How does human error affect safety in anesthesia?
Anesthesia morbidity and mortality, while acceptable, are not zero. Most mishaps have a multifactorial cause in which human error plays a significant part. Good design of anesthesia machines, ventilators, and monitors can prevent some, but not all, human error. Attention to the system in which the errors occur is important. Modern training with simulators is designed to reduce the frequency of human errors and to teach anesthesiologists how to deal with the consequences of such errors.
Gravenstein
J S
JS
Department of Anesthesiology, University of Florida, Gainesville, Florida 32610, USA. jgravens@anest2.anest.ufl.edu
D000758:Anesthesia / Q000009:adverse effects* / Q000379:methods / Q000401:mortality; D000776:Anesthesiology / Q000193:education* / Q000295:instrumentation / Q000379:methods / Q000592:standards*; D002983:Clinical Competence / Q000592:standards; D003675:Defensive Medicine / Q000458:organization & administration; D004867:Equipment Design; D006804:Ergonomics; D006801:Humans; D019300:Medical Errors / Q000331:legislation & jurisprudence / Q000517:prevention & control* / Q000706:statistics & numerical data; D009017:Morbidity; D017063:Outcome Assessment, Health Care; D010819:Physician's Role; D012307:Risk Factors; D012449:Safety; D016526:Workload