Skip to main content
SpringerLink
Log in

Risikofaktor Mensch? „Human Factors“ und Fehler in der Akutmedizin

  • Chapter
  • First Online:
Human Factors und Patientensicherheit in der Akutmedizin

Zusammenfassung

Dieses Kapitel widmet sich in erster Linie der Definition und Erklärung von „Human Factors“ im Kontext Patientensicherheit, also den Humanfaktoren, die für Sicherheit und Unfälle eine zentrale Rolle spielen. Human Factors auf den Ebenen des Individuums, des Teams, der Organisation und der Technik sind Teil von zusammenspielenden Prozessen, die in ihrer Gesamtheit zur Fehlerentstehung führen. Das Kapitel zeigt anhand einer Vielzahl von Studien die Dimension von Fehlern in der Akutmedizin (Präklinik, Notaufnahme, Intensivstation, Anästhesie) und gibt erste gedankliche Anregungen dazu, wie mit dem Handlungsfeld der Humanfaktoren positiv-produktiv umgegangen werden kann.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Aggarwal R, Undre S, Moorthy K, Vincent C, Darzi A (2004) The simulated operating theatre: comprehensive training for surgical teams. Qual Saf Healthcare 13 (Suppl 1):i27–i32

    Google Scholar 

  • Ahmed AH, Giri J, Kashya R, Sing B, Dong Y, Kilickaya O, Erwin PJ, Murad MH, Pickering BW (2013) Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J Med Qual doi:10.1177/1062860613514770

    Google Scholar 

  • Amalberti R (1996) La Conduite des Systèmes à Risque. Presses Universitaires de France, Paris

    Google Scholar 

  • Amalberti R, Mosneron-Dupin (1997) Facteurs humains et fiabilité: quelles démarches pratiques? Octares, Toulouse

    Google Scholar 

  • Arbous MS, Grobbee DE, van Kleef JW, de Lange JJ, Spoormans HH, Touw P, Werner FM, Meursing AE (2001) Mortality associated with anaesthesia: a qualitative analysis to identify risk factors. Anaesthesia 56: 1141–53

    PubMed  CAS  Google Scholar 

  • Arntz HR, Klatt S, Stern R, Willich SN, Bernecker J (1997) Sind Notarztdiagnosen zuverlässig? Notfall und Rettungsmedizin 0: 12–19

    Google Scholar 

  • Aufmolk M, Ruchholtz S, Hering M, Waydhas C, Nast-Kolb D (2004) Wertigkeit subjektiver Einschätzung der Thoraxverletzungsschwere durch den Notarzt. Notfall Rettungsmed 7:493–500

    Google Scholar 

  • Badke-Schaub P, Hofinger G, Lauche K (2012) Human Factors. Psychologie sicheren Handelns. 2. aktualisierte Auflage. Springer, Heidelberg

    Google Scholar 

  • Beckmann U, Baldwin I, Hart GK, Runciman WB (1996) The Australian Incident Monitoring Study in Intensive Care: AIMS–ICU. An analysis of the first year of reporting. Anaesth Intensive Care 24: 320–9

    PubMed  CAS  Google Scholar 

  • Beecher HK, Todd DP (1954) A study of the deaths associated with anesthesia and surgery. Annuals of Surgery 140: 2–34

    CAS  Google Scholar 

  • Benkirane RR, R-Abouqal R, Haimeur CC, S Ech Cherif El Kettani SS, Azzouzi AA, M’daghri Alaoui AA, Thimou AA, Nejmi MM, Maazouzi WW, Madani NN, R-Edwards I, Soulaymani RR (2009) Incidence of Adverse Drug Events and Medication Errors in Intensive Care Units: A Prospective Multicenter Study. J Patient Saf 5(1): 16–22

    PubMed  Google Scholar 

  • Bernius M, Thibodeau B, Jones A, Clothier B, Witting M (2008) Prevention of pediatric drug calculation errors by prehospital care providers. Prehosp Emerg Care 12(4) 486–94

    PubMed  Google Scholar 

  • Bigham BL, Buick JE, Brooks SC, Morrison M, Shojania KG, Morrison LJ (2012) Patient safety in emergency medical services: a systematic review of the literature. Prehosp Emerg Care 16(1):1–20

    Google Scholar 

  • Bracco D, Favre JB, Bissonnette B, Wasserfallen JB, Revelly JP, Ravussin P, Chiolero R (2001) Human errors in a multidisciplinary intensive care unit: a 1–year prospective study. Intensive Care Med 27: 137–45

