Often reported incidents involving sepsis state opportunities were missed. This raises the question of where in the system these opportunities are present. Through a qualitative document analysis of tribute and survivor stories, work system elements that may provide an opportunity for the successful treatment or those that may hinder effective treatment of sepsis were identified.
History
School
Design
Published in
The 12th International Symposium on Human Factors in Organizational Design and Management
Pages
102 - 108
Citation
CARMAN, E.-M., FRAY, M. and WATERSON, P., 2017. Sepsis: A work systems analysis of 30 survivor and tribute stories. IN: Organizing for High Performance: Proceedings of the 48th Annual Conference of the Association of Canadian Ergonomists & 12th International Symposium on Human Factors in Organizational Design and Management, Banff, Alberta, Canada, 31 July-3 August 2017, pp.102-108.
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