CUTTING OUT HUMAN ERROR

摘要

A further focus on surgery is the launch of The Journey (see bmj.com for a videoclip), the first human factor training DVD. The film is produced by the Alliance for the Safety of Patients, a multidisciplinary group dedicated to improvement of the safety of patients, and was previewed at the Clinical Human Factors Group meeting. It shows a dramatic reconstruction of real events that led to a skilled team in a modern operating theatre allowing a patient to bleed to death during what should have been straightforward surgery for the removal of tumour.