title: Human factors and operating room safety.
abstract: A human factors model is used to highlight the nature of many systems factors that affect surgical performance, including the OR environment, teamwork and communication, technology and equipment, tasks and workload factors, and organizational variables. If further improvements in the success rate and reliability of cardiac surgery are to be realized, interventions need to be developed to reduce the negative impact that work system failures can have on surgical performance. Some recommendations are proposed here; however, several challenges remain.
authors.affiliation: Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. aelbardissi@partners.org
authors.forename: Andrew W
authors.initials: AW
authors.lastname: ElBardissi
authors.forename: Thoralf M
authors.initials: TM
authors.lastname: Sundt
mesh_terms: D020811:Biomedical Technology; D006804:Ergonomics / Q000592:standards; D013502:General Surgery; D006272:Health Facility Environment; D006801:Humans; D007400:Interprofessional Relations; D019300:Medical Errors / Q000517:prevention & control*; D009873:Operating Rooms / Q000458:organization & administration*; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D061214:Patient Safety; D017751:Safety Management / Q000458:organization & administration*; D016526:Workload