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Journal articles on the topic 'Human and organizational errors'
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1
Gronewold, Ulfert, and Michaela Donle. "Organizational Error Climate and Auditors' Predispositions toward Handling Errors." Behavioral Research in Accounting 23, no. 2 (November 1, 2011): 69–92. http://dx.doi.org/10.2308/bria-10061.
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ABSTRACT Handling their own errors effectively is important for auditors to assure audit quality. Similarly, how auditors deal with their clients' errors may affect clients' cooperativeness, which is a prerequisite for conducting audits effectively and efficiently. Auditors' predispositions will likely influence how they actually approach errors. We introduce the constructs of (and develop measures for) the error climate of audit organizations and auditors' predispositions toward handling their own errors and client errors and relate them in a theoretical model. Empirical results from a sample of 284 external, internal, and public sector auditors support that an audit organization's error climate positively influences auditors' predisposition toward handling their own errors, which, in turn, positively influences their predisposition toward handling client errors. These results imply that an appropriately shaped error climate may serve as a “soft” management control mechanism by fostering predispositions toward functional error handling behaviors. We discuss implications for research and practice. Data Availability: Contact the first author.
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Göktürk, Söheyda, Oguzhan Bozoglu, and Gizem Günçavdi. "Error management practices interacting with national and organizational culture." Learning Organization 24, no. 4 (May 8, 2017): 245–56. http://dx.doi.org/10.1108/tlo-07-2016-0041.
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Purpose Elements of national and organizational cultures can contribute much to the success of error management in organizations. Accordingly, this study aims to consider how errors were approached in two state university departments in Turkey in relation to their specific organizational and national cultures. Design/methodology/approach The study follows a qualitative case study design, and the data were collected through five focus groups. The cases under consideration were two state university departments of different organizational sizes. Findings The results showed that organizational and national culture elements (collectivism, high power distance and relatively low future orientation) significantly interacted with error management practices. In both of the organizations studied, there were found to be limited attempts to prevent the errors unless there was an emergent situation. Error detection was shown to be slow and hindered because of indirect communication among staff. Ultimately, effective error management in these organizations was identified as being unattainable because of negative emotional reactions to errors, lower reporting, restricted communication, potential face loss considerations and lack of feedback. Originality/value The findings of the current work extend earlier error management research with empirical data drawn from two cases in the higher education domain. Thus, the study offers preliminary research into the error process in education, and contributes to future research relating organizational culture to error processes.
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Tomić, Silvia, Milovan Lazarević, Leposava Grubić-Nešić, Danijela Ćirić Lalić, and Jelena Kanjuh. "Human error management approach in practice: the use of HERCA tool for a systematic analysis of human errors." Journal of East European Management Studies 27, no. 4 (2022): 637–61. http://dx.doi.org/10.5771/0949-6181-2022-4-637.
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In recent years, human errors have been perceived as circumstances contributing to the organizational learning process. On the other hand, as inevitable products of human performance, human errors have been cited as a factor with a high impact on various types of losses for organizations. To reduce the negative consequences of human errors and increase the potential of their positive impact, it is of tremendous importance for organizations to manage them. This study applied the Human Error Root Cause Analysis (HERCA) tool to analyze human errors and their real causes. Based on the literature review, additional parameters were identified and included in data collection to increase the quality of the data collection phase as a crucial step for understanding the circumstances that led to an error. Research for this study was conducted on a sample of 176 human errors in a floor-producing company.
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Tang, Jun Xi, Li Cheng Wang, Peng Jia Shi, Zhao Li, Su Hong Pang, and Chuang Xin Guo. "Research on the Influence Factors System of Human Error in Power System." Advanced Materials Research 988 (July 2014): 687–90. http://dx.doi.org/10.4028/www.scientific.net/amr.988.687.
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Along with the development of science and technology, equipment reliability is improving and human error has become an increasingly important threat to the power system reliability and safety. However, there is seldom research for the human errors in electric power generation. In this paper, the classification and the main causes of human errors in power system are analyzed firstly. Then, the influence factors of human error are divided into several groups, which are organizational factors, mission factors, individual factors, environment and equipment factors. By analyzing the impact of different influence factors, an influence factors system of human error in power system is proposed and lays a foundation for the further explorations.
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Paramanantham, Shampave, and Sidath Liyanage. "Assessing the Impact of Human Error Assessment on Organization Performance in the Software Industry." International Journal of Information Systems and Social Change 14, no. 1 (January 1, 2023): 1–32. http://dx.doi.org/10.4018/ijissc.314563.
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The influence of human errors on organizations is wide-ranging concerning customer service, productivity, teamwork, quality, execution, decision-making, and loss (Irmi.com, 2018). When the employee makes an error, this may prompt an operational failure, effectively affecting whatever is being assessed. There is a commonly accepted connection between human errors and organizational performance. However, the theory is all hypothesis without confirmation since there is minimal literature writing in this research. Data was gathered from 365 employees of IT export companies in Sri Lanka. 5 people working as project managers in IT export companies were interviewed to get their opinion about human errors. The findings show that human errors such as skill-based, design, quality testing, and maintenance errors can significantly influence performance outcomes, namely sales growth, return on investment, customer satisfaction, innovation development, and product and service quality.
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Emby, Craig, Bin Zhao, and Jost Sieweke. "Audit Senior Modeling Fallibility: The Effects of Reduced Error Strain and Enhanced Error-Related Self-Efficacy on Audit Juniors' Responses to Self-Discovered Errors." Behavioral Research in Accounting 31, no. 2 (June 1, 2019): 17–30. http://dx.doi.org/10.2308/bria-52471.
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ABSTRACT This paper examines the relationship between audit seniors discussing their own experiences with committing and correcting errors (modeling fallibility), and audit juniors' thinking about errors and error communication (openly discussing their own self-discovered errors). The paper investigates the direct relationship between senior modeling fallibility and juniors' responses, and whether the relationship is mediated through error strain and error-related self-efficacy. Survey data from 266 audit juniors from two Big 4 Canadian accounting firms showed a direct positive association between audit senior modeling fallibility and audit juniors' thinking about errors, and error communication. This relationship is positively mediated through error-related self-efficacy. We also found that the relationship is mediated by error strain. However, although audit senior modeling fallibility was associated with reduced error strain, error strain was positively related to both thinking about errors and error communication, contrary to our hypothesis. The paper discusses the theoretical and practical implications of these results.
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Shi, Xiaobo, Yan Liu, Dongyan Zhang, Ruixu Li, Yaning Qiao, Alex Opoku, and Caiyun Cui. "Influencing Factors of Human Errors in Metro Construction Based on Structural Equation Modeling (SEM)." Buildings 12, no. 10 (September 21, 2022): 1498. http://dx.doi.org/10.3390/buildings12101498.
