• Corpus ID: 17865224

Human reliability analysis in healthcare: A review of techniques

  title={Human reliability analysis in healthcare: A review of techniques},
  author={Melinda Lyons and Sally Adams and Maria Woloshynowych and Charles A. Vincent},
  journal={The international journal of risk and safety in medicine},
Whilst Human Reliability Analysis (HRA) has been well-accepted and integrated into the safety management process in other industries, the application of such error analysis techniques to the problem of complication and reaction to treatment and the associated risks in healthcare is rare. Though the scarcity of HRA techniques in health-care is likely to be due in some part to the safety culture, much is likely to be due to a lack of awareness of the usefulness of the techniques and their… 

Figures and Tables from this paper

Human reliability analysis in healthcare: Application of the cognitive reliability and error analysis method (CREAM) in a hospital setting

This research used the CREAM to re-analyze events containing identifiable error modes that were previously analyzed by hospital team members using the RCA technique, and exposed a gap within categories of causal factors between the two techniques.

Human factors and safe patient care.

  • B. Norris
  • Medicine
    Journal of nursing management
  • 2009
The topic of human factors to nursing management is introduced and areas where it can be applied to patient safety are identified and some existing tools and techniques for applying human factors in nursing management are presented.

Failure mode and effects analysis: too little for too much?

It is concluded that although FMEA is popular and many published studies have reported its use within healthcare, there is little evidence to support its use for the quantitative prioritisation of process failures, and is very time consuming.

Assessing the validity of prospective hazard analysis methods: a comparison of two techniques

Examination of the validity of SWIFT and HFMEA by comparing their outputs in the process of risk assessment, and comparing the results with risks identified by retrospective methods found both methods raised important hazards.

Systems modelling approaches to the design of safe healthcare delivery: ease of use and usefulness perceived by healthcare workers

The findings in this study provide insights into how to make a better use of various systems modelling approaches to the design and risk management of healthcare delivery systems, which have been a growing research interest among ergonomists and human factor professionals.

Human Reliability Analysis in Healthcare: A Scenario Analysis

This study incorporates HRA in healthcare systems and procures a complete list of PIFs analysed through Rule-based Fuzzy Cognitive Maps and a scenario analysis based on critical criteria has been provided in order to represent whole human reliability issues in healthcare operations.



Medical application of engineering risk analysis and anesthesia patient risk illustration.

The probabilistic model can be used in the medical field to support patient safety decisions before complete data sets can be gathered or in cases in which some key factors are not directly observable.

Assessing patient safety risk before the injury occurs: an introduction to sociotechnical probabilistic risk modelling in health care

ST-PRA is a complex, high end risk modelling tool and provides an opportunity to visualize system risk in a manner that is not possible through FMEA, a second tool used by the aviation and nuclear industries to examine low frequency, high impact events in complex systems.

Framework for analysing risk and safety in clinical medicine

A framework of risk factors is presented that aims to encompass the many factors influencing clinical practice and can be used to guide the investigation of incidents, to generate ways of assessing risk, and to focus research on the causes and prevention of adverse outcomes.

Handbook of Human Reliability Analysis With Emphasis on Nuclear Power Plant Applications

The Handbook provides the methodology to identify and quantify the potential for human error in NPP tasks.

Anesthetic Mishaps: Breaking the Chain of Accident Evolution

Processes that lead to negative outcomes after critical incidents should be investigated to reduce the uncertainty complexity associated with managing the human body during anesthesia, and to establish the most effective detection and recovery techniques.