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
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;
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
DOI :
10.1109/SYSTEMS.2009.4815767
