Anne van Dalen

4 Analyzing and discussing human factors affecting surgical patient safety I 149 Inefficient configuration/ positioning Configuration of equipment/ people hinders workflow/ contributes to delays (Ex. Poor placement of equipment contributes to dropped tools) Non-standardized layout Configuration of equipment does not conform to standard/ expected layout Suboptimal Workspace Design Insufficient space Physical layout of room constrains people/equipment (Ex. Equipment in the OR impedes clinician pathways) Valuable elements missing Lack of seating in work area causing clinicians to compromise and use inappropriate equipment to rest Suboptimal Ambient Conditions Distracting workflow sounds Unexpected noise generated by movement of equipment/door closing etc. Distracting electronic sounds Unanticipated noise generated by electronics in the operating room that draw clinician attention away from tasks at hand Distracting human sounds Unexpected sounds made by colleagues/individuals present in the OR that have the potential to distract from present task Bad lighting Lighting in OR is not appropriate for the present task Uncomfortable temperature Suboptimal ambient temperature for worker comfort

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