论文信息 - Human reliability analysis: a new method to quantify errors in cataract surgery

Human reliability analysis: a new method to quantify errors in cataract surgery

PurposeTo describe the application of human reliability analysis (HRA) as a tool to quantify errors that occur during small incision cataract surgery.MethodsSixteen consecutive phacoemulsifications performed by one surgeon were assessed using HRA.ResultsAlthough there were no complications or adverse outcomes associated with any of the operations, 84 errors, which could potentially have caused a complication were noted. The commonest single error was difficulty in ‘cracking’ the nucleus.ConclusionsHRA attempts to recognise all errors that occur during a procedure rather than just the ones that result in a complication. As such it is a sensitive and prospective method of assessment of surgical performance. It would appear to be of value in the training and assessment of cataract surgery.

[1] D. E. Embrey,et al. SHERPA: A systematic human error reduction and prediction approach , 2013 .

[2] Alfred Cuschieri. a new approach forimproving surgical performance and clinicaloutcome , 2000 .

[3] A. Cuschieri,et al. Errors enacted during endoscopic surgery--a human reliability analysis. , 1998, Applied ergonomics.

[4] P S White,et al. Using human reliability analysis to detect surgical error in endoscopic DCR surgery. , 2003, Clinical otolaryngology and allied sciences.