DocumentCode
3160351
Title
Approaching the hotspot increases the impact: Process breakdowns in a safety-critical system-of-systems
Author
Taneva, Svetlena ; Higgins, Jacqueline ; Easty, Anthony ; Plattner, Bernhard
Author_Institution
ETH Zurich, Zurich
fYear
2009
fDate
23-26 March 2009
Firstpage
31
Lastpage
34
Abstract
This paper reports a study that examines process breakdowns in the operations of a hospital´s surgical unit. We find a correlation between the stage in the surgical process in which a breakdown is detected and the breakdown impact. We derive a model of the relationship between breakdown detection, impact, and safety within the surgical domain. We discuss the practical implications for targeted breakdown prevention and detection within the process, and the latent effects on safety.
Keywords
health care; medical computing; safety; surgery; breakdown detection; breakdown impact; breakdown prevention; latent effects; process breakdowns; safety-critical system-of-systems; surgical process; Accidents; Communication standards; Electric breakdown; Health and safety; Hospitals; Medical services; Problem-solving; Scheduling; Surgery; Teamwork; OR; breakdowns; error; healthcare; safety;
fLanguage
English
Publisher
ieee
Conference_Titel
Systems Conference, 2009 3rd Annual IEEE
Conference_Location
Vancouver, BC
Print_ISBN
978-1-4244-3462-6
Electronic_ISBN
978-1-4244-3463-3
Type
conf
DOI
10.1109/SYSTEMS.2009.4815767
Filename
4815767
Link To Document