    PubMed  CAS  Google Scholar 

  • Brown LH, Hubble MW, Cone DC, Millin MG, Schwartz B, Patterson PD, Greenberg B, Richards ME (2009) Paramedic determinations of medical necessity: a meta-analysis. Prehosp Emerg Care 13(4):516–27

    PubMed  Google Scholar 

  • Buckley TA, Short TG, Rowbottom YM, Oh TE (1997) Critical incident reporting in the intensive care unit. Anaesthesia 52: 403–9

    PubMed  CAS  Google Scholar 

  • Buduhan G, McRitchie DI (2000) Missed injuries in patients with multiple trauma. J Trauma 49(4): 600–5

    PubMed  CAS  Google Scholar 

  • Camargo CA, Tsai CL, Sullivan AF, Cleary PD, Gordon JA, Guadagnoli E, Kaushal R, Magid DJ, Rao SR, Blumental D (2012) Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med 60(5): 555–63

    PubMed  Google Scholar 

  • Carayon P, Alyousef B, Xie A (2012) Human factors and ergonomics in health care. In: Salvendy G (Hrsg) Handbook of human factors and ergonomics. 4. Auflage. John Wiley & Sons, Inc.

    Google Scholar 

  • Catchpole K (2013) Spreading human factors expertise in healthcare: Untangling the knots in people and systems. BMJ Qual Saf 22(10):793–97

    PubMed  Google Scholar 

  • Carron PN, Taffe P, Ribordy V, Schoettker P, Fishman D, Yersin B (2010) Accuracy of prehospital triage of trauma patients by emergency physicians: a retrospective study in western Switzerland. Eur J Emerg Med 19, 1–18

    Google Scholar 

  • Chan WK, Leung KF, Lee YF, Hung CS, Kung NS, Lau FL (1998) Undiagnosed acute myocardial infarction in the accident and emergency department: reasons and implications. Eur J Emerg Med 5(2): 219–224

    PubMed  CAS  Google Scholar 

  • Chisholm CD, Collison, EK, Nelson DR, Cordell WH (2000) Emergency department workplace interruptions: Are emergency physicians “interrupt-driven” and “multitasking”? Acad Emerg Med 7:1239–1243

    PubMed  CAS  Google Scholar 

  • Chopra V, Bovill JG, Spierdijk J, Koornneef F (1992) Reported significant observations during anaesthesia: A prospective analysis over an 18–month period. Br J Anaesth 68: 13–18

    PubMed  CAS  Google Scholar 

  • Cooper JB, Newbower RS, Long CD, McPeek B (1978) Preventable anesthesia mishaps: a study of human factors. Anesthesiology 49: 399–406

    PubMed  CAS  Google Scholar 

  • Cooper JB, Gaba D (2002) No Myth: Anesthesia Is a Model for Addressing Patient Safety. Anesthesiology 97: 1335–37

    PubMed  Google Scholar 

  • Cosby KS, Croskerry P (2009) The nature of emergency medicine. In: Croskerry P, Cosbyy KS, Schenkel SM, Wears LR (ed.) Patient safety in emergency medicine. Lippincott & Williams, Philadelphia

    Google Scholar 

  • Croskerry P (2008) Cognitive and affective dispositions to respond. In: Croskerry P, Cosby KS, Schenkel SM, Wears RL (Eds) Patient safety in emergency medicine. 219-27; Lippincott Williams & Wilkins

    Google Scholar 

  • Cullen DJ, Sweitzer BJ, Bates DW, Burdick E, Edmondson A, Leape LL (1997) Preventable adverse drug events in hospitalised patients. A comparative study of intensive care and general care units. Crit Care Med 25: 1289–97

    PubMed  CAS  Google Scholar 

  • Currie M (1989) A Prospective Survey of Anaesthetic Critical Events in a Teaching Hospital. Anaesthesia and Intensive Care 17: 403–411

    PubMed  CAS  Google Scholar 

  • Darchy B, Le Miere E, Figueredo B (1999) Iatrogenic diseases as a reason for admission to the intensive care unit: Incidence, causes and consequences. Arch Intern Med 159: 71–78

    PubMed  CAS  Google Scholar 

  • Davies JW, Hoyt DB, McArdle MS, Mackersie RC, Eastman AB, Virgilio RW, Cooper G, Hammill F, Lynch FP (1992) An analysis of errors causing morbidity and mortality in a trauma system: a guide for quality improvement. J Trauma 32: 660–5

