Preview

Human Error Theory in Health Care

Powerful Essays
Open Document
Open Document
1883 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Human Error Theory in Health Care
Introduction
Patient safety is a basic standard of health care. Every step in health care service contains intrinsic unsafe factors .The combination among newest technologies, health innovations and treatments have introduced a synergistic development in health care industry, and transformed it into more complex field. This rise health safety risks which may result from problems in practice, procedures and medicine etc .This Essay will discuss the relationship between human factors and patient safety.
Definitions
“Patient safety is the reduction of unnecessary harm associated with healthcares to acceptable minimum “(Runciman ,Hibbert , Thomson , Der Schaaf , Sherman ,Lewalle , 2009)
Human error in health care can be observed by two different methods: “the person approach and the system approach”, each model has own perspectives .Understanding these differences has a significant practical outcomes in healthcare industry and open sights for management of medical error (Reason, 2000). The person approach stress on the hazardous act and procedural deviations of nurses, physicians, pharmacists. It analyses these risky acts as resulting mainly from deviant mental functions such as lack of memory & concentration , poor enthusiasm , carelessness, , and recklessness(Reason, 2000) .The associated preventive measures are intended mainly at decreasing risky inconsistency in human performance (Reason, 2000) .
Whereas the system approach insight human errors as consequences rather than causes, thus it relays the reasons for error occurrence on failure of organizational system (Reason, 2000). Countermeasures are established on the theory that although “we cannot change the human condition, we can adjust the circumstances under which humans work” (Reason, 2000).
Human error Theory
Patients always expect miraculous solutions to each problem. In such expectations people who receive medical services tend to believe that no mistakes can happen. It is actually not so,



References: Carayon, P. (2010).Human factors in patient safety as an innovation. Applied Ergonomics, 41(5): 657-665. Handler,S., Castle, N., Studenski, S., Perera, S., Fridsma, D., Nace, D., & Hanlon, J. (2006). Patient safety culture assessment in the nursing home. Qual Saf Health Care 15(6), 400-404. Karmen, L. (2008). Pilot, Swiss cheese, and cash machinery: Health of the Health System. Croatian Medical Journal, 49(5), 689. Moyen, E., Camire, E., & Stelfox, H.T. (2008). Clinical review: medication errors in critical care. Critical Care Medicine, 12(2), 208. Taxis, K., & Barber, N. (2003). Ethnographic study of incidence and severity of intravenous drug errors.British Medical Journal, 11, 326. Reason, J. (2000). Human error: models and management. British Medical Journal, 320:768-70. Runciman, W., Hibbert,P., Thomson, R., Schaaf, T.V.D., Sherman, H., & Lewalle, P. (2009). Towards an international classification for patient safety: key concepts and terms. International Journal for Quality in Health Care, 21(1).18-26. Wagner, C., Wal, G., Groenewegen, P., & Bakker, D. (2001). The effectiveness of quality systems in nursing homes: a review. Qual Health Care 10(4), 211-217. .

You May Also Find These Documents Helpful

  • Satisfactory Essays

    This report will outline the risk. The different risk methods will be analyzed, and then the risk assessment team will make those conclusions on the risk. In this day of ages, risk is one of the biggest threats to any hospital. The reason for this is that the hospital needs quantify their action. With technology moving so fast, it is important to make sure that you have a risk assessment in place. According to (Lozier, 2011) risk is defined as that “systematic application of polices, procedures, and practice to the task of analyzing and controlling risk”. At Spring Valley Hospital we need to make sure that our visitors, employees, and patients ae safe.…

    • 215 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    AFT2 - Task 1

    • 912 Words
    • 3 Pages

    Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/…

    • 912 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    Although brief, the article explains why patient safety is a key factor in health care. The article goes on to explain that patients can contribute to strengthening safety and delivery of high quality care.…

    • 768 Words
    • 4 Pages
    Good Essays
  • Good Essays

    For the purpose of this paper strongly recommend focusing on human’s factors, that all boards consider this refreshed framework and that medical and nursing directors take a lead to ensure that work is taken forward to improve patient safety and eradicate “Never Events” from health…

    • 1104 Words
    • 5 Pages
    Good Essays
  • Better Essays

    The Joint Commission

    • 1167 Words
    • 5 Pages

    The Joint Commission has a list of national patient safety goals were set in place to guide improvements in safety of patients and to help highlight any problem areas within the healthcare systems regarding patient’s safety (The Joint Commission, 2013). The goals created for patient’s safety are listed and described through evidence based solutions in order to assess each goal. The Joint Commission focuses on several topics, all of include an importance in patient safety and their quality of care (The Joint Commission, 2013).…

