Mode of access: World Wide Web.

System requirements: Adobe Acrobat Reader.

Part of: Synthesis digital library of engineering and computer science.

Includes bibliographical references (pages 187-199).

1. Background to human factors in healthcare -- 1.1 Healthcare scenarios -- 1.1.1 A simple retrospective case-nurse in the intensive care unit -- 1.1.2 A more complex retrospective case -- 1.1.3 A failed case-in retrospect -- 1.1.4 A proactive case -- 1.1.5 The factors behind the cases -- 1.2 We need a human factors perspective -- 1.2.1 Introducing technology to healthcare adds complexity -- 1.2.2 Human factors can contribute to patient safety and medical error prevention -- 1.3 About the book -- 1.3.1 Target audience -- 1.3.2 A different kind of a human factors book -- 1.3.3 Book organization --

Part I. A conceptual framework -- 2. About human factors frameworks -- 2.1 Why have a framework? -- 2.2 Frameworks of human factors in healthcare-a review -- 2.2.1 The SEIPS model-systems engineering initiative for patient safety -- 2.2.2 Human factors engineering paradigm -- 2.2.3 A human factors framework for analyzing risk and safety in clinical medicine -- 2.2.4 The FAA's human factors analysis and classification system (HFACS) -- 2.2.5 The WHO human factors framework -- 2.2.6 The Food and Drug Administration human factors framework -- 2.2.7 A summary comparative table -- 2.3 Critique and summary -- 3. HF-MARC: using the human factors conceptual framework to map-assess-recognize-conclude -- 3.1 Overview -- 3.2 HF conceptual pyramid: rationale -- 3.3 Methodological process: rationale -- 3.4 A walk through the HF-MARC framework -- 3.4.1 Map the foundation tier: people, tasks, and environments -- 3.4.2 The moderating tier: assess the fit and recognize emergent factors -- 3.4.3 The top tier: conclude about performance and outcomes -- 3.4.4 Interventions and mitigations --

Part II. The human factors field guide -- 4. Overview: a human factors approach to continuous improvement -- 4.1 Recap of the framework, methodology, and a roadmap -- 4.2 The sample scenario -- 5. Start the process -- 5.1 Determine objectives and scope of the analysis -- 5.2 Use checklists for the mapping and analyses -- 5.2.1 The short mapping checklist -- 5.2.2 The detailed checklist -- 5.3 Choose the checklist for the analysis -- 6. Map the context -- 6.1 People -- 6.1.1 Which populations and segments are relevant to the analysis -- 6.1.2 Persona -- 6.2 Missions, goals, and tasks -- 6.2.1 Task analysis: map the inter-relations between the tasks -- 6.2.2 Task analysis implications to severity ratings -- 6.2.3 Task flow mapping -- 6.3 Physical environment -- 6.3.1 Space and layout -- 6.3.2 Artifact and device locations and access -- 6.3.3 Ambient conditions -- 6.3.4 Human-machine interface -- 6.3.5 Mapping human-machine interface using the detailed checklist -- 6.4 Human environment -- 6.5 Interim brief #1 -- 7. Assess fit -- 7.1 A brief overview of some relevant human capabilities and limitations -- 7.2 Assessment criteria -- 7.3 People and tasks -- 7.3.1 The people perspective -- 7.3.2 The task perspective -- 7.4 Physical environment -- 7.4.1 Space and layout -- 7.4.2 Location of artifacts and devices -- 7.4.3 Ambient conditions -- 7.5 Device usability -- 7.6 Human environment -- 7.6.1 Groups and teams -- 7.6.2 Organizations, climates, and cultures -- 7.6.3 Rules, regulations, and policies -- 8. Interim findings: problems of fit -- 8.1 List of the fit problems by factors -- 8.2 Problem severity -- 9. Recognize emergent factors -- 9.1 Developments that may influence the performance and outcomes -- 9.2 Emergent environmental factors -- 9.2.1 Workload -- 9.2.2 Distractions and interruptions -- 9.3 Emergent human factors -- 9.3.1 Mental and physical workload -- 9.3.2 Discomfort -- 9.3.3 Fatigue and loss of vigilance -- 9.3.4 Stress -- 9.3.5 Stress, fatigue, and loss of vigilance-a synthesis -- 9.4 Summary of emergent factors -- 9.5 Interim brief #2 -- 10. Conclude: performance and outcomes -- 10.1 The most influential factors -- 10.1.1 Scope according to validity and relevance -- 10.1.2 Identify the most influential factors -- 10.2 Performance and outcomes: how are they different? -- 10.2.1 Performance: effectiveness, human error, and efficiency -- 10.2.2 Outcomes: factual, likely, and desired -- 11. Interventions and mitigations -- 11.1 Granularity of the recommendations -- 11.2 Intervention and mitigation strategic goals -- 11.3 Prioritize the interventions using a tradeoff analysis -- 11.4 Final brief #3 -- 12. This is not the end -- Appendix A. The detailed checklist -- Appendix B. Fully analyzed sepsis management scenario -- References and resources -- Author biographies.

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Have you ever experienced the burden of an adverse event or a near-miss in healthcare and wished there was a way to mitigate it? This book walks you through a classic adverse event as a case study and shows you how. It is a practical guide to continuously improving your healthcare environment, processes, tools, and ultimate outcomes, through the discipline of human factors. Using this book, you as a healthcare professional can improve patient safety and quality of care. Adverse events are a major concern in healthcare today. As the complexity of healthcare increases-with technological advances and information overload-the field of human factors offers practical approaches to understand the situation, mitigate risk, and improve outcomes. The first part of this book presents a human factors conceptual framework, and the second part offers a systematic, pragmatic approach. Both the framework and the approach are employed to analyze and understand healthcare situations, both proactively-for constant improvement-and reactively-learning from adverse events. This book guides healthcare professionals through the process of mapping the environmental and human factors; assessing them in relation to the tasks each person performs; recognizing how gaps in the fit between human capabilities and the demands of the task in the environment have a ripple effect that increases risk; and drawing conclusions about what types of changes facilitate improvement and mitigate risk, thereby contributing to improved healthcare outcomes.

Also available in print.

Title from PDF title page (viewed on February 24, 2017).