Loughborough University
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Can we learn about human and organisation factors from past transfusion errors?

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conference contribution
posted on 2017-01-04, 12:07 authored by Alison Watt, Gyuchan Thomas JunGyuchan Thomas Jun, Patrick WatersonPatrick Waterson
Seven human factors models were evaluated using a small number of historical transfusion error reports to explore learning from human and organisation factors and decide the best model for a planned larger retrospective study. Insufficient information given in many reports led to subjectivity in categorisation, but the conclusion was that systems engineering initiative for patient safety 2.0 may be the best single system to use. Analysing the human factors effectively in transfusion incidents could provide some insights into process improvement.



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Ergonomics & Human Factors 2017


WATT, A., JUN, G.T. and WATERSON, P., Can we learn about human and organisation factors from past transfusion errors? IN: Charles, R. and Wilkinson, J. (eds), Contemporary Ergonomics & Human Factors 2017. Loughborough: Chartered Institute of Ergonomics and Human Affairs.


Chartered Institute of Ergonomics and Human Affairs (CIEHF)


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This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

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This paper was presented at the International Conference on Ergonomics & Human Factors 2017, Daventry, UK, 25-27th April.


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Daventry, UK