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Safety problems in metro construction occur frequently, causing substantial economic losses and even resulting in injuries and fatalities. Studies have shown that human errors, which are usually caused by complex reasons, are an important cause of safety related accidents. However, little research has analyzed the causes of accidents from the perspective of human errors. To explore the factors influencing human errors, the factors were systematically sorted out and studied based on theoretical analysis. Firstly, the theoretical hypothesis and model were formulated through a literature review. Secondly, the scale was developed for mental factors, physical factors, technical factors, environmental factors, organizational factors, cultural factors, and human errors. Thirdly, the research data were obtained by distributing questionnaires, and the validity and reliability tests were conducted using the data and the structural equation model was tested and run. Finally, the theoretical hypotheses were tested using the structural equation models and came up with the paths of the six factors of human errors. The results of the study showed that mental factors, physiological factors, and technological factors are found to be the direct influencing factors of human errors. However, environmental and cultural factors are the indirect influencing factors. The influencing paths are environment-mental-human errors, environment-physiological-human errors, culture-physiological-human errors, and culture-technology-human errors. Organizational factors can affect human errors directly or indirectly through cultural factors. These findings could provide practical implications for reducing the safety related accidents caused by human errors during metro construction.
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Ramanujam, Rangaraj, and Paul S. Goodman. "Latent errors and adverse organizational consequences: a conceptualization." Journal of Organizational Behavior 24, no. 7 (2003): 815–36. http://dx.doi.org/10.1002/job.218.
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Grohnert, Therese, Roger H. G. Meuwissen, and Wim H. Gijselaers. "Valuing errors for learning: espouse or enact?" Journal of Workplace Learning 29, no. 5 (July 10, 2017): 394–408. http://dx.doi.org/10.1108/jwl-11-2016-0102.
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Purpose This study aims to investigate how organisations can discourage covering up and instead encourage learning from errors through a supportive learning from error climate. In explaining professionals’ learning from error behaviour, this study distinguishes between espoused (verbally expressed) and enacted (behaviourally expressed) values with respect to learning from errors. Design/methodology/approach As part of mandatory training sessions, 150 early-career auditors completed an online questionnaire measuring error orientation and help-seeking behavior after making an error as attitude- and behavior-based measures, next to measuring perceived organizational learning from error climate. Multiple mediation analysis is used to explore direct and indirect effects. Findings Covering up errors was negatively and learning from errors positively related to an organisation’s learning from error climate. For covering up, this relationship is an indirect one – espoused and enacted values need to match. For learning from errors, this relationship is direct: espoused values positively relate to learning behaviour after errors. Practical implications By designing a supportive learning from error climate in which members at all hierarchical levels role-model learning from errors behaviour, organisations can actively discourage covering up and encourage learning from errors. Originality/value This study applies the theory of espoused versus enacted values to learning from error using a triangulation of measures in an understudied research setting: auditing.
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Asgarian, Azadeh, Keivan Ghassami, Farahnaz Heshmat, Abolfazl Mohammadbeigi, and Mohammad Abbasinia. "Barriers and Facilitators of Reporting Medical Errors in a Hospital: A Qualitative Study." Archives of Hygiene Sciences 10, no. 4 (October 1, 2021): 279–88. http://dx.doi.org/10.32598/ahs.10.4.251.2.
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Background & Aims of the Study: Reporting human errors in healthcare agencies is often accompanied by embarrassment and the fear of punishment; such errors can highlight motivation, the lack of attention, and enough education. Thus, there is a tendency to hide them. This study aimed to investigate the barriers and facilitators of reporting medical errors in hospitals. Materials and Methods: A qualitative study design with a conventional content analysis approach was used. The data were collected through in-depth semi-structured interviews with a purposive sample of 13 employers working in the hospital in Qom Province, Iran. Interviews were transcribed and finally analyzed through conventional content analysis. Accordingly, its results were presented in a theme, subcategories, and categories. Results: Our findings indicated that the employees had a multilevel perspective of medical error, viewing facilitators, and barriers to a medical error concerning several system levels. The barriers to medical error included individual, organizational, and social barriers. The facilitators of medical errors consisted of education, organizational, and cultural facilities. Conclusion: Findings suggested the need for support and security for employees and consideration of facilities to prevent the nonreporting of errors. Managers must provide the necessary personal, professional, and legal support to employees to remove barriers to encourage them to report the mistakes effectively.
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Mohammadfam, Iraj, Ali Asghar Khajevandi, Hesam Dehghani, Mohammad Babamiri, and Maryam Farhadian. "Analysis of Factors Affecting Human Reliability in the Mining Process Design Using Fuzzy Delphi and DEMATEL Methods." Sustainability 14, no. 13 (July 4, 2022): 8168. http://dx.doi.org/10.3390/su14138168.
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Design errors have always been recognized as one of the main factors affecting safety and health management and sustainable development in surface mines. Unfortunately, scant attention is paid to design errors and the factors causing them. Therefore, based on expert opinions, this study aimed to identify, rank, and investigate cause-and-effect relationships among variables influencing human error in surface mine design in Iran. The study variables were identified by reviewing previous literature on “latent human errors” and “design errors.” After specifying effective variables, two rounds of the Fuzzy Delphi study were carried out to reach a consensus among experts. Nineteen variables with an influencing score of 0.7 and higher were screened and given to the experts to be analyzed for cause-and-effect relationships by the fuzzy DEMATEL method. The results of the study revealed that the following variables were the major factors affecting human error as root causes: poor organizational management (0.62), resource allocation (0.30), training level (0.27), and experience (0.25). Moreover, self-confidence (−0.29), fatigue (−0.28), depression (−0.25), and motive (−0.23) were found to be effect (dependent) variables. Our findings can help organizations, particularly surface mines, to opt for effective strategies to control factors affecting design errors and consequently reduce workers’ errors, providing a good basis for achieving sustainable development.
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Vinogradova, O. V. "Human errors as a factor of production risk in the mining industry." Mining informational and analytical bulletin, no. 6-1 (May 20, 2020): 137–45. http://dx.doi.org/10.25018/0236-1493-2020-61-0-137-145.
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In modern conditions, improving the safety and efficiency of mining enterprises is impossible without assessing organizational risks. The existing huge knowledge base that has been accumulated by the practice of mining and research in mining science allows designing mining enterprises with a high degree of protection against dangerous and harmful factors for its personnel, but does not ensure safety from the influence of the human factor itself. To solve the scientific problem of ensuring the safety of the main production processes of mining, scientists at the time developed the classification of human errors. This article discusses the most widely used classification of personnel errors. The main types are errors and violations. Studying the identified errors, by management levels and at workplaces related to the human factor, helps to develop the necessary safety measures when assessing organizational risks. And also to increase the efficiency of work, it is necessary to solve the corresponding problems, which are to determine the role of the human factor and identify the main mistakes of staff.
