the best single system to use. Analysing the human factors effectively in transfusion incidents could provide some insights into process improvement.
Description: This paper was presented at the International Conference on Ergonomics & Human Factors 2017, Daventry, UK, 25-27th April.
Version: Accepted for publication
URI: https://dspace.lboro.ac.uk/2134/23556
Publisher Link: Contemporary Ergonomics & Human Factors 2017
Appears in Collections:Conference Papers and Presentations (Design School)

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