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[医学中的人为因素]

[Human factors in medicine].

作者信息

Lazarovici M, Trentzsch H, Prückner S

机构信息

Institut für Notfallmedizin und Medizinmanagement, Klinikum der Universität München, Ludwig-Maximilians-Universität, Schillerstr. 53, 80336, München, Deutschland.

出版信息

Anaesthesist. 2017 Jan;66(1):63-80. doi: 10.1007/s00101-016-0261-5.

Abstract

The concept of human factors is commonly used in the context of patient safety and medical errors, all too often ambiguously. In actual fact, the term comprises a wide range of meanings from human-machine interfaces through human performance and limitations up to the point of working process design; however, human factors prevail as a substantial cause of error in complex systems. This article presents the full range of the term human factors from the (emergency) medical perspective. Based on the so-called Swiss cheese model by Reason, we explain the different types of error, what promotes their emergence and on which level of the model error prevention can be initiated.

摘要

人为因素的概念常用于患者安全和医疗差错的背景下,而且常常含混不清。实际上,该术语涵盖了从人机界面到人的表现与局限性,直至工作流程设计等广泛的含义;然而,在复杂系统中,人为因素是导致差错的一个重要原因。本文从(急诊)医学角度阐述了人为因素这一术语的全部内容。基于瑞森提出的所谓瑞士奶酪模型,我们解释了不同类型的差错、促使其出现的因素以及在该模型的哪个层面可以启动差错预防。

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