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Human Factors in Pediatric Surgery

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Human Factors in Surgery
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Abstract

Despite the paucity of data and experience with human factors research in children, pediatric surgery is increasingly recognizing the impacts of human factors on clinical quality, safety, and outcomes, and the avoidable adverse clinical events are generally due to variability, knowledge gaps, or human error. While some interventions have been implemented, such as surgical safety checklists, time-outs, and improvement in handoffs, many others are yet to be addressed. Pediatric surgery requires adaptability as many children are unable to communicate, while others lack the cognitive or communication skills to inform clinicians’ decision-making. This adaptability leads to heuristic approach that employs practical methods sufficient for immediate goals but may cause systemic errors.

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References

  1. Kahneman D. Thinking fast and slow. Farrar, Straus and Giroux, 2011. ISBN978-0374275631.

    Google Scholar 

  2. Hollnagel E, Braithwaite J, Wears RL. Resilient health care: volume 2 : the resilience of everyday clinical work. 2015.

    Google Scholar 

  3. Reason J, Parker D, Lawton R. Organizational controls and safety: the varieties of rule-related behaviour. J Occup Organ Psychol. 1998;71:289–304. https://doi.org/10.1111/j.2044-8325.1998.tb00678.x.

    Article  Google Scholar 

  4. Marcus R. Human factors in pediatric anesthesia incidents. Pediatr Anesth. 2005; https://doi.org/10.1111/j.1460-9592.2005.01771.x.

  5. Department of Health. National service framework for children, young people and maternity services: medicines for children and young people. London; 2007.

    Google Scholar 

  6. Cimino MA, Kirschbaum MS, Brodsky L, et al. Assessing medication prescribing errors in pediatric intensive care units. Pediatr Crit Care Med. 2004;5:124–32. https://doi.org/10.1097/01.PCC.0000112371.26138.E8.

    Article  PubMed  Google Scholar 

  7. Sutherland A, Talken-Sinclair J, Barber R. Reducing prescribing errors in a British PICU. Pediatr Crit Care Med. 2011;12:A148.

    Google Scholar 

  8. Sutherland A, Ashcroft DM, Phipps DL. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child. 2019;104:588–95.

    Article  Google Scholar 

  9. Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg. 2001;72:300–5.

    Article  CAS  Google Scholar 

  10. Bacha EA. Patient safety and human factors in pediatric cardiac surgery. Pediatr Cardiol. 2007;28:116. https://doi.org/10.1007/s00246-006-1448-3.

    Article  PubMed  Google Scholar 

  11. Hannan EL, Racz M, Kavey R, Quaegebeur JM, Williams R. Pediatric cardiac surgery: the effect of hospital and surgeon volume on in-hospital mortality. Pediatrics. 1998;101:963–9.

    Article  CAS  Google Scholar 

  12. Galvan C, Bacha EA, Mohr JJ, Starr JP, Barach P. The role of human factors in patient safety during pediatric cardiac surgery. Anesthesiology. 2004;101:A1264.

    Google Scholar 

  13. Larrazabal LA, del Nido PJ, Jenkins KJ, Gauvreau K, Lacro R, Colan SD, et al. Measurement of technical performance in surgery for congenital heart disease: a pilot study. Ann Thorac Surg. 2007;83:179–84.

    Article  Google Scholar 

  14. Nathan M, Karamichalis JM, Liu H, Gauvreau K, Colan S, Saia M, Pigula F-TF, Emani S, Biard C, Mayer JE, del Nido PJ. Technical performance scores are strongly associated with early mortality, postoperative adverse events, and intensive care unit length of stay-analysis of consecutive discharges for two years. J Thorac Cardiovasc Surg. 2014;147:389–96.

    Article  Google Scholar 

  15. Joy BF, Elliott E, Hardy C, Sullivan C, Backer CL, Kane JM. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Pediatr Crit Care Med. 2011;12(3):304–8.

    Article  Google Scholar 

  16. Berman L, Rangel S, Goldin A, Skarda D, Ottosen M, Bliss D, Valusek P, Fallat M, Tsao K, APSA Quality and Safety Committee. Safety culture among pediatric surgeons: a national survey of attitudes and perceptions of patient safety. J Pediatr Surg. 2018;53(3):381–95. https://doi.org/10.1016/j.jpedsurg.2017.09.011. Epub 2017 Oct 6. PMID: 29111082

    Article  PubMed  Google Scholar 

  17. Oldham KT. Optimal resources for children’s surgical care. J Am Coll Surg. 2014;218(3):479.

    Article  Google Scholar 

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Correspondence to David Bliss .

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Bliss, D. (2020). Human Factors in Pediatric Surgery. In: Cohen, T.N., Ley, E.J., Gewertz, B.L. (eds) Human Factors in Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-53127-0_18

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  • DOI: https://doi.org/10.1007/978-3-030-53127-0_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-53126-3

  • Online ISBN: 978-3-030-53127-0

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