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Improving cardiac surgical care: a work systems approach.
- Source :
-
Applied ergonomics [Appl Ergon] 2010 Sep; Vol. 41 (5), pp. 701-12. Date of Electronic Publication: 2010 Mar 03. - Publication Year :
- 2010
-
Abstract
- Over the past 50 years, significant improvements in cardiac surgical care have been achieved. Nevertheless, surgical errors that significantly impact patient safety continue to occur. In order to further improve surgical outcomes, patient safety programs must focus on rectifying work system factors in the operating room (OR) that negatively impact the delivery of reliable surgical care. The goal of this paper is to provide an integrative review of specific work system factors in the OR that may directly impact surgical care processes, as well as the subsequent recommendations that have been put forth to improve surgical outcomes and patient safety. The important role that surgeons can play in facilitating work system changes in the OR is also discussed. The paper concludes with a discussion of the challenges involved in assessing the impact that interventions have on improving surgical care. Opportunities for future research are also highlighted throughout the paper.<br /> (2010 Elsevier Ltd. All rights reserved.)
- Subjects :
- Accidents
Fatigue prevention & control
Humans
Leadership
Models, Organizational
Organizational Culture
Patient Care standards
Safety Management methods
Safety Management standards
Social Responsibility
Systems Theory
United States
Cardiac Surgical Procedures standards
Clinical Competence standards
Iatrogenic Disease prevention & control
Medical Errors prevention & control
Operating Rooms standards
Quality of Health Care standards
Subjects
Details
- Language :
- English
- ISSN :
- 1872-9126
- Volume :
- 41
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Applied ergonomics
- Publication Type :
- Academic Journal
- Accession number :
- 20202623
- Full Text :
- https://doi.org/10.1016/j.apergo.2009.12.008