PMID- 24113268
OWN - NLM
STAT- MEDLINE
DCOM- 20140912
LR  - 20211021
IS  - 1473-6500 (Electronic)
IS  - 0952-7907 (Print)
IS  - 0952-7907 (Linking)
VI  - 26
IP  - 6
DP  - 2013 Dec
TI  - Threat and error management for anesthesiologists: a predictive risk taxonomy.
PG  - 707-13
LID - 10.1097/ACO.0000000000000014 [doi]
AB  - PURPOSE OF REVIEW: Patient care in the operating room is a dynamic interaction 
      that requires cooperation among team members and reliance upon sophisticated 
      technology. Most human factors research in medicine has been focused on analyzing 
      errors and implementing system-wide changes to prevent them from recurring. We 
      describe a set of techniques that has been used successfully by the aviation 
      industry to analyze errors and adverse events and explain how these techniques 
      can be applied to patient care. RECENT FINDINGS: Threat and error management 
      (TEM) describes adverse events in terms of risks or challenges that are present 
      in an operational environment (threats) and the actions of specific personnel 
      that potentiate or exacerbate those threats (errors). TEM is a technique widely 
      used in aviation, and can be adapted for the use in a medical setting to predict 
      high-risk situations and prevent errors in the perioperative period. A threat 
      taxonomy is a novel way of classifying and predicting the hazards that can occur 
      in the operating room. TEM can be used to identify error-producing situations, 
      analyze adverse events, and design training scenarios. SUMMARY: TEM offers a 
      multifaceted strategy for identifying hazards, reducing errors, and training 
      physicians. A threat taxonomy may improve analysis of critical events with 
      subsequent development of specific interventions, and may also serve as a 
      framework for training programs in risk mitigation.
FAU - Ruskin, Keith J
AU  - Ruskin KJ
AD  - aYale University School of Medicine, Connecticut bUniversity of North Carolina at 
      Chapel Hill, North Carolina cUniversity of Colorado Denver, Denver, Colorado 
      dAerospace Human Factors Research Division, Civil Aerospace Medical Institute, 
      Federal Aviation Administration, Oklahoma, USA.
FAU - Stiegler, Marjorie P
AU  - Stiegler MP
FAU - Park, Kellie
AU  - Park K
FAU - Guffey, Patrick
AU  - Guffey P
FAU - Kurup, Viji
AU  - Kurup V
FAU - Chidester, Thomas
AU  - Chidester T
LA  - eng
GR  - T32 GM086287/GM/NIGMS NIH HHS/United States
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Opin Anaesthesiol
JT  - Current opinion in anaesthesiology
JID - 8813436
SB  - IM
MH  - *Anesthesiology/education
MH  - Education, Medical
MH  - Humans
MH  - *Medical Errors/prevention & control
MH  - Risk
PMC - PMC4301728
MID - NIHMS655594
COIS- Conflicts of interest: Disclosures: Dr K.J.R. is Chair of the Board of Directors 
      of the Anesthesia Quality Institute, a nonprofit foundation. He does not receive 
      any compensation for this position. Dr P.G. is Chair of the Anesthesia Incident 
      Reporting System Committee of the Anesthesia Quality Institute, and Dr M.P.S. is 
      a member of this committee. They do not receive any compensation for this 
      position.
EDAT- 2013/10/12 06:00
MHDA- 2014/09/13 06:00
PMCR- 2015/01/21
CRDT- 2013/10/12 06:00
PHST- 2013/10/12 06:00 [entrez]
PHST- 2013/10/12 06:00 [pubmed]
PHST- 2014/09/13 06:00 [medline]
PHST- 2015/01/21 00:00 [pmc-release]
AID - 10.1097/ACO.0000000000000014 [doi]
PST - ppublish
SO  - Curr Opin Anaesthesiol. 2013 Dec;26(6):707-13. doi: 10.1097/ACO.0000000000000014.