Assessing the Influence of Personal and Organizational Factors on Surgeon’s Performance: A Study on Surgeons’ Perceptions

  • Rossella OnofrioEmail author
  • Paolo Trucco
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 482)


In the emerging area of Human Reliability Analysis (HRA) applications in healthcare, a critical issue is the suitability or proper application of the existing taxonomies of Influencing Factors (IFs). The aim of the present study is twofold: (i) providing surgeons’ views about the IFs to be implemented in HRA applications to surgical procedures; (ii) assessing surgeons’ perception of the influence of personal and organizational factors on surgical performance in different surgical contexts (open and MIS surgery). The study methodology involved focus group and individual interviews for the former, a survey for the latter. Twenty IFs were identified as relevant for the surgical context, among a preliminary list of categories taken from extant literature. The difference of the perceived influence in the two surgical contexts, i.e. open vs laparoscopic, resulted significant for five Ifs: verbal interruptions; rude talk and disrespectful behaviors; unclear or failed communication; poor coordination; poor situation awareness.


Human factors Performance shaping factors Human reliability analysis 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of Management, Economics and Industrial EngineeringPolitecnico Di MilanoMilanItaly

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