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Khan, Amanullah, Sidra Malik, Fayaz Ahmad, and Naveed Sadiq. "The importance of human factors in therapeutic dietary errors of a hospital: A mixed-methods study." PLOS ONE 17, no. 8 (August 25, 2022): e0273728. http://dx.doi.org/10.1371/journal.pone.0273728.
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An accurate therapeutic diet can help people improve their medical condition. Any discrepancy in this regard could jeopardize a patient’s clinical condition. This study was aimed to determine prevalence of dietary errors among in-patients at an international private hospital’s food department, and to explore causes of error to suggest strategies to reduce such errors in the future. Thus, a sequential explanatory mixed-methods study was carried out. For the quantitative part, secondary data were collected on a daily basis over one-month. For qualitative data, errors arising during the meal flow process were traced to the source on the same day of error followed by qualitative interviews with person responsible. Quantitative data were analyzed in SPSS v.25 as percentages. Qualitative data were analyzed by deductive-inductive thematic analysis. Out of a total of 7041 diets, we found that only 17 had errors. Of these, almost two-thirds were critical. Majority of these errors took place during diet card preparation (52.94%), by dietitians (70.59%), during weekdays (82.35%), breakfasts (47.06%), and in the cardiac care ward (47.06%). The causes identified through interviews were lack of backup or accessory food staff, and employee’s personal and domestic issues. It was concluded that even though the prevalence of dietary errors was low in this study, critical errors formed majority of these errors. Adopting organizational behavior strategies in the hospital may not only reduce dietary errors, but improve patients’ well-being, and employee satisfaction in a long run.
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Hobbs, Alan, and Ann Williamson. "Associations between Errors and Contributing Factors in Aircraft Maintenance." Human Factors: The Journal of the Human Factors and Ergonomics Society 45, no. 2 (June 2003): 186–201. http://dx.doi.org/10.1518/hfes.45.2.186.27244.
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In recent years cognitive error models have provided insights into the unsafe acts that lead to many accidents in safety-critical environments. Most models of accident causation are based on the notion that human errors occur in the context of contributing factors. However, there is a lack of published information on possible links between specific errors and contributing factors. A total of 619 safety occurrences involving aircraft maintenance were reported using a self-completed questionnaire. Of these occurrences, 96% were related to the actions of maintenance personnel. The types of errors that were involved, and the contributing factors associated with those actions, were determined. Each type of error was associated with a particular set of contributing factors and with specific occurrence outcomes. Among the associations were links between memory lapses and fatigue and between rule violations and time pressure. Potential applications of this research include assisting with the design of accident prevention strategies, the estimation of human error probabilities, and the monitoring of organizational safety performance.
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Catino, Maurizio. "Apprendere dagli errori per migliorare sicurezza e affidabilitŕ organizzativa: il contributo della sociologia dell'organizzazione." SOCIOLOGIA DEL LAVORO, no. 114 (September 2009): 96–110. http://dx.doi.org/10.3280/sl2009-114008.
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- The objective of this article is to examine which role the theory and sociology of organization might have in the accident analysis of organizations for the improvement of safety and reliability. The possible role for organizational research on accidents in organizations. The two main aims are: the analysis of two different logics of inquiry in case of accidents - the individual blame logic vs the functional-organizational logic-; the evaluation of the possible role and the practical difficulties in the implementation of an organizational approach if errors and organizational accidents occur. Main attention will focus on organizational research direct to have influence on social processes and conditions of extra-academic effect.Key words: organizational learning, organizational errors, blame culture, just culture, safety, organizational reliability
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Woods, David D., Emily S. Patterson, James M. Corban, and Jennifer C. Watts. "Bridging the Gap between User-Centered Intentions and Actual Design Practice." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 40, no. 19 (October 1996): 967–71. http://dx.doi.org/10.1177/154193129604001903.
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In this paper, we introduce a notation that highlights necessary elements in a practice-centered design process and which can be used to describe a set of common errors committed by design organizations leading to computer-based systems that create new burdens for practitioners. These common design errors result from an organizational tendency to underinvest in modeling error and expertise and using prototypes to discover requirements. The former underinvestment can lead to designs based on uninformed, underspecified, and unexamined models of the relationship between technology and human performance. The latter can lead to commitment to a design concept before fully exploring the range of possible solutions. We suggest ways to avoid these problems by setting forth a balanced organizational investment strategy that would enhance the possibilities for the development of useful systems.
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Perreault, Stephen, James Wainberg, and Benjamin L. Luippold. "The Impact of Client Error-Management Climate and the Nature of the Auditor-Client Relationship on External Auditor Reporting Decisions." Behavioral Research in Accounting 29, no. 2 (April 1, 2017): 37–50. http://dx.doi.org/10.2308/bria-51770.
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ABSTRACT An important aspect of an organization's tone at the top is its practices for correcting the behavior of employees who deviate from set corporate policies and procedures (COSO 2013). Collectively, these practices are often referred to as an organization's error-management climate (EMC). We investigate whether a client's EMC can lead to behaviors that could reduce audit quality. We conduct an experiment and find that when a client's EMC is error averse (i.e., where employees are sanctioned for committing errors), external auditors indicate that client employees' errors discovered by the auditor are less likely to be reported. In addition, we examine the joint impact of the nature of the auditor-client relationship and EMC on auditor reporting. We find perceptions of reporting likelihood to be lower when the auditor is described as having a positive interpersonal relationship with the client employee responsible for the error. In addition, we find that this factor interacts with client EMC so as to exacerbate the observed reluctance to report when the climate is error averse. Our results provide initial evidence to suggest that an organization's EMC may impact auditor behaviors that could lead to reduced audit quality. Data Availability: Upon request.
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Nkosi, Mfundo, Kapil Gupta, and Madindwa Mashinini. "Causes and Impact of Human Error in Maintenance of Mechanical Systems." MATEC Web of Conferences 312 (2020): 05001. http://dx.doi.org/10.1051/matecconf/202031205001.
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The concept of minimizing human error in maintenance is progressively gaining attention in various industries. The incorporation of human factors when solving engineering problems, particularly in maintenance, can no longer be ignored where high standards of performance are expected. The journey of improving maintenance performance through the reduction of human error begins with the understanding of causes and impact of human error in maintenance. This paper evaluates previous scholarly writings on human errors, to specifically establish the causes and impact of human error in maintenance. This study relies predominantly on the existing literature on human error in maintenance derived from published and unpublished research. The primary findings emerging from the research exhibit a number of key factors that cause a human error in maintenance such as poor management and supervision, organizational culture, incompetence, poorly written procedures, poor communication, time pressure, plant and environmental conditions, poor work design and many more. The literature review also revealed that human errors have a negative impact on safety, reliability, productivity and efficiency of the equipment. It was further discovered that equipment failures leading to accidents, incidents, loss of life and economic losses are the major effects of human error. Human error in mechanical systems’ maintenance is a serious problem which needs adequate attention in order to develop corrective and preventive measures. This review paper serves as a basis for maintenance practitioners and interested parties to develop corrective and preventive measures for minimizing human error in the maintenance of mechanical systems.