    Google Scholar 

  • Donchin Y, Seagull FJ (2002) The hostile environment of the intensive care unit. Curr Opin Crit Care 8:316–320

    PubMed  Google Scholar 

  • Donchin Y, Gopher D, Olin M, Badihi Y, Biesky M, Sprung CL, Pizov R, Cotev S (1995) A look into the nature and causes of human errors in the intensive care unit. Crit Care Med 23: 294–300

    PubMed  CAS  Google Scholar 

  • Enderson BL, Reath DB, Meadors J, Dallas W, DeBoo JM, Maull KI. (1990) The tertiary trauma survey: a prospective study of missed injury. J Trauma. 30(6): 666–9

    PubMed  CAS  Google Scholar 

  • Epstein SK, Huckins DS, Liu SW, Pallin DJ, Sullivan AF, Lipton RI, Camargo CA (2012) Emergency department crowding and risk of preventable medical errors. Intern Emerg Med 7(2): 173–80

    PubMed  Google Scholar 

  • Esposito TJ, Sanddal ND, Dean JM, Hansen JD, Reynolds SA, Battan K (1999) Analysis of preventable pediatric trauma deaths and inappropriate trauma care in Montana. J Trauma 47:243–251

    PubMed  CAS  Google Scholar 

  • Fairbanks RJ, Crittenden CN, O’Gara KG, Wilson MA, Pennington EC, Chin NP, Shah MN. (2008) Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view. Acad Emerg Med 15(12):1312–4

    Google Scholar 

  • Flabouris A (2001) Clinical features, patterns of referral and out of hospital transport events for patients with suspected isolated spinal injury. Injury 32: 569–75

    PubMed  CAS  Google Scholar 

  • Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R (2003) Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth 90:580–588

    PubMed  CAS  Google Scholar 

  • Flin R, Maran N (2004) Identifying and training non-technical skills for teams in acute medicine. Qual Saf Healthcare 13 (Suppl 1):i80–i84

    Google Scholar 

  • Flin R, O’Connor P, Crichton M (2008) Safety at the sharp end. A guide to non-technical skills. Ashgate, Farnham.

    Google Scholar 

  • Gaba DM, Fish KJ, Howard SK (1998) Zwischenfälle in der Anästhesie – Prävention und Management. Urban & Fischer, Lübeck

    Google Scholar 

  • Garrouste-Orgeas M, Timsit JF, Vesin A, Schwebel C, Arnodo P, Lefrant JY, Souweine B, Tabah A, Charpentier J, Gontier O, Fieux F, Mourvillier B, Troché G, Reignier J, Dumay MF, Azoulay E, Reignier B, Carlet J, Soufir L; OUTCOMEREA Study Group (2010). Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. Am J Respir Crit Care Med. 181(2):134–42.

    PubMed  Google Scholar 

  • Graf J, Driesch A von den, Koch KC, Janssens U (2005) Identification and characterization of errors and incidents in a medical intensive care unit. Acta Anaesthesiol Scand 49:930–939

    PubMed  CAS  Google Scholar 

  • Giraud T, Dhainaut J, Vaxelaire J (1993) Iatrogenic complications in adult intensive care units: A prospective two–center study. Crit Care Med 21: 40–51

    PubMed  CAS  Google Scholar 

  • Handler JA, Gillam M, Sanders AB, Klasco R (2000) Defining, identifying, and measuring error in emergency medicine. Acad Emerg Med 7:1183–1188

    PubMed  CAS  Google Scholar 

  • Heinrichs W, Schleppers A, Birkholz T, St.Pierre M, Dichtjar T, Hahnenkamp Ch, Rohe J, Sanguino A, Thomeczek C (2013) CIRS-AINS Spezial Notfallmedizin. Anästh Intensivmed 54; 97–102

    Google Scholar 

  • Helm M, Faul M, Unger T, Lampl L (2013) Zuverlässigkeit ärztlicher Verdachtsdiagnosen. Beispiel Verkehrsunfallopfer. Anaesthesist 63:973–80

    Google Scholar 

  • Hendrie J, Sammartino L, Silvapulle M, Braitberg G (2007) Experience in adverse events detection in an emergency department: nature of events. Emerg Med Austral 19:9–15

    Google Scholar 

  • Helmreich B, Merrit AC (1998) Culture at work in aviation and medicine. National, organizational and professional influences. Vermont, USA, Ashgate Publishing Limited.

