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Construction of an "activity sharing space" to improve healthcare safety

Published: 01 July 2015 Publication History

Abstract

Preventive approaches in risk management assume that the first step is risk analysis. However, an important basis for this work is the prior identification of risks. Our critical analysis of the "Failure Mode and Effects Analysis" method (FMEA) has shown that risk identification is not self-evident. Risk identification is not intuitive especially when risks are not apparent, as in Radiotherapy. We assume that the classical models are incomplete. In this way, the first step for reflection groups is the identification of the risks. We suggest changing both the composition of the classical reflection groups and the object of reflection that standard methods propose. We also suggest carrying out an experiment with multi-trade reflection groups. Participants have to share the real work or their activities from the "particular situation" of work -- defined later in the text - in order to improve the treatment safety.

References

[1]
Amalberti, R. Piloter la sécurité -- théories et pratiques sur les compromis et les arbitrages nécessaires. Paris, Springer (2014).
[2]
Aven, T. What is safety science? Safety Science 67 (2014), 15--17.
[3]
Beguin, P. Innovation et cadre sociocognitif des interactions concepteurs-opérateurs: une approche développementale. Le travail humain. Vol. 70 (2007), 369--390.
[4]
Carroll, J., & Fahlbruch, B. "The gift of failure: New approaches to analyzing and learning from events and near-misses." Honoring the contributions of Bernhard Wilpert. Safety Science, 49(1) (2011), 1--4.
[5]
Daniellou, F., Le Gal, S. & Proméé, M. Organisational simulation: anticipating the ability of an organisation to cope with daily operations and incidents. Nordic Ergonomics Society Annual Conf. (2014), 781--785.
[6]
Dassens, A. & Launay, R. ÉÉtude systémique de l'analyse de risques - Présentation d'une approche globale. Techniques de l'ingénieur (2008), 215--236.
[7]
De Bovis, C., Baret, C. & Ientile-Yaenios, J. Les apports du concept «« d'organisation à haute fiabilité » à l'amélioration de la sécurité et de la qualité des soins dans les services de soins aigus. Communication au 1er congrès de l'ARAMOS, Paris. (2013).
[8]
Detchessahar, M. « Pour une théorie de l'espace de discussion - Quand discuter c'est produire ». Revue Française de gestion (2001a), 32--43.
[9]
Detchessahar, M. Le «dire » et le «faire » : Contribution à l'étude des nouvelles formes d'organisation. Revue de gestion des ressources humaines, no.39, (2001b), 43--56.
[10]
Detchessahar, M. L'avènement de l'entreprise communicationnelle. Revue française de gestion, (2003), 65--84.
[11]
Dien, Y., Dechy, N., & Guillaume, E. Accident investigation: From searching direct causes to finding in-depth causes -- Problem of analysis or/and of analyst? Safety Science, 50(6) (2012), 1398--1407
[12]
Escande, J. & al. Signaux faibles : un concept pertinent? Réécents progrès en Génie des Procédés, 104 (2013). Ed. SFGP, Paris, France.
[13]
Fassert, C., Faye H. Que faire de la culture de sécurité? In A. Garrigou et F. Jeffroy (Eds.). L'ergonomie à la croisée des risques. Actes du 46eme congrès de la SELF (2011), 171--177.
[14]
Hollnagel, E. Barriers and accident Prevention. Aldershot, Royaume-Uni : Ashgate (2004).
[15]
Hollnagel, E. Risk + barriers = safety? Safety science, 46(2) (2008), 221--229.
[16]
Leplat, J. Risque et perception du risque dans l'activité. In D. R. Kouabenan, B. Cadet, D. Hermand & M. T. Munoz Sastre (Eds.), Psychologie du risque : identifier, éévaluer et prévenir (2006), 19--33).
[17]
Macrae, C. Interrogation the unknown: Risk Analysis and sensemaking in airline Safety Oversight. In the centre for analysis of risk and regulation. Discussion paper no.43 (2007).
[18]
Marc, J., & Rogalski, J. How do individual operators contribute to the reliability of collective activity? The case of a French medical emergency center. In C. A. Owen, P. Béguin & G. Wakers (Eds.), Risky Work Environments: Reappraising Human Work within Fallible Systems (2009), 129--147.
[19]
Meyrieux, C. & al. Analyse des risques a priori du processus de prise en charge des patients en radiothéérapie : exemple d'utilisation de la méthode Amdec. Revue Cancer / Radiothérapie, 16 (2012), 613--618.
[20]
Mollo, V., & Falzon, P. The development of collective reliability: a study of therapeutic decision-making. Theoretical Issues in Ergonomics Science, 9(3) (2008), 223--254.
[21]
Nascimento, A., & Falzon, P. Jugement difféérentiel d'acceptabilité et cultures de sécurité en radiothérapie. Le travail humain, 77(4) (2014), 325--349.
[22]
Osorio, C., & Clot, Y. L'analyse collective des accidents du travail : Une mééthode d'analyse pour intégrer la dimension subjective et développer le genre professionnel. Activités, 7(2) (2010)28--41.
[23]
Peretti-Watel, P. La société du risque. Paris, La découverte, Coll. Repères, no. 321 (2001).
[24]
Rocha, R., Mollo, V., & Daniellou, F. Work debate spaces: A tool for developing a participatory safety management. Applied Ergonomics, 46 (2015) 107--114.
[25]
Roux-Dufort, C. Les dirigeants à l'école de l'ignorance. In P. Lagadec (dir.). Ruptures créatrices, Paris, Vuibert (2000).
[26]
Schöbel, M., & Manzey, D. Subjective theories of organizing and learning from events. Safety Science, 49(1) (2011), 47--54.
[27]
Tanzi, T. J. & Delmer, F