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Farnese, Maria Luisa, Francesco Zaghini, Rosario Caruso, Roberta Fida, Manuel Romagnoli, and Alessandro Sili. "Managing care errors in the wards." Leadership & Organization Development Journal 40, no. 1 (February 11, 2019): 17–30. http://dx.doi.org/10.1108/lodj-04-2018-0152.
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Purpose The importance of an error management culture (EMC) that integrates error prevention with error management after errors occur has been highlighted in the existing literature. However, few empirical studies currently support the relationship between EMC and errors, while the factors that affect EMC remain underexplored. Drawing on the conceptualisation of organisational cultures, the purpose of this paper is to verify the contribution of authentic leadership in steering EMC, thereby leading to reduced errors. Design/methodology/approach The authors conducted a cross-sectional survey study. The sample included 280 nurses. Findings Results of a full structural equation model supported the hypothesised model, showing that authentic leadership is positively associated with EMC, which in turn is negatively associated with the frequency of errors. Practical implications These results provide initial evidence for the role of authentic leadership in enhancing EMC and consequently, fostering error reduction in the workplace. The tested model suggests that the adoption of an authentic style can promote policies and practices to proactively manage errors, paving the way to error reduction in the workplace. Originality/value This study was one of the first to investigate the relationship between authentic leadership, error culture and errors. Further, it contributes to the existing literature by demonstrating both the importance of cultural orientation in protecting the organisation from error occurrence and the key role of authentic leaders in creating an environment for EMC development, thus permitting the organisation to learn from errors and reduce their negative consequences.
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Burrell, Darrell Norman, Anton Shufutinsky, Jorja B. Wright, D'Alizza Mercedes, and Amalisha Sabie Aridi. "Learning How to Smartly and Adaptively Manage High Functioning Safety Cultures in US Healthcare Organizations During COVID-19." International Journal of Smart Education and Urban Society 13, no. 1 (January 2022): 1–18. http://dx.doi.org/10.4018/ijseus.297067.
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The increasing complexity of the United States healthcare system has compounded the likelihood of mistakes. As a result, the ability to learn smart and adaptive approaches to management have never been more critical. Medical errors put undue hardship on the economy resulting in the loss of billions of dollars. The current COVID-19 pandemic revealed gaps in public health strategies, medical treatments, comprehensive patient safety, and human resources strategy. Implementing human resources and performance management processes that promote safety, safe decision making, and reduce medical errors is critical. Adopting methods used by high-reliability organizations (HRO) may reduce medical errors and improve patient safety. Qualitative focus groups were used to collect data around creating organizational cultures focused on safety. This research aims to improve performance by providing healthcare leaders ability to learn how to smartly adapt with tools to enhance organizational culture, reduce medical errors, and improve patient safety in the age of COVID 19.
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Frith, Karen H. "Medication Errors in the Intensive Care Unit." AACN Advanced Critical Care 24, no. 4 (October 1, 2013): 389–404. http://dx.doi.org/10.4037/nci.0b013e3182a8b516.
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Medication errors in intensive care units put patients at risk for injury or death every day. Safety requires an organized and systematic approach to improving the tasks, technology, environment, and organizational culture associated with medication systems. The Systems Engineering Initiative for Patient Safety model can help leaders and health care providers understand the complicated and high-risk work associated with critical care. Using this model, the author combines a human factors approach with the well-known structure-process-outcome model of quality improvement to examine research literature. The literature review reveals that human factors, including stress, high workloads, knowledge deficits, and performance deficits, are associated with medication errors. Factors contributing to medication errors are frequent interruptions, communication problems, and poor fit of health information technology to the workflow of providers. Multifaceted medication safety interventions are needed so that human factors and system problems can be addressed simultaneously.
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Al Hammadi, Fatima, and Matloub Hussain. "Sustainable organizational performance." International Journal of Organizational Analysis 27, no. 1 (March 11, 2019): 169–86. http://dx.doi.org/10.1108/ijoa-10-2017-1263.
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Purpose The purpose of this paper is to identify factors affecting sustainable organizational performance, to build a framework for the United Arab Emirates (UAE) public health-care sector to facilitate sustainable organizational performance and to prioritize the factors for sustainable organizational performance. Design/method/approach The method used in this research is the quantitative method called the analytical hierarchal process (AHP) to help the decision makers in the public health-care sector to prioritize the factors that are affecting sustainable organizational performance. The method will also help to deal with the complexity of the sustainable organizational performance issue by interviewing nine experts in the field. Findings The findings of this research showed 21 sub-factors for sustainable organizational performance in the public health-care sector in UAE. It emphasizes that patient safety and quality of care are the most important factors for sustainable organizational performance. Research limitations/implications This study can be repeated by targeting other private hospitals in UAE. The novelty of this research means that it is the first study done in sustainable organizational performance in the health-care sector in UAE. Practical implications Health-care management can benefit from this research in many ways: Medical errors have a high impact on the hospital’s reputation and these determine the customer demand. Thus, the hospital’s management should give more attention to minimize the medical errors in order to have a sustainable organizational performance. This can be accomplished through clear protocols and procedures that may affect patients’ lives, the hospital’s reputation and organizational performance. Nevertheless, the policymakers should focus on society engagement; focus on social sustainability should be an integral part of their operational and business strategy. According to Abu Dhabi Health Authority (HAAD), the UAE has a highest rate of chronic diseases, such as diabetes, obesity and cardiovascular disease. Cardiovascular disease itself accounted for 36.7% of all 2013 deaths. The health-care sector should focus more on educating the community by conducting workshops, seminars and awareness campaigns across the UAE. In addition, decision makers in the health-care sector should spend more on continued improvement by focusing on lean activities that focus on waste minimization and linking the service quality to the hospital outcomes and patient satisfaction. The fourth highest overall priority weight for both transformational leadership and for the waiting time sub-criteria should also be considered by top management to focus more on hiring, retaining, and developing their transformational leaders, and to keep an eye on the waiting time and improving customer service. This will result in the sustainable organizational performance. Interestingly, all of the HR processes showed the lowest overall weights at 1%, which is a bit strange. HR should play more of a role in sustainable organizational performance, equal to the other sub-factors. Originality/value Originality of this research stems from a reliable and valid framework that can be subsequently used for measuring the organizational performance of health care organizations.
