Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room sa...

Human factors is a definition that includes the science of understanding the properties of human capability, the application of this understanding to the design and development of systems and services, the art of ensuring their successful applications to a program. The field of human factors traces its origins to the Second World War, but Three Mile Island has been the best example of how group...

Despite extensive discussion in the literoture about the diagnosis and subsequent remediotion of students' errors, few studies have compared the effects of different styles of error-based remediotion. Swan (1983) found that a conflict approach (pointing out errors made by students and demonstrating their consequences) was more effective than simple reteaching, but Bunderson 8 Olsen (1983) found...