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Human factors in ECLS – A keystone for safety and quality – A narrative review for ECLS providers
Author(s) -
Swol Justyna,
Brodie Daniel,
Willers Anne,
Zakhary Bishoy,
Belezzo Joseph,
Shinar Zachary,
Weingart Scott D.,
Haft Jonathan W.,
Lorusso Roberto,
Peek Giles J.
Publication year - 2022
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/aor.14095
Subject(s) - life support , extracorporeal , patient safety , human error , quality (philosophy) , health care , engineering , medical emergency , computer science , process management , risk analysis (engineering) , medicine , intensive care medicine , surgery , philosophy , epistemology , economics , economic growth
Although the technology used for extracorporeal life support (ECLS) has improved greatly in recent years, the application of these devices to the patient is quite complex and requires extensive training of team members both individually and together. Human factors is an area that addresses the activities, contexts, environments, and tools which interact with human behavior in determining overall system performance. Hypothesis Analyses of the cognitive behavior of ECLS teams and individual members of these teams with respect to the occurrence of human errors may identify additional opportunities to enhance safety in delivery of ECLS. Results The aim of this article is to support health‐care practitioners who perform ECLS, or who are starting an ECLS program, by establishing standards for the safe and efficient use of ECLS with a focus on human factor issues. Other key concepts include the importance of ECLS team leadership and management, as well as controlling the environment and the system to optimize patient care. Conclusion Expertise from other industries is extrapolated to improve patient safety through the application of simulation training to reduce error propagation and improve outcomes.