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Ye, Gui, Qin Tan, Xiaoli Gong, Qingting Xiang, Yuhe Wang, and Qinjun Liu. "Improved HFACS on Human Factors of Construction Accidents: A China Perspective." Advances in Civil Engineering 2018 (July 18, 2018): 1–15. http://dx.doi.org/10.1155/2018/4398345.
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Human errors are one of the major contributors of accidents. In order to improve the safety performance, human errors have to be addressed. Human Factors Analysis and Classification System (HFACS) has been developed as an analytical framework for the investigation of the role of human errors in aviation accidents. However, the HFACS framework did not reveal the relationships describing the effect among diverse factors at different levels. Similarly, its interior structure was not exposed. As a result, it is difficult to identify critical paths and key factors. Therefore, an improved Human Factors Analysis and Classification System in the construction industry (I-HFACS) was developed in this study. An analytical I-HFACS mechanism was designed to interpret how activities and decisions made by upper management lead to operator errors and subsequent accidents. Critical paths were highlighted. Similarly, key human factors were identified, that is, “regulatory factors,” “organizational process,” “supervisory violations,” “adverse spiritual state,” “skill underutilization,” “skill-based errors,” and “violations.” Findings provided useful references for the construction industry to improve the safety performance.
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Chianca, Tânia Couto Machado. "Nursing faults in the recovery period of surgical patients." Revista Latino-Americana de Enfermagem 14, no. 6 (December 2006): 879–86. http://dx.doi.org/10.1590/s0104-11692006000600008.
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This is a descriptive study based on the theory of human error, in order to analyze and classify nursing errors during the nursing care of surgical patients at recovery. Twenty-five (25) fault reports were collected through a semi-structured interview. Those reports were submitted to 15 nurse experts to evaluate the risk of seriousness; human, equipment and organizational factors involved; members interaction; information and reversibility of the accident. Faults were directly attributed to psychosocial and organizational aspects, equipment and seriousness. A multidimensional scaling test (MDS) was applied and a graph was obtained. It showed four groups of faults, due to problems related to sensory-motor, procedure, abstraction and supervision control. In conclusion, the faults were caused by non-defined personnel roles, continuing education deficiency, non-systematic observation, inadequate space and equipment.
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Iwasaki, Ayuko, Kanako Sioya, and Takesi Kurabayasi. "Study of Organizational Strategy for Human Error." Japanese journal of ergonomics 31, Supplement (1995): 462–63. http://dx.doi.org/10.5100/jje.31.supplement_462.
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Clarke, David M. "Review essay: Organizational accidents and human error." Journal of Risk Research 6, no. 3 (July 2003): 285–88. http://dx.doi.org/10.1080/1366987032000076218.
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Chan, Daniel W. M., Alireza Babaie Baghbaderani, and Hadi Sarvari. "An Empirical Study of the Human Error-Related Factors Leading to Site Accidents in the Iranian Urban Construction Industry." Buildings 12, no. 11 (November 2, 2022): 1858. http://dx.doi.org/10.3390/buildings12111858.
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Human errors are one of the major causes of accidents in the construction industry. Human errors can be caused by various factors across diverse types of projects. Hence, this research study seeks to determine the major factors influencing human errors associated with the urban construction industry (UCI). To achieve this, three rounds of Delphi survey were conducted with 17 experts engaged in construction site safety management. The Delphi panel members were determined using a targeted snowball sampling method. According to the results of the Delphi survey, 35 significant factors leading to the incidence of human errors in the UCI were identified and collated. Then, an empirical questionnaire was developed based on a five-point Likert measurement scale and distributed among construction experts to evaluate the impact level of each identified human error in the UCI. The questionnaire included 35 effective factors pertaining to human errors classified into five main groups of environmental factors, information systems/technological factors, individual factors (permanently related), individual factors (temporarily related), and organizational factors. Findings indicate that all evaluated factors are at a higher-than-average level and can be considered as the significant factors leading to the occurrence of site accidents attributed to human errors in the UCI. In addition, the top five most significant factors include improper work and safety culture, low level of technology deployed for equipment and safety protection, violation of safety regulations, rushing to do work, and lack of a proper education system in the organization. The results of this study can be useful for producing better-informed decisions by various major industrial practitioners and site safety managers.
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Kushniruk, A. W., P. Bellwood, J. Brender, and E. M. Borycki. "Technology-induced Errors." Methods of Information in Medicine 51, no. 02 (2012): 95–103. http://dx.doi.org/10.3414/me11-02-0009.
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SummaryObjective: The objective of this paper is to examine the extent, range and scope to which frameworks, models and theories dealing with technology-induced error have arisen in the biomedical and life sciences literature as indexed by Medline®.Methods: To better understand the state of work in the area of technology-induced error involving frameworks, models and theories, the authors conducted a search of Medline® using selected key words identified from seminal articles in this research area. Articles were reviewed and those pertaining to frameworks, models or theories dealing with technology-induced error were further reviewed by two researchers.Results: All articles from Medline® from its inception to April of 2011 were searched using the above outlined strategy. 239 citations were returned. Each of the abstracts for the 239 citations were reviewed by two researchers. Eleven articles met the criteria based on abstract review. These 11 articles were downloaded for further in-depth review. The majority of the articles obtained describe frameworks and models with reference to theories developed in other literatures outside of healthcare. The papers were grouped into several areas. It was found that articles drew mainly from three literatures: 1) the human factors literature (including human-computer interaction and cognition), 2) the organizational behavior/socio-technical literature, and 3) the software engineering literature.Conclusions: A variety of frameworks and models were found in the biomedical and life sciences literatures. These frameworks and models drew upon and extended frameworks, models and theoretical perspectives that have emerged in other literatures. These frameworks and models are informing an emerging line of research in health and biomedical informatics involving technology-induced errors in healthcare.
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Cattaneo, Alberto A. P., and Elena Boldrini. "Learning from errors in dual vocational education: video-enhanced instructional strategies." Journal of Workplace Learning 29, no. 5 (July 10, 2017): 357–73. http://dx.doi.org/10.1108/jwl-01-2017-0006.
