Content: Medical Competence and Patient Safety Competence as Individual Virtue or Systems Issue? Why the Difference in Competence Assumptions? Good Doctoring and the Pursuit of Perfection Standardization and the Fear of Scientific-Bureaucratic Medicine The Expectation of Perfection versus the Inevitability of Mistake Key Points References The Problem of ''Human Error'' in Healthcare Numbers Are Strong The Human Factors Approach Human Error as Attribution and Starting Point ''I Knew This Could Happen!'' The Local Rationality Principle Key Points References Cognitive Factors of Healthcare Work Attentional Dynamics Knowledge Factors Strategic Factors Key Points References New Technology, Automation, and Patient Safety The Substitution Myth Data Overload Automation Surprises Evaluating and Testing Medical Technology Key Points References Safety Culture and Organizational Risk Safety Culture and Drifting into Failure Risk as Energy to Be Contained Risk as Complexity Risk as the Gradual Acceptance of the Abnormal Risk as a Managerial or Control Problem Key Points References Practical Tools for Creating Safety Safety Reporting and Organizational Learning Adverse Event Investigations Human Factors and Resource Management Training Briefings and Checklists Key Points References Accountability and Learning from Failure Learning and Accountability-Just Culture Criminalization of Medical Error: A Growing Problem? The Second Victim Key Points References New Frontiers in Patient Safety: Complexity and Systems Thinking Complicated versus Complex Newton, Components, and Complexity The Cartesian-Newtonian Worldview and Adverse Events Key Points References Index
Abstract: ''With coverage ranging from the influence of professional identity in medicine and problematic nature of ''human error'', to the psychological and social features that characterize healthcare work, to the safety-critical aspects of interfaces and automation, this book spans the width of the human factors field and its importance for patient safety today. In addition, the book discusses topics such as accountability, just culture, and secondary victimization in the aftermath of adverse events and takes readers to the leading edge of human factors research today: complexity, systems thinking and resilience''