    Google Scholar 

  • Helmreich RL (2000) On error management: lessons from aviation. BMJ 320: 781–5

    PubMed  CAS  PubMed Central  Google Scholar 

  • Hicks RW, Becker SC, Windle PE, Krenzischek DA (2007) Medication errors in the PACU. J Perianesth Nurs 22(6): 413–9

    PubMed  Google Scholar 

  • Hofinger G (2013) Human Factors im Krankenhaus – Konzepte und Konsequenzen. Interdisciplinary Contributions to Hospital Management: Medicine, Patient Safety and Economics, 25.11. 2013, 016. URL: http://www.clinotel-journal.de/article-id-016.html

  • Hohenstein C, Hempel D, Schultheis K, Lotter O, Fleischmann T (2013) Critical incident reporting in emergency medicine: results of the prehospital reports. Emerg Med J DOI 10.1136/emermed-2012-201871

    Google Scholar 

  • Holliman CJ, Wuerz RC, Meador SA (1992) Medical command errors in an urban advanced life support system. Am J Emerg Med 21: 347–50

    CAS  Google Scholar 

  • Hollnagel E (1993) Reliability of cognition: foundations of human reliability analysis. Academic Press, London

    Google Scholar 

  • Hoyle JD, Davis AT, Putman KK, Trytko JA, Fales WD (2012) Medication dosing errors in pediatric patients treated by emergency medical services. Prehosp Emerg Care 16(1):59–66

    PubMed  Google Scholar 

  • IOM (2006) Emergency care for children. Growing pains. Committee on the future of Emergency Care in the United States Health System Board on Healthcare Services. Academic Press, Washington

    Google Scholar 

  • Jewell K, McGiffert L (2009) To err is human-to delay is deadly. Consumers Health Report Mai 2009; accessed at http://www.safepatientproject.org/2009/05/ to_err_is_humanto_delay_is_dea.html

  • Kahneman D (2003) A perspective on judgment and choice. Mapping bounded rationality. Am Psychol 58:9; 697–720

    PubMed  Google Scholar 

  • Kaufmann J, Laschat M, Wappler F (2012) Medikamentenfehler bei Kindernotfällen: Eine systematische Analyse. Dtsch Ärztebl 109(38): 609–16

    Google Scholar 

  • Kluger MT, Bullock MF (2002) Recovery room incidents: a review of 419 reports from the Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 57: 1060–1066

    PubMed  CAS  Google Scholar 

  • Kohn L, Corrigan J, Donaldson M (1999) To err is human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine (IOM). National Academy Press, Washington DC

    Google Scholar 

  • Kothari R, Barsan W, Brott T, Broderick J, Ashbrock S (1995) Frequency and accuracy of prehospital diagnosis of acute stroke. Stroke 26:937–941

    PubMed  CAS  Google Scholar 

  • Kopp BJ, Erstad BL, Allen ME, Theodorou AA, Priestley G (2006) Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit Care Med 34:415–425

    PubMed  Google Scholar 

  • Kumar V, Barcellos WA, Mehta MP, Carter JG (1988) An analysis of critical incidents in a teaching department for quality assurance: a survey of mishaps during anaesthesia. Anaesthesia 43: 879–883

    PubMed  CAS  Google Scholar 

  • Leape LL, Brennan TA, Laird N (1991) The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 324:377–84

    PubMed  CAS  Google Scholar 

  • Leape LL, Berwick D M (2005) Five Years After To Err Is Human: What Have We Learned? JAMA 19: 293, 2384–2390.

    Google Scholar 

  • Lerner RB, Carvalho M, Vieira AA, Lopes JM, Moreira ME (2008) Medication errors in a neonatal intensive care unit. J Pediatr (Rio J) 84(2): 166–70

    Google Scholar 

  • Lim MT, Ratnavel N (2008) A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. Pediatr Crit Care Med 9(3): 289–93

    PubMed  Google Scholar 

  • Linn S, Knoller N, Giligan CG, Dreifus U (1997) The sky is a limit: errors in prehospital diagnosis by flight physicians. Am J Emerg Med 15(3): 316–320

    PubMed  CAS  Google Scholar 

  • McDermott FT, Rosenfeld JV, Laidlaw JD, Cordner SM, Tremayne AB (2004) Evaluation of management of road trauma survivors with brain injury and neurologic disability in Victoria. J Trauma 56: 137–49

