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Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: guidelines from the Difficult Airway Society and the Association of Anaesthetists.

Kelly, F.E.; Frerk, C.; Bailey, C.R.; Cook, T.M.; Ferguson, K.; Flin, R.; Fong, K.; Groom, P.; John, C.; Lang, A.R.; Meek, T.; Miller, K.L.; Richmond, L.; Sevdalis, N.; Stacey, M.R.

Authors

F.E. Kelly

C. Frerk

C.R. Bailey

T.M. Cook

K. Ferguson

K. Fong

P. Groom

C. John

A.R. Lang

T. Meek

K.L. Miller

L. Richmond

N. Sevdalis

M.R. Stacey



Abstract

Human factors is an evidence-based scientific discipline used in safety critical industries to improve safety and worker well-being. The implementation of human factors strategies in anaesthesia has the potential to reduce the reliance on exceptional personal and team performance to provide safe and high-quality patient care. To encourage the adoption of human factors science in anaesthesia, the Difficult Airway Society and the Association of Anaesthetists established a Working Party, including anaesthetists and operating theatre team members with human factors expertise and/or interest, plus a human factors scientist, an industrial psychologist and an experimental psychologist/implementation scientist. A three-stage Delphi process was used to formulate a set of 12 recommendations: these are described using a 'hierarchy of controls' model and classified into design, barriers, mitigations and education and training strategies. Although most anaesthetic knowledge of human factors concerns non-technical skills, such as teamwork and communication, human factors is a broad-based scientific discipline with many other additional aspects that are just as important. Indeed, the human factors strategies most likely to have the greatest impact are those related to the design of safe working environments, equipment and systems. While our recommendations are primarily provided for anaesthetists and the teams they work with, there are likely to be lessons for others working in healthcare beyond the speciality of anaesthesia.

Citation

KELLY, F.E., FRERK, C., BAILEY, C.R., COOK, T.M., FERGUSON, K., FLIN, R., FONG, K., GROOM, P., JOHN, C., LANG, A.R., MEEK, T., MILLER, K.L., RICHMOND, L., SEVDALIS, N. and STACEY, M.R. [2023]. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: guidelines from the Difficult Airway Society and the Association of Anaesthetists. Anaesthesia [online], Early View. Available from: https://doi.org/10.1111/anae.15941

Journal Article Type Article
Acceptance Date Nov 28, 2022
Online Publication Date Jan 11, 2023
Deposit Date Nov 29, 2022
Publicly Available Date Nov 29, 2022
Journal Anaesthesia
Print ISSN 0003-2409
Electronic ISSN 1365-2044
Publisher Wiley
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1111/anae.15941
Keywords Human factors; Ergonomics; Patient safety; Anaesthesia; Theatre team; Education and training; Simulation; Non-technical skills; Human performance; Worker well-being
Public URL https://rgu-repository.worktribe.com/output/1822843
Related Public URLs https://rgu-repository.worktribe.com/output/1805519 (Accompanying article to guidelines)

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