A three-dimensional model of error and safety in surgical health care microsystems. Rationale, development and initial testing
2011
Three-Dimensional Model of Safety in Surgical Healthcare
Sample size: 12
publication
Evidence: moderate
Author Information
Author(s): Peter McCulloch, Ken Catchpole
Primary Institution: Nuffield Department of Surgical Sciences, University of Oxford
Hypothesis
Can a new model based on three dimensions improve the analysis of safety in surgical healthcare systems?
Conclusion
The 3D model could help estimate risk in surgical microsystems if applied to a large dataset.
Supporting Evidence
- The model categorizes incidents based on three dimensions: technology, system, and culture.
- Analysis of 12 surgical incidents showed that all could be explained using the model.
- The model predicts that addressing all three dimensions will reduce harm incidents.
Takeaway
This study created a simple model to understand safety in surgery by looking at technology, systems, and culture.
Methodology
The model was developed through analysis of real surgical incidents and observational data.
Potential Biases
Potential bias from limited testing and reliance on literature analysis.
Limitations
The model requires further validation and does not address higher-level influences on safety.
Digital Object Identifier (DOI)
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