Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Surg Clin North Am. 2012 Feb;92(1):21-35. doi: 10.1016/j.suc.2011.11.007. Epub 2011 Dec 27.
A human factors model is used to highlight the nature of many systems factors that affect surgical performance, including the OR environment, teamwork and communication, technology and equipment, tasks and workload factors, and organizational variables. If further improvements in the success rate and reliability of cardiac surgery are to be realized, interventions need to be developed to reduce the negative impact that work system failures can have on surgical performance. Some recommendations are proposed here; however, several challenges remain.
一个人为因素模型被用来突出许多影响手术表现的系统因素的本质，包括手术室环境、团队合作和沟通、技术和设备、任务和工作量因素以及组织变量。如果要进一步提高心脏手术的成功率和可靠性，就需要开发干预措施来减少工作系统故障对手术表现的负面影响。这里提出了一些建议；然而，仍然存在一些挑战。
