Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review

Hospitals, as one of most important subsectors in human societies, are responsible for providing safe and effective medical services to clients. But sometimes these hospitals are the source of injury and death in patients by creating medical errors. In this systematic review study, the application o...

Full description

Bibliographic Details
Main Authors: Mahdi Jalali, Habibollah Dehghan, Ehsanollah Habibi, Nima Khakzad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2023;volume=14;issue=1;spage=127;epage=127;aulast=Jalali
_version_ 1827309087070617600
author Mahdi Jalali
Habibollah Dehghan
Ehsanollah Habibi
Nima Khakzad
author_facet Mahdi Jalali
Habibollah Dehghan
Ehsanollah Habibi
Nima Khakzad
author_sort Mahdi Jalali
collection DOAJ
description Hospitals, as one of most important subsectors in human societies, are responsible for providing safe and effective medical services to clients. But sometimes these hospitals are the source of injury and death in patients by creating medical errors. In this systematic review study, the application of human factor analysis and classification system (HFACS) method in the classification of medical errors was investigated. Major electronic databases including Scopus, Web of Science, and MEDLINE were searched. All studies that investigated the application of HFACS method for coding, causation, and classification of medical errors and adverse events conducted from 2001 until February 2021 were included. A total of 108 articles were found. Due to duplication, 18 studies were removed from the review list. After reading the titles and abstracts, 50 of these publications were excluded because they had objectives different from this review. The remaining 40 publications were retrieved for further assessment. Of these, 28 publications were excluded because it did not meet the inclusion criteria. Finally, 12 articles remained for the final systematic review. We found that in 65% of the selected studies, preconditions for unsafe acts have been the major causal level of medical errors and adverse events. In the majority of the studies, communication and coordination, adverse mental states, physical environment, crew resource management, and technological environment have also been recognized as the most important causal categories in this study. As a result, to prevent medical errors and adverse events, the main focus should be on controlling the preconditions for unsafe acts including personnel factors, operator conditions, and environmental factors.
first_indexed 2024-04-24T19:25:24Z
format Article
id doaj.art-88cbc42fd9b34d42a563ffc5c1c20bad
institution Directory Open Access Journal
issn 2008-7802
2008-8213
language English
last_indexed 2024-04-24T19:25:24Z
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series International Journal of Preventive Medicine
spelling doaj.art-88cbc42fd9b34d42a563ffc5c1c20bad2024-03-25T15:46:00ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132023-01-0114112712710.4103/ijpvm.ijpvm_123_22Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic reviewMahdi JalaliHabibollah DehghanEhsanollah HabibiNima KhakzadHospitals, as one of most important subsectors in human societies, are responsible for providing safe and effective medical services to clients. But sometimes these hospitals are the source of injury and death in patients by creating medical errors. In this systematic review study, the application of human factor analysis and classification system (HFACS) method in the classification of medical errors was investigated. Major electronic databases including Scopus, Web of Science, and MEDLINE were searched. All studies that investigated the application of HFACS method for coding, causation, and classification of medical errors and adverse events conducted from 2001 until February 2021 were included. A total of 108 articles were found. Due to duplication, 18 studies were removed from the review list. After reading the titles and abstracts, 50 of these publications were excluded because they had objectives different from this review. The remaining 40 publications were retrieved for further assessment. Of these, 28 publications were excluded because it did not meet the inclusion criteria. Finally, 12 articles remained for the final systematic review. We found that in 65% of the selected studies, preconditions for unsafe acts have been the major causal level of medical errors and adverse events. In the majority of the studies, communication and coordination, adverse mental states, physical environment, crew resource management, and technological environment have also been recognized as the most important causal categories in this study. As a result, to prevent medical errors and adverse events, the main focus should be on controlling the preconditions for unsafe acts including personnel factors, operator conditions, and environmental factors.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2023;volume=14;issue=1;spage=127;epage=127;aulast=Jalaliadverse eventhealth care systemhuman factor analysis and classification systemmedical errorpatient safety
spellingShingle Mahdi Jalali
Habibollah Dehghan
Ehsanollah Habibi
Nima Khakzad
Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review
International Journal of Preventive Medicine
adverse event
health care system
human factor analysis and classification system
medical error
patient safety
title Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review
title_full Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review
title_fullStr Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review
title_full_unstemmed Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review
title_short Application of “Human factor analysis and classification system” (HFACS) model to the prevention of medical errors and adverse events: A systematic review
title_sort application of human factor analysis and classification system hfacs model to the prevention of medical errors and adverse events a systematic review
topic adverse event
health care system
human factor analysis and classification system
medical error
patient safety
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2023;volume=14;issue=1;spage=127;epage=127;aulast=Jalali
work_keys_str_mv AT mahdijalali applicationofhumanfactoranalysisandclassificationsystemhfacsmodeltothepreventionofmedicalerrorsandadverseeventsasystematicreview
AT habibollahdehghan applicationofhumanfactoranalysisandclassificationsystemhfacsmodeltothepreventionofmedicalerrorsandadverseeventsasystematicreview
AT ehsanollahhabibi applicationofhumanfactoranalysisandclassificationsystemhfacsmodeltothepreventionofmedicalerrorsandadverseeventsasystematicreview
AT nimakhakzad applicationofhumanfactoranalysisandclassificationsystemhfacsmodeltothepreventionofmedicalerrorsandadverseeventsasystematicreview