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Purpose Starting from the identification of some theoretically driven instructional principles, this paper presents a set of empirical cases based on strategies to learn from errors. The purpose of this paper is to provide first evidence about the feasibility and the effectiveness for learning of video-enhanced error-based strategies in vocational education and training. Design/methodology/approach Four different cases are presented. All of them share the same design-based research perspective, in which teachers and researchers co-designed an (iterative) intervention in the field. Two cases are preliminary investigations, while the other two profit from a quasi-experimental design with at least one experimental condition based on error treatment and a control group. Findings The four cases show the effectiveness of learning from error (and from error analysis). More specifically, they show the validity and flexible adoption of the specific instructional principles derived from the literature review: the use of inductive strategies and in particular, of worked-out examples; the reference to a concrete, possibly personal, experience for the analysis task; the use of prompted writing to elicit self-explanations and reflection; and the use of video for recording and annotating the situation to be analysed. Research limitations/implications The four cases constitute only a starting point for further research into the use of errors for procedural learning. Moreover, the cases presented are focused on learning in the domain of procedural knowledge and not in that of declarative knowledge. Further studies in the vocational education and training sector might serve this research area. Practical implications The paper provides concrete indications and directions to implement effective instructional strategies for procedural learning from errors, especially within vocational education. Social implications Errors are often identified with and attributed to (individual) failures. In both learning institutions and the workplace, this can engender an intolerant and closed climate towards mistakes, preventing real professional development and personal growth. Interventions on learning from errors in schools and workplaces can play a role in changing such a culture and in creating a tolerant and positive attitude towards them. Originality/value The majority of studies about learning from errors are focused on disciplinary learning in academic contexts. The present set of cases contributed to filling in the gap related to initial vocational education, because they deal with learning from errors in dual vocational training in the field of procedural knowledge development. Moreover, a specific contribution of the presented cases relies on the use of video annotation as a support that specifically enhances error analysis within working procedures.
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Nowakowski, Waldemar, Tomasz Ciszewski, and Zbigniew Łukasik. "Methods for evaluating the human factors influence on the safety in transport." AUTOBUSY – Technika, Eksploatacja, Systemy Transportowe 19, no. 6 (September 7, 2018): 180–84. http://dx.doi.org/10.24136/atest.2018.059.
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Safety is one of the main conditions for the functioning of the transport. The most attention is paid to the technical aspects of transport safety. However, accidents in transport are caused by many different factors and these primarily are: human factors, organizational factors, technical factors and environmental factors. Statistical data indicate that the main cause of accidents and disasters in transport are human errors. Thus, the elimination or reduction of their number could significantly improve the safety in transport. In the article the issues of human reliability in the context of ensuring safety are discussed. Additionally, the classification of human errors was given and an analysis of the causes of these errors was conducted. The main emphasis was put to present and evaluate of the selected methods of qualitative and quantitative Human Reliability Analysis (HRA), such as: THERP, ASEP, HEART, SPAR-H, ATHEANA, CREAM.
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Yoon, Sook Hee. "Factors related to medication errors in hospitals." Korean Association For Learner-Centered Curriculum And Instruction 22, no. 17 (September 15, 2022): 787–96. http://dx.doi.org/10.22251/jlcci.2022.22.17.787.
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Objectives This study aimed to identify factors related to medication errors in hospitals, provide basic data for medication safety, and to provide evidence to develop an intervention program to prevent medication errors.
Methods This cross-sectional descriptive study was using the 2021 patient safety report data released by Korea Institute for Healthcare Accreditation. Of the total of 13,146 patient safety incidents, 4,198 medication errors were used, excluding psychiatric hospitals, oriental medicine hospital, and missing data were excluded. Descriptive statistics, Chi-square test, and multinominal logistic analysis were performed using SPSS 26.0 program.
Results Factors affecting adverse events of medication errors were age, the place of occurrence and bed size. In addition, the factors influencing the sentinel event of medication error were the evening shift, the place of occurrence. Among the medication errors 70.4% (1,201) were near misses, 26.1%(445) were adverse events, and 3.5% (59) were sentinel events.
Conclusions In order to prevent medication errors in medical institutions, factors that can affect medication errors by work department should be identified in various aspects, such as organizational, management, system, and human factors, and sufficient medical personnel, positive working environment, and medication safety system should be improved.
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Rausch, Andreas, Jürgen Seifried, and Christian Harteis. "Emotions, coping and learning in error situations in the workplace." Journal of Workplace Learning 29, no. 5 (July 10, 2017): 374–93. http://dx.doi.org/10.1108/jwl-01-2017-0004.
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Purpose This paper aims to investigate the complex relationship between emotions, coping approaches and learning in error situations in the workplace. The study also examines the influence of individual error orientation, as well as psychological safety, and team learning behaviour as contextual factors. Design/methodology/approach To measure emotions, coping and learning from errors in situ, a semi-standardised error diary was administered. Individual and contextual factors were measured by standard questionnaires. Totally, 22 young employees participated in the study and recorded n = 99 error situations in a three-week diary period. Findings Errors typically provoked negative emotions, particularly in cases of “public” errors. Negative emotions provoked emotion-focused coping. However, there was no direct effect of emotions on learning. Learning seems to depend primarily on the in-depth analysis of the error, no matter whether the original coping intention is aimed at problem-solving, self-protection or emotion regulation. A quick error correction does not necessarily result in learning. Furthermore, plausible influences of individual and contextual factors were found, but must be interpreted cautiously. Research limitations/implications The small sample size, particularly in person-level analyses, is a major shortcoming of the study. Originality/value To overcome shortcomings of common retrospective self-reports such as interviews or questionnaires, this study uses the diary method as an innovative approach to investigate processes in situ.
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Shappell, Scott, and Douglas Wiegmann. "Developing a Methodology for Assessing Safety Programs Targeting Human Error in Aviation." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 51, no. 2 (October 2007): 90–92. http://dx.doi.org/10.1177/154193120705100208.
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There is a need to develop an effective methodology for generating and evaluating interventions for reducing accidents due to human error. In this study, the Human Factors Intervention Matrix (HFIX) was used to evaluate current/proposed FAA safety programs to determine (1) the types of interventions typically proposed by this organization and (2) the types of human error these safety interventions target. Over 600 FAA safety recommendations were examined and categorized using the HFIX methodology. Results suggest that FAA safety programs primarily employ organizational/administrative, technological/engineering and human/operator-based interventions. Few approaches focus on either task or environmental changes. There is also a bias toward interventions aimed at pilot decision-making, rather than other common problems in aviation such as skill-based errors or violations. Further research is needed to develop HFIX as a tool for generating, rather than just evaluating, safety programs.
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Gartmeier, Martin, Johannes Bauer, Hans Gruber, and Helmut Heid. "Workplace errors and negative knowledge in elder care nursing." Human Resource Development International 13, no. 1 (February 2010): 5–25. http://dx.doi.org/10.1080/13678861003589057.
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Carlson, Bruce W., and J. Frank Yates. "Disjunction errors in qualitative likelihood judgment." Organizational Behavior and Human Decision Processes 44, no. 3 (December 1989): 368–79. http://dx.doi.org/10.1016/0749-5978(89)90014-9.
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Grabowski, M., and K. H. Roberts. "Human and organizational error in large scale systems." IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans 26, no. 1 (1996): 2–16. http://dx.doi.org/10.1109/3468.477856.
