An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model
The SHELL (Software, Hardware, Environment, Liveware) model is one of the models for determining the cause of aviation accidents. The human factors of medical accidents are analyzed through the SHELL model. This study is a case study that analyzed a total of three cases, including two medical acc...
| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Aerospace Medical Association of Korea
2023-09-01
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| Series: | Hanggong uju uihakoeji |
| Subjects: |
| _version_ | 1797674812803383296 |
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| author | Su-Jeong Lee |
| author_facet | Su-Jeong Lee |
| author_sort | Su-Jeong Lee |
| collection | DOAJ |
| description | The SHELL (Software, Hardware, Environment, Liveware) model is one
of the models for determining the cause of aviation accidents. The human factors of
medical accidents are analyzed through the SHELL model. This study is a case study
that analyzed a total of three cases, including two medical accident court precedents
and one large fire at a medical institution. In the human factor analysis of cases 1
and 2, the main factors were that liveware (human) violated the duty of care and did
not follow the guidelines of the institution. The large fire incident in the hospital in
Case 3 was caused by a lack of awareness of the safety of managers, the installation
of illegal facilities and environments, lack of medical staff’s response and training,
and the condition of patients who were mostly elderly. The liveware at the center of
the SHELL model is the most important human factor, and the environment, facilities,
and equipment surrounding liveware must be supplemented to prevent future medical
accidents. |
| first_indexed | 2024-03-11T22:04:28Z |
| format | Article |
| id | doaj.art-0836a5849c5b4d00858ff232ca9262c1 |
| institution | Directory Open Access Journal |
| issn | 1738-2548 2713-9972 |
| language | English |
| last_indexed | 2024-03-11T22:04:28Z |
| publishDate | 2023-09-01 |
| publisher | Aerospace Medical Association of Korea |
| record_format | Article |
| series | Hanggong uju uihakoeji |
| spelling | doaj.art-0836a5849c5b4d00858ff232ca9262c12023-09-25T06:45:43ZengAerospace Medical Association of KoreaHanggong uju uihakoeji1738-25482713-99722023-09-01333949910.46246/KJAsEM.230019An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) ModelSu-Jeong Lee0https://orcid.org/0009-0006-8080-8967Department of Nursing, Far East University, Eumseong, KoreaThe SHELL (Software, Hardware, Environment, Liveware) model is one of the models for determining the cause of aviation accidents. The human factors of medical accidents are analyzed through the SHELL model. This study is a case study that analyzed a total of three cases, including two medical accident court precedents and one large fire at a medical institution. In the human factor analysis of cases 1 and 2, the main factors were that liveware (human) violated the duty of care and did not follow the guidelines of the institution. The large fire incident in the hospital in Case 3 was caused by a lack of awareness of the safety of managers, the installation of illegal facilities and environments, lack of medical staff’s response and training, and the condition of patients who were mostly elderly. The liveware at the center of the SHELL model is the most important human factor, and the environment, facilities, and equipment surrounding liveware must be supplemented to prevent future medical accidents.medical accidenthuman factorhuman errorshell model |
| spellingShingle | Su-Jeong Lee An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model Hanggong uju uihakoeji medical accident human factor human error shell model |
| title | An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model |
| title_full | An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model |
| title_fullStr | An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model |
| title_full_unstemmed | An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model |
| title_short | An Exploratory Study on Human Factor Analysis of Medical Accidents Using the SHELL (Software, Hardware, Environment, Liveware) Model |
| title_sort | exploratory study on human factor analysis of medical accidents using the shell software hardware environment liveware model |
| topic | medical accident human factor human error shell model |
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