    PubMed  Google Scholar 

  • Mackenzie CF, Jefferies NJ, Hunter WA, Bernhard WN, Xiao Y (1996) Comparison of self–reporting of deficiencies in airway management with video analyses of actual performance. LOTAS Group. Level One Trauma Anesthesia Simulation. Hum Factors 38: 623–35

    PubMed  CAS  Google Scholar 

  • Marcus R (2006) Human factors in pediatric anesthesia incidents. Paediatr Anaesth 16:242–250

    PubMed  CAS  Google Scholar 

  • Mathew JP, Rosenbaum SH, O’Connor T, Barash PG (1990) Emergency tracheal intubation in the postanesthesia care unit: physician error or patient disease? Anesth Analg 71:691–697

    PubMed  CAS  Google Scholar 

  • Mathews SC, Pronovost PJ (2008) Physician autonomy and informed decision making. Finding the balance for patient safety and quality. Jama 300 (24): 2913–1915

    PubMed  CAS  Google Scholar 

  • McCarthy BD, Beshansky JR, D’Agostino RB, Selker HP (1993) Missed diagnoses of myocardial infarction in the emergency department: results from a multicenter study. Ann Emerg Med 22:579–582

    PubMed  CAS  Google Scholar 

  • McDermott FT, Rosenfeld JV, Laidlaw JD, Cordner SM, Tremayne AB (2004) Evaluation of management of road trauma survivors with brain injury and neurologic disability in Victoria. J Trauma 56:137–149

    PubMed  Google Scholar 

  • Muhm M, Danko T, Madler C, Winkler H (2011) Präklinische Einschätzung der Verletzungsschwere durch Notärzte – Ansatz zur Beurteilung der Verlässlichkeit. Anaesthesist 60: 534–40

    PubMed  CAS  Google Scholar 

  • Newton A, Ratchford A, Khan I (2008) Incidence of adverse events during prehospital rapid sequence intubation: a review of one year on the London Helicopter Emergency Medical Service. J Trauma 64(2): 487–92

    PubMed  Google Scholar 

  • O’Connor PM, Dowey KE, Bell PM, Irwin ST, Dearden CH (1995) Unnecessary delays in accident and emergency departments: do medical and surgical senior house officers need to vet admissions? J Accad Emerg Med 12: 251–4

    Google Scholar 

  • Peery CL, Chendrasekhar A, Paradise NF, Moorman DW, Timberlake GA (1999) Missed injuries in pediatric trauma. Am Surg 65(11): 1067–1069

    PubMed  CAS  Google Scholar 

  • Pfeifer R, Pape HC (2008) Missed injuries in trauma patients: A literature review. Patient Saf Surg 2: 1–20

    Google Scholar 

  • Pope JH, Aufderheide TP, Ruthazer R, Woolard RH, Feldman JA, Beshansky JR, Griffith JL, Selker HP (2000) Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med 342:1163–1170

    PubMed  CAS  Google Scholar 

  • Randell R (2003) Medicine and aviation: a review of the comparison. Methods Inf Med 42(4): 433–436

    PubMed  CAS  Google Scholar 

  • Rasmussen J, Brehmer B, Leplat J (Hrsg.) (1991) Distributed Decision Making. John Wiley & Sons, New York

    Google Scholar 

  • Reader T, Flin R, Lauche K, Cuthbertson B (2006) Non-technical skills in the intensive care unit. Br J Anaesth 96:551–559

    PubMed  CAS  Google Scholar 

  • Reason J (1990) Human Error. Cambridge University Press, Cambridge UK

    Google Scholar 

  • Reason J (1997) Managing the Risks of Organizational Accidents. Ashgate, Aldershot

    Google Scholar 

  • Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Berns SD (1999) The potential for improved teamwork to reduce medical errors in the emergency department. The MedTeams Research Consortium. Ann Emerg Med 34: 373–83

    PubMed  CAS  Google Scholar 

  • Rittenberger JC, Beck PW, Paris PM (2005) Errors of omission in the treatment of prehospital chest pain patients. Prehosp Emerg Care 9:2–7

    PubMed  Google Scholar 

  • Rothschild JM, Landrigan CP, Cronin JW, Kaushal R, Lockley SW, Burdick E, Stone PH, Lilly CM, Katz JT, Czeisler CA, Bates DW (2005) The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. Crit Care Med 33:1694–1700

    PubMed  Google Scholar 

  • Sakaguchi, Y, Tokuda K, Yamaguchi K, Irita, K (2008) Incidence of anesthesia-related medication errors over a 15-year period in a university hospital. Fukuoka Igaku Zasshi 99(3): 58–66

