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Title: | Can we learn about human and organisation factors from past transfusion errors? |
Authors: | Watt, Alison Jun, Gyuchan Thomas Waterson, Patrick |
Keywords: | Transfusion Healthcare Incidents Safety |
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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