title: Coding Human Factors Observations in Surgery.
abstract: The reliability of the Human Factors Analysis and Classification System (HFACS) for classifying retrospective observational human factors data in the cardiovascular operating room is examined. Three trained analysts independently used HFACS to categorize observational human factors data collected at a teaching and nonteaching hospital system. Results revealed that the framework was substantially reliable overall (Study I: k = 0.635; Study II: k = 0.642). Reliability increased when only preconditions for unsafe acts were investigated (Study I: k =0.660; Study II: k = 0.726). Preconditions for unsafe acts were the most commonly identified issues, with HFACS categories being similarly populated across both hospitals. HFACS is a reliable tool for systematically categorizing observational data of human factors issues in the operating room. Findings have implications for the development of a HFACS tool for proactively collecting observational human factors data, eliminating the necessity for classification post hoc.
authors: 1 Embry-Riddle Aeronautical University, Daytona Beach, FL.
authors: Tara N
authors: TN
authors: Cohen
authors: 2 University of Wisconsin-Madison, Madison, WI.
authors: Douglas A
authors: DA
authors: Wiegmann
authors: 3 Medical University of South Carolina, Charleston, SC.
authors: Scott T
authors: ST
authors: Reeves
authors: 1 Embry-Riddle Aeronautical University, Daytona Beach, FL.
authors: Albert J
authors: AJ
authors: Boquet
authors: 1 Embry-Riddle Aeronautical University, Daytona Beach, FL.
authors: Scott A
authors: SA
authors: Shappell
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000193:education / Q000379:methods / Q000706:statistics & numerical data*; D059019:Clinical Coding / Q000379:methods*; D006804:Ergonomics / Q000145:classification* / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D019300:Medical Errors / Q000145:classification / Q000706:statistics & numerical data; D009873:Operating Rooms / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012189:Retrospective Studies
keywords: CVOR; HFACS; error analysis; human error; latent failures