Errors enacted during endoscopic surgery - a human reliability analysis
Errors enacted during endoscopic surgery - a human reliability analysis
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DOI：
10.1016/s0003-6870(98)00016-7
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发表时间：
1998-12-01
影响因子：
3.2
通讯作者：
Cuschieri, A
中科院分区：
文献类型：
--
作者：
Joice, P;Hanna, GB;Cuschieri, A
本研究的目的是记录腹腔镜手术期间发生的手术错误的性质和发生率，以指导未来的研究和手术培训。一个修改后的人的可靠性分析（HRA）的方法，直接观察的基础上，通过分类和记录的腹腔镜胆囊切除术的实践中遇到的错误。本研究证实了观察方法在内窥镜手术性能人为错误评估中的适用性和有用性。该研究确定了仪器的设计和使用、手术培训以及任务之间的差异等方面：这些方面需要进一步的定向研究，以确定潜在的绩效塑造因素（PSF），从而降低错误率。(C)1998爱思唯尔科技有限公司版权所有。
The aim of the study was to document the nature and incidence of surgical errors enacted during laparoscopic surgery in order to direct future research and surgical training. A modified Human Reliability Analysis (HRA) approach, based on direct observation, was adopted to categorise and record errors encountered during the practice of laparoscopic cholecystectomy. This study confirmed the applicability and usefulness of an observational methodology in the assessment of human error in endoscopic surgical performance. The study identified aspects of the design and usage of instruments, surgical training and the differences between tasks:which needed further directed research in order to identify underlying performance shaping factors (PSFs) and so reduce error rates. (C) 1998 Elsevier Science Ltd. All rights reserved.