    • 1167 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Kelly, William N. "Medication Errors." Professional Safety 49: 35. Academic Search Elite. EBSCO. Assiniboine Community College. 22 July 2004 .…

    • 1997 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    I will examine public data on the healthcare organization regulations, procedures, and training programs of advocating a safe environment for patients. Also, I will review common incidents that have occurred and how they could have been prevented at the VA New Jersey Health Care System or Saint Michael's Medical Center with recommendations of Risk Management Strategies. In addition, I will review the Institute of Medicine Report on patient safety and medical errors and compare the data.…

    • 457 Words
    • 2 Pages
    Good Essays
  • Good Essays

    From the past ,Health care workers wear facing a very serious and sensitive problem while treating patient which is Medications Errors. Patient safety is characterized as opportunity from incidental harm because of medical care, or absence of medicinal blunders, or absence of abuse in administrations. Medical error is: "a failure in the therapeutic process that can possibly lead to harm to the patient"(1). It occurs when a health care provider selects improper technique in care or improperly executes an proper strategy of care. Medical errors can happen anywhere in the health care system: In hospitals, clinics, operations rooms, doctors' offices, nursing homes, pharmacies, and patients' homes. Errors can happen…

    • 759 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Patient Falls Prevention

    • 1072 Words
    • 5 Pages

    U.S. department of health and human services; new efforts to help improve medical products for patient safety and quality of medical care. (2008). Medical Letter on the CDC & FDA, , 107. Retrieved from http://search.proquest.com/docview/211424001?accountid=14872…

    • 1072 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Medical errors do happen and pose a huge problem in the healthcare industry. Errors in healthcare can happen because of a number of reasons. The most common is lack of communication. Communication is imperative in healthcare. Failure to communicate can lead to problems in identifying patients, which can lead to other more serious errors such as incorrect procedures. Another form of error comes from faulty equipment. Hospitals have had problems with defective equipment, and because of this injury and death have occurred. Error in the healthcare system is also a potential risk for mistakes. High workload, rapid organizational change, inadequate supervision, and a faulty chain of command are all characteristics of most major healthcare delivery…

    • 322 Words
    • 2 Pages
    Good Essays
  • Good Essays

    A medication error is any avoidable event that may cause or lead to untimely medication use or patient harm; however, while the medication is still in control of the health care administer (Brock, 2006). 80 percent of the most severe medical errors can be interrelated communication between clinicians, primarily in handoffs. For example, a handoff is a medical error if information regarding an essential diagnostic test is not communicated carefully and properly between providers at shift change (Starme, 2015). However, the end result could be a detrimentally harmful delay in patient care.…

    • 323 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Patient safety forms the foundation of healthcare delivery. The United States health care system is an extremely complex unit ensures patient safety and requires focused efforts of people's in health care organizations. Safety is defined as freedom from psychological and physical injury in an health care systems. Health care provided in safe culture and environment are essential for patient survival and well-being. A safe environment reduces the risk for injury and illness and helps to decrease the cost of health care by preventing extended lengths of stay or by hospitalization, improved patient 's functional status and increasing the patient's sense of well-being. The Institute of Medicine’s report “ To Err Is Human: Building a Safer Health…

    • 316 Words
    • 2 Pages
    Satisfactory Essays
  • Best Essays

    Nurse Staffing

    • 1995 Words
    • 8 Pages

    Clarke, S. (2003). Patient safety series, part 2 of 2: Balancing staffing and safety. Nursing…

    • 1995 Words
    • 8 Pages
    Best Essays
  • Better Essays

    Adverse Error

    • 1065 Words
    • 5 Pages

    Medication error is a very common error happened in a hospital. It may cause mild side effect to serious side effect, which is death. According to the institute of medicine, medication errors injure at least 1.5 million people every year and result in billions of dollars in extra medical costs. The National Coordinating Council for Medication Error Reporting and Prevention defines a medication error as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use. For this case scenario, it is related to procedure, system and communication.…

    • 1065 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Among patient safety concerns, medication administration errors are preventable. For the purpose of this study, an medication error will be defined as any preventable event or deviation from the physician’s order that may cause or lead to inappropriate medication use or patient harm while the medicine is in the control of the nurse (National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP), 2010). The definition was adopted from the National Coordinating Council for Medication Error Reporting and Prevention and altered to include, any deviation from the physician’s orders, to allow for error to be…

    • 1090 Words
    • 5 Pages
    Good Essays