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Ruoranen, Minna, Teuvo Antikainen, and Anneli Eteläpelto. "Surgical learning and guidance on operative risks and potential errors." Journal of Workplace Learning 29, no. 5 (July 10, 2017): 326–42. http://dx.doi.org/10.1108/jwl-12-2016-0104.
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Purpose Within the framework of learning from errors, this study focused on how operative risks and potential errors are addressed in guidance to surgical residents during authentic surgical operations. The purpose of this paper is to improve patient safety and to diminish medical complications resulting from possible operating errors. Further in the process of the optimal contexts for instruction aimed at preventing risks and errors in the practical hospital environment was evaluated. Design/methodology/approach The five authentic surgical operations were analyzed, all of which were organized as training sessions for surgical residents. The data (collected via video-recoding) were analyzed by a consultant surgeon and an education expert working together. Findings The results showed that the risks and potential errors in the surgical operations were rarely addressed in guidance during operations. The guidance provided mostly concerned technical issues, such as instrument handling, and exploration of critical anatomical structures. There was little guidance focusing on situation-based risks and potential errors, such as unexpected procedural challenges, teamwork and practical decision-making. The findings showed that optimal context of learning about risks and potential errors of surgical operation are not always the authentic operation context. Originality/value The study was conducted in an authentic surgical operation-cum-training context. The originality of the study derives from its focus on guidance related to risk and error prevention in surgical workplace learning. The findings can be used to create a meaningful learning environment – including powerful guidance – for practice-based surgical learning, maximally addressing patient safety, but giving possibilities also for other training options.
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Zhao, Bin, Jürgen Seifried, and Jost Sieweke. "Trainers’ responses to errors matter in trainees’ learning from errors: evidence from two studies." Journal of Managerial Psychology 33, no. 3 (April 9, 2018): 279–96. http://dx.doi.org/10.1108/jmp-10-2017-0364.
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Purpose Learning from errors is important for employees, particularly at early stages of their career. The purpose of this paper is to examine the influence of perceived trainer responses to errors on trainee learning from errors in a workplace setting. In Study 1, the authors test a model that examines the associations between perceived trainer responses to errors and trainee learning from errors, which are mediated by affective-motivational adaptivity. In Study 2, the authors further hypothesize that the link between perceived trainer responses and affective-motivational adaptivity is moderated by perceived error climate. Design/methodology/approach The authors test the hypotheses using data from 213 Swiss apprentices (Study 1) and 1,012 German apprentices (Study 2) receiving dual vocational training. Findings Study 1 suggests that negative trainer reaction impedes trainee learning from errors by impairing trainees’ affective-motivational adaptability. Trainer tolerance of errors and trainer support following errors were not related to trainee learning from errors. Study 2 indicates that perceived error climate is an important boundary condition that affects the relationship between trainer responses and trainee learning from errors. Originality/value This study contributes to research on learning from errors in three ways. First, it enriches the understanding regarding the role of trainers in enhancing learning from errors in organizations. Second, it extends research on learning from errors by investigating the interaction effects between perceived trainer responses and error climate. Third, it refines knowledge about the role of positive affect in learning from errors. Findings of this study also offer practical insights to trainers and managers regarding what they should do to encourage trainee learning from errors.
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Abdin, Yassar. "The fragility of community security in Damascus and its environs." International Review of the Red Cross 99, no. 906 (December 2017): 897–925. http://dx.doi.org/10.1017/s1816383119000109.
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AbstractThe organizational errors of Syrian urban planning have been a major cause of the escalation of the Syrian crisis and its continuation. Syrian cities, including Damascus and its environs, have suffered from the fragility of social security, which is manifested in the form of cohesive human groups in closed communities, influenced by religion, culture, family, class, place of origin of the population, occupation, etc. This article examines the fragility of security during the crisis of 2011–18, with the aim of clarifying the impact of the organizational problems and the processing delay that has generated social security fragility because these closed communities are looking for their own security and safety outside the control of local administrations. The article proposes that the inherent fragility of security in Damascus and its environs should be associated with poverty, organizational errors and slums as a model for the fragility of all Syrian cities.
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Loving, Vilert A., Elizabeth M. Valencia, Bhavika Patel, and Brian S. Johnston. "The Role of Cognitive Bias in Breast Radiology Diagnostic and Judgment Errors." Journal of Breast Imaging 2, no. 4 (April 29, 2020): 382–89. http://dx.doi.org/10.1093/jbi/wbaa023.
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Abstract Cognitive bias is an unavoidable aspect of human decision-making. In breast radiology, these biases contribute to missed or erroneous diagnoses and mistaken judgments. This article introduces breast radiologists to eight cognitive biases commonly encountered in breast radiology: anchoring, availability, commission, confirmation, gambler’s fallacy, omission, satisfaction of search, and outcome. In addition to illustrative cases, this article offers suggestions for radiologists to better recognize and counteract these biases at the individual level and at the organizational level.
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Leicher, Veronika, and Regina H. Mulder. "Individual and contextual factors influencing engagement in learning activities after errors at work." Journal of Workplace Learning 28, no. 2 (March 7, 2016): 66–80. http://dx.doi.org/10.1108/jwl-03-2015-0022.
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Purpose – The purpose of this replication study is to identify relevant individual and contextual factors influencing learning from errors at work and to determine if the predictors for learning activities are the same for the domains of nursing and retail banking. Design/methodology/approach – A cross-sectional replication study was carried out in retail banking departments of a German bank. In a pre-study, interviews were conducted with experts (N = 4) of retail banking. The pre-study was necessary to develop vignettes describing authentic examples of error situations which were part of the questionnaire. The questionnaire was filled out by 178 employees. Findings – Results indicate that the estimation of an error as relevant for learning positively predicts bankers’ engagement in social learning activities. The tendency to cover up an error predicts bankers’ engagement negatively. There are also indirect effects of error strain and the perception of a safe social team climate on the engagement in social learning. Originality/value – This paper contributes to the generalization of results by transferring and testing a model of learning from errors in a domain different from the previous domains where this topic was investigated.
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Alós-Ferrer, Carlos, and Michele Garagnani. "The gradual nature of economic errors." Journal of Economic Behavior & Organization 200 (August 2022): 55–66. http://dx.doi.org/10.1016/j.jebo.2022.05.015.
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Jin, Haizhe, Qingxing Qu, Yinan Zhao, Zibo Gong, Quanwei Fu, Xinyi Chi, and Vincent G. Duffy. "Investigating the factors leading to medication communication errors from organizational and working conditional perspectives." International Journal of Industrial Ergonomics 91 (September 2022): 103342. http://dx.doi.org/10.1016/j.ergon.2022.103342.
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Nawawi, Muhammad, Besse Asniwati, and Suminto Suminto. "Archival training for employees of the Sungai Pinang Luar Village Office, Samarinda City." Community Empowerment 7, no. 1 (January 30, 2022): 33–36. http://dx.doi.org/10.31603/ce.6610.
