Centre for Clinical Risk Management and Patient Safety, WHO Collaborating Centre in Human Factors and Communication for the Delivery of Safety and Quality Care, Florence 50141, Italy.
Int J Qual Health Care. 2021 Mar 5;33(1). doi: 10.1093/intqhc/mzaa049.
Several of the key organizational issues that we have had to face with the emergence of COVID-19 crisis are related to human factors/ergonomics (HFE) and the safety culture. During the crisis the main activities of the healthcare services have been profoundly affected. Patient safety and risk management units have also experienced the need to adapt rapidly. What can we do as HFE experts, now that the scenario has completely changed? We contend that: (a) we can favour and support the heuristics that are applied to manage the load of psycho-cognitive stress. (b) We can observe, collect strategies and develop analytic schemes, thereby creating a memory of the organization for improvement in the future. (c) And we can support in educating and engaging the public. This crisis has forced the community of healthcare experts to broaden their reflections: for the future to come, our communities of experts in the field of risk management HF/E, quality and safety of care and public health should play together an important role from the very beginning, from the time of peace.
我们在应对 COVID-19 危机时必须面对的几个关键组织问题与人为因素/工效学 (HFE) 和安全文化有关。在危机期间，医疗服务的主要活动受到了深远的影响。患者安全和风险管理部门也经历了快速适应的需求。作为 HFE 专家，现在情况已经完全改变，我们能做些什么呢？我们认为：(a) 我们可以支持和促进应用于管理心理认知压力负荷的启发式方法。(b) 我们可以观察、收集策略并制定分析方案，从而为未来的改进创造组织记忆。(c) 我们可以支持教育和吸引公众。这场危机迫使医疗专家社区扩大他们的思考：为了未来，我们在风险管理、HF/E、护理质量和安全以及公共卫生领域的专家社区应该从一开始就发挥重要作用，在和平时期就应该如此。
