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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)

Abstract

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.

Keywords

Human factors Performance shaping factors Human reliability analysis 

References

  1. 1.
    Joice, P., Hanna, G.B., Cuschieri, A.: Errors enacted during endoscopic surgery—a human reliability analysis. Appl. Ergon. 29(6), 409–14 (1998)Google Scholar
  2. 2.
    Chadwick, L., Fallon, E.F.: Human reliability assessment of a critical nursing task in a radiotherapy treatment process. Appl. Ergon. 43(1), 89–97 (2012)CrossRefGoogle Scholar
  3. 3.
    Ward, J., Teng, Y., Horberry, T., Clarkson, P.J.: Healthcare human reliability analysis—by heart. 38, 287–288 (2004)Google Scholar
  4. 4.
    Tang,B., Hanna, G.B., Bax, N.M.A, Cuschieri, A.: Analysis of technical surgical errors during initial experience of laparoscopic pyloromyotomy by a group of Dutch pediatric surgeons. Surg. Endosc. 18(12), 1716–20 (2004)Google Scholar
  5. 5.
    Swain, A.D., Guttmann, H.E.: Handbook of human reliability analysis with emphasis on nuclear power plant applications final report (1983)Google Scholar
  6. 6.
    Hollnagel, E.: Cognitive reliability and error analysis method (CREAM). Elsevier, The Netherlands (1998)Google Scholar
  7. 7.
    Williams, J.C.: HEART—a proposed method for achieving high reliability in process operation by means of human factors engineering technology. In: Proceedings of a Symposium on the Achievement of Reliability in Operating Plant, Safety and Reliability Society (SaRS). NEC, Birmingham (1985)Google Scholar
  8. 8.
    Boring, R.L.: How many performance shaping factors are necessary for human reliability analysis? (2010)Google Scholar
  9. 9.
    Kolaczkowski, A., Forester J., Lois, E., Cooper, S.: Good practices for implementing human reliability analysis (HRA) (NUREG-1792). Nureg-1792 (2005)Google Scholar
  10. 10.
    Boring, R.L., Blackman, H.S.: The origins of the SPAR-H method’s performance shaping factor multipliers. In: 2007 IEEE 8th Human Factors Power Plants HPRCT 13th Annual Meeting, pp. 177–184 (2007)Google Scholar
  11. 11.
    Barnes,M.J., Bley, D., Cooper, S.: Technical basis and implementation guidelines for a technique for human event analysis (ATHEANA). NUREG-1624, Rev (2000)Google Scholar
  12. 12.
    Kim, J.W., Jung, W.: A taxonomy of performance influencing factors for human reliability analysis of emergency tasks. J. Loss Prev. Process Ind. 16(6), 479–495 (2003)MathSciNetCrossRefGoogle Scholar
  13. 13.
    Onofrio, R., Trucco, P., Torchio, A.: Towards a taxonomy of influencing factors for human reliability analysis (HRA) applications in surgery. Procedia Manuf. 3, 144–151 (2015)CrossRefGoogle Scholar
  14. 14.
    Krueger,R.A., Casey, M.A.: Focus groups: a practical guide for applied research. Rev. Lit. Arts Am., 22, 129–152 (2000)Google Scholar

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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