The Human Factor: Optimizing Trauma Team Performance in Dynamic Clinical Environments

Christopher Hicks; Andrew Petrosoniak

doi:10.1016/j.emc.2017.08.003

The Human Factor: Optimizing Trauma Team Performance in Dynamic Clinical Environments

Emerg Med Clin North Am. 2018 Feb;36(1):1-17. doi: 10.1016/j.emc.2017.08.003.

Authors

Christopher Hicks¹, Andrew Petrosoniak²

Affiliations

¹ Department of Emergency Medicine, St. Michael's Hospital, University of Toronto, Li Ka Shing Knowledge Institute, International Centre for Surgical Safety, Keenan Research Centre, 30 Bond Street, 1st, Floor Bond Wing, Room 1008, Toronto M5B 1W8, Canada. Electronic address: chrismikehicks@gmail.com.
² Department of Emergency Medicine, St. Michael's Hospital, University of Toronto, 30 Bond Street, 1st Floor Bond Wing, Room 1008, Toronto M5B 1W8, Canada.

PMID: 29132571
DOI: 10.1016/j.emc.2017.08.003

Abstract

Resilience is built, not born, and there is no single strategy that reliably manufactures resilient performance in all circumstances. Optimizing team performance in dynamic environments involves the complex interplay of strategies that target individual preparation, team interaction, environmental optimization, and systems-level resilience engineering. To accomplish this, health care can draw influence from human factors research to inform tangible, practical, and measurable improvements in performance and outcomes, modified to suit local and domain-specific needs.

Keywords: Human factors; Patient safety; Resilience.

Publication types

Review

MeSH terms

Critical Care / organization & administration
Critical Care / psychology
Emergency Service, Hospital / organization & administration*
Humans
Patient Care Team / organization & administration*
Patient Safety
Stress, Psychological / prevention & control