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Apart from being an organizational asset, properly organized archives are also useful as material for making quick and accurate organizational decisions. The proper implementation of archives can reduce the number of management errors that the organization will make. Human resources, standard archive handling procedures, and archive storage systems are some of the archival issues at the Sungai Pinang Luar Village Office. This training resulted in the management of archives using a problem-based classification system and the recovery of archives using an alphabetical system.
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Chatterjee, Abha, Sasanka Sekhar Chanda, and Sougata Ray. "Administration of an organization undergoing change." International Journal of Organizational Analysis 26, no. 4 (September 3, 2018): 691–708. http://dx.doi.org/10.1108/ijoa-07-2017-1202.
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Purpose This paper aims to develop conceptual arguments questioning the efficacy of administration by the transaction cost economics (TCE) approach in an organization undergoing a major change. Design/methodology/approach The focus is on three distinct dimensions of organizational life where, as per prior research, TCE is likely to be inadequate: interdependence across transactions, high reliance on managerial foresight and inseparability of administrative decisions made at different points in time. Findings The climate of coercion and surveillance engendered by administration based on TCE approaches – that punishes deviation from goals, even when they are framed on inadequate knowledge – forestalls creative problem-solving that is necessary to address unforeseen developments that arise during change implementation. Fiat accomplishes within-group compliance in the change project sub-teams, but between-group interdependencies tend to be neglected, hampering organizational effectiveness. Moreover, attempts to create independent spheres of accountability for concurrent fiats regarding pre-existing and new commitments breed inefficiency and wastage. Research limitations/implications The malevolent aspects of TCE-based administration contribute to organizational dysfunctions like escalation of commitment and developing of silos in organizations. Practical implications To succeed in effecting a major organizational change, meaningful relaxation of demands for delivering on prior goals is required, along with forbearance of errors made during trial-and-error learning. Originality/value TCE-based administration is deleterious to an organization attempting a major change. Supremacy accorded to resolution of conflicts in distinct hierarchical relationships by the mechanism of fiat fails to address the needs of an organizational reality where multiple groups are engaged in a set of interdependent activities and where multiple, interdependent organizational imperatives need to be concurrently served.
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Ree, Malcolm James, Thomas R. Carretta, and Mark S. Teachout. "Pervasiveness of Dominant General Factors in Organizational Measurement." Industrial and Organizational Psychology 8, no. 3 (August 4, 2015): 409–27. http://dx.doi.org/10.1017/iop.2015.16.
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General factors are found in the measurement of many human traits. The concept of dominant general factors (DGFs) is introduced to represent the magnitude of general factors within numerous content domains. DGFs are defined as coming from the largest sources of reliable variance and influencing every variable measuring the construct. Although these factors are most frequently found in measures of cognitive ability, they are not limited to cognitive abilities. Examples are provided for a variety of construct and content domains along with estimates of their DGF percentages, ranging from 38% to 92%. Several reasons for these results are offered, and a call for concerted research is made. Research that ignores DGFs by treating specific factors or constructs within a domain as if they were distinct and uncorrelated can lead to errors in interpretation.
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FILALI EL GHORFI, Souad. "Applying MAC-F Method for Causes Analysis of the Proven Medication Error in a Moroccan Hospital." MANAGEMENT AND ECONOMICS REVIEW 5, no. 2 (December 15, 2020): 255–77. http://dx.doi.org/10.24818/mer/2020.12-06.
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Medication error (ME) is a serious problem of public health. Difficulties related to the management of this error are numerous. Each stage of this process suffers from several flaws: identification, root causes analysis and improvement. This paper focuses on root cause analysis of medication error. We developed an original semi-quantitative method named “MAC-F (Méthode d’Analyse des Causes basée sur la Fiabilité globale, in French). It’s specific to the hospital context and constitutes a decision-making tool for professional of care. It based on a rigorous theoretical and conceptual framework (human reliability theory and high reliability organization theory). We used our method MAC F to analyze serious proven medication errors. They have been collected over the past six months (from January to June 2020) in Moroccan hospital. The reliability matrix shows that the overall reliability index is very low (Ω= 0,07). Moroccan hospital is therefore unreliable. The failure of the organizational system (Ω CF= 0,03) and the absence of preventive strategies (ΩIF= 0) don’t help practitioners to recover the medication errors (ΩSF= 0,23). Root cause analysis is the most critical step in managing medication errors. Our aim is to provide healthcare professionals with a decision support tool “MAC-F” that we believe will help them to prevent Medication Errors and to achieve overall reliability (reliable organization and practitioner). Our method was tested in a Belgian hospital before and Moroccan hospital recently.
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Hsieh, Min-Chih, Po-Yi Chiang, Yu-Chi Lee, Eric Min-Yang Wang, Wen-Chuan Kung, Ya-Tzu Hu, Ming-Shi Huang, and Huei-Chi Hsieh. "An Investigation of Human Errors in Medication Adverse Event Improvement Priority Using a Hybrid Approach." Healthcare 9, no. 4 (April 9, 2021): 442. http://dx.doi.org/10.3390/healthcare9040442.
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The aim of this study was to analyze and provide an in-depth improvement priority for medication adverse events. Thus, the Human Factor Analysis and Classification System with subfactors was used in this study to analyze the adverse events. Subsequently, the improvement priority for the subfactors was determined using the hybrid approach in terms of the Analytical Hierarchy Process and the fuzzy Technique for Order of Preference by Similarity to Ideal Solution. In Of the 157 medical adverse events selected from the Taiwan Patient-safety Reporting system, 25 cases were identified as medication adverse events. The Human Factor Analysis and Classification System and root cause analysis were used to analyze the error factors and subfactors that existed in the medication adverse events. Following the analysis, the Analytical Hierarchy Process and the fuzzy Technique for Order of Preference by Similarity to Ideal Solution were used to determine the improvement priority for subfactors. The results showed that the decision errors, crew resource management, inadequate supervision, and organizational climate contained more types of subfactors than other error factors in each category. In the current study, 16 improvement priorities were identified. According to the results, the improvement priorities can assist medical staff, researchers, and decisionmakers in improving medication process deficiencies efficiently.
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Fischbacher, Urs, Christina M. Fong, and Ernst Fehr. "Fairness, errors and the power of competition." Journal of Economic Behavior & Organization 72, no. 1 (October 2009): 527–45. http://dx.doi.org/10.1016/j.jebo.2009.05.021.
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Sonnemans, J., and F. van Dijk. "Errors in Judicial Decisions: Experimental Results." Journal of Law, Economics, and Organization 28, no. 4 (January 12, 2011): 687–716. http://dx.doi.org/10.1093/jleo/ewq019.
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