Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC, USA.
NHS Education for Scotland, Institute of Health and Wellbeing, University of Glasgow G12 8RZ, UK.
Int J Qual Health Care. 2021 Jan 12;33(Supplement_1):13-18. doi: 10.1093/intqhc/mzaa108.
Despite the application of a huge range of human factors (HF) principles in a growing range of care contexts, there is much more that could be done to realize this expertise for patient benefit, staff well-being and organizational performance. Healthcare has struggled to embrace system safety approaches, misapplied or misinterpreted others, and has stuck to a range of outdated and potentially counter-productive myths even has safety science has developed. One consequence of these persistent misunderstandings is that few opportunities exist in clinical settings for qualified HF professionals. Instead, HF has been applied by clinicians and others, to highly variable degrees-sometimes great success, but frequently in limited and sometimes counter-productive ways. Meanwhile, HF professionals have struggled to make a meaningful impact on frontline care and have had little career structure or support. However, in the last few years, embedded clinical HF practitioners have begun to have considerable success that are now being supported and amplified by professional networks. The recent coronavirus disease of 2019 (COVID-19) experiences confirm this. Closer collaboration between healthcare and HF professionals will result in significant and ultimately beneficial changes to both professions and clinical care.
尽管在越来越多的护理环境中应用了大量的人为因素（HF）原则，但为了患者的利益、员工的福祉和组织的绩效，仍有许多方面可以做得更好，以实现这方面的专业知识。医疗保健部门一直在努力采用系统安全方法，错误地应用或误解了其他方法，并且坚持了一系列过时的、可能适得其反的观念，即使安全科学已经得到了发展。这些持续存在的误解的一个后果是，临床环境中几乎没有为合格的 HF 专业人员提供机会。相反，HF 已经由临床医生和其他人员在不同程度上应用，有时非常成功，但经常是以有限的和有时适得其反的方式。同时，HF 专业人员一直在努力对一线护理产生有意义的影响，但他们的职业结构和支持都很少。然而，在过去的几年中，嵌入式临床 HF 从业者已经开始取得相当大的成功，这些成功现在得到了专业网络的支持和放大。最近的 2019 年冠状病毒病（COVID-19）的经验证实了这一点。医疗保健和 HF 专业人员之间更密切的合作将对这两个专业和临床护理产生重大的、最终有益的变化。
