On the application of Human Reliability Analysis in healthcare: Opportunities and challenges

被引：48

作者：

Sujan, Mark A. ^{[1
]}

Embrey, David ^{[2
]}

Huang, Huayi ^{[3
]}

机构：

[1] Univ Warwick, Warwick Med Sch, Coventry CV4 7AL, W Midlands, England

[2] Human Reliabil Ltd, Dalton WN8 7NP, England

[3] Royal Coll Obstetricians & Gynaecologists, Natl Guideline Alliance, London NW1 4RG, England

来源：

RELIABILITY ENGINEERING & SYSTEM SAFETY | 2020年 / 194卷

关键词：

Healthcare; Human Reliability Analysis; Patient safety; Risk analysis; Human factors; Safety-II; PROBABILISTIC RISK-ASSESSMENT; ADVERSE EVENTS; PATIENT SAFETY; FAILURE MODE; HUMAN ERROR; PART; ACCIDENTS; TASK; INCIDENTS; SYSTEMS;

D O I：

10.1016/j.ress.2018.06.017

中图分类号：

T [工业技术];

学科分类号：

08 ;

摘要：

Safety in healthcare is a relatively recent field, but has received considerable attention over the past 15 years. Healthcare organisations have been encouraged to learn from safety management practices in other industries. In this paper we analyse opportunities and challenges for the application of Human Reliability Analysis (HRA) in healthcare. We consider the poor levels of reliability of many healthcare processes, performance variability, the absence of regulatory frameworks that incentivise proactive risk management, and the unique role of the patient. We conclude that HRA could provide a useful framework for the analysis and reduction of risk in healthcare, but techniques might have to be adapted and applied with due consideration of the specifics of the cultural and regulatory context of this domain. This includes clinical engagement with and ownership of the HRA process, greater focus on rigorous evaluation of cost-effectiveness of HRA techniques, and active involvement of patients.

引用

页数：8

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