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On the application of human reliability analysis in healthcare : opportunities and challenges

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Sujan, Mark-Alexander, Embrey, David and Huang, Huayi (2019) On the application of human reliability analysis in healthcare : opportunities and challenges. Reliability Engineering & System Safety, 194 . 106189. doi:10.1016/j.ress.2018.06.017 ISSN 0951-8320.

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Official URL: http://dx.doi.org/10.1016/j.ress.2018.06.017

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Abstract

Safety in healthcare is a relatively recent field, but has received considerable attention over the past 15 years. Healthcare organisations have been encouraged to learn from safety management practices in other industries. In this paper we analyse opportunities and challenges for the application of Human Reliability Analysis (HRA) in healthcare. We consider the poor levels of reliability of many healthcare processes, performance variability, the absence of regulatory frameworks that incentivise proactive risk management, and the unique role of the patient. We conclude that HRA could provide a useful framework for the analysis and reduction of risk in healthcare, but techniques might have to be adapted and applied with due consideration of the specifics of the cultural and regulatory context of this domain. This includes clinical engagement with and ownership of the HRA process, greater focus on rigorous evaluation of cost-effectiveness of HRA techniques, and active involvement of patients.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Medical care -- Safety measures, Health planning -- Human factors, Industrial safety
Journal or Publication Title: Reliability Engineering & System Safety
Publisher: Elsevier Ltd.
ISSN: 0951-8320
Official Date: February 2019
Dates:
DateEvent
February 2019Published
30 June 2018Available
27 June 2018Accepted
Volume: 194
Article Number: 106189
DOI: 10.1016/j.ress.2018.06.017
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 12 July 2018
Date of first compliant Open Access: 30 June 2019
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDHealth Foundationhttp://dx.doi.org/10.13039/501100000724

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