Abstract:
BACKGROUND:The study of human factors is a scientific discipline that deals with the interactions between human beings and the elements of a system. This is important because shortcomings in these areas, if unchecked, can result in adverse outcomes. Research into human factors in industries where safety is paramount has provided the basis of countermeasures against human error. Adverse outcomes in medicine resulting from human error exact a high cost in both patient suffering and financial outlay. CRM TRAINING:One of the approaches used to minimise the effect of human error is to train people in a set of knowledge, skills and attitudes that underpin the domain-specific competencies for that profession. These are referred to as non-technical skills (NTS). In aviation, such an approach has been shown to be both translatable from the training environment to the workplace and effective in reducing adverse outcomes. DISCUSSION:Medicine has incorporated this style of training, usually centred around simulator-based courses, but as yet in a piecemeal, episodic fashion which relies on participants volunteering to attend courses. Unlike other industries there is no systematic approach to linking the content of this teaching with the more conventional range of topics. As a consequence it is difficult to assess the impact of human factors training in medicine. This is partly because very little work has been done to date in identifying the key non-technical skills required in medicine, and the overall experience of workplace based assessment is limited. Lessons from other high reliability organisations may help to address the main challenges of developing the content, integrating it into the curriculum, reinforcing the concepts in the workplace through staff development and establishing its role in summative assessment.
journal_name
Med Educjournal_title
Medical educationauthors
Glavin RJ,Maran NJdoi
10.1046/j.1365-2923.37.s1.5.xkeywords:
subject
Has Abstractpub_date
2003-11-01 00:00:00pages
59-64eissn
0308-0110issn
1365-2923pii
1690journal_volume
37 Suppl 1pub_type
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journal_title:Medical education
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journal_title:Medical education
pub_type: 杂志文章
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pub_type: 历史文章,杂志文章
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journal_title:Medical education
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journal_title:Medical education
pub_type: 杂志文章
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journal_title:Medical education
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更新日期:1979-03-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00274.x
更新日期:1993-07-01 00:00:00
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