    PubMed  Google Scholar 

  • Sanghera IS, Franklin BD, Dhillon S (2007) The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit. Anaesthesia 62:53–61

    PubMed  CAS  Google Scholar 

  • Sexton JB, Thomas EJ, Helmreich B (2000) Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 320(7237): 745–749

    PubMed  CAS  PubMed Central  Google Scholar 

  • Sharek PJ, Horbar JD, Mason W, Bisarya H, Thurm CW, Suresh G, Gray JE, Edwards WH, Goldmann D, Classen D (2006) Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Pediatrics 118:1332–1340

    PubMed  Google Scholar 

  • Simon R, Schmidt J, Göhring U, Fritz T, Meeder PJ (1999) Bedeutung der präklinischen Fehleinschätzung des Verletzungsausmaßes für die Prognose von Polytraumatisierten Patienten. Der Notarzt 15: 105–110

    Google Scholar 

  • Taylor-Adams S, Brodie A, Vincent C (2008) Safety Skills for Clinicians: An Essential Component of Patient Safety J Patient Saf & Volume 4: 141–147

    Google Scholar 

  • Thomas EJ, Studdert DM, Burstin HR et al. (2000) Incidence and types of adverse events and negligent patient care in Utah and Colorado. Med Care 38:261–271

    PubMed  CAS  Google Scholar 

  • Tiyyagura GK, Arnold L, Cone DC, Langhan M (2014) Pediatric anaphylaxis management in the prehospital setting. Prehosp Emerg Care 18(1) 46–51

    PubMed  Google Scholar 

  • Valentin A, Capuzzo M, Guidet B, Moreno R, Dolanski L, Bauer P et al. (2006) Patient safety in intensive care: results from the multinational sentinel events evaluation (SEE) study. Intensive Care Med 32, 1694–1700

    Google Scholar 

  • Valentin A, Capuzzo M, Guidet B, Moreno R, Metnitz B, Bauer P, Metnitz Ph (2009) Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ 338 XXX

    Google Scholar 

  • Vilke GM, Tornabene SV, Stepanski B, Shipp HE, Ray LU, Metz MA, Vroman D, Anderson M, Murrin PA Davis DP, Harley J (2007) Paramedic self-reported medication errors. Prehosp Emerg Care 11:80–84

    PubMed  Google Scholar 

  • Wang HE, Cook LJ, Yealy DM, Lave JR (2009) Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation 80(1): 50–55

    PubMed  Google Scholar 

  • Webb RK, Currie M, Morgan CA, Williamson JA, Mackay P, Russell WJ, Runciman WB (1993) The Australian Incident Monitoring Study: an analysis of 2000 incident reports. Anaesth Intensive Care 21: 520–528

    PubMed  CAS  Google Scholar 

  • Webster CS, Merry AF, Larsson L, McGrath KA, Weller J (2001) The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 29: 494–500

    PubMed  CAS  Google Scholar 

  • Wiener E, Kanki B, Helmreich R (1993) Cockpit resource management. Academic Press, San Diego

    Google Scholar 

  • Williamson JA, Webb RK, Sellen A, Runciman WB (1993) Human failure: an analysis of 2000 incident reports. Anaesth Intensive Care 21:678–683

    PubMed  CAS  Google Scholar 

  • Wright D, Mackenzie SJ, Buchan I, Cairns CS, Price LE (1991) Critical incidents in the intensive therapy unit. Lancet 338: 676–678

    PubMed  CAS  Google Scholar 

  • Yule S, Flin R, Paterson-Brown S, Maran N (2006) Non-technical skills for surgeons in the operating room: a review of the literature. Surgery 139:140–149

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Erlangen, Erlangen, Deutschland

    Dr. med. Michael St.Pierre DEAA

  2. Human Factors Forschung Beratung Training, Team HF PartG, Remseck, Deutschland

    Dr. phil. Gesine Hofinger

Authors
  1. Dr. med. Michael St.Pierre DEAA
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. phil. Gesine Hofinger
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael St.Pierre DEAA .

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

St.Pierre, M., Hofinger, G. (2014). Risikofaktor Mensch? „Human Factors“ und Fehler in der Akutmedizin. In: Human Factors und Patientensicherheit in der Akutmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55420-9_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55420-9_1

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55419-3

  • Online ISBN: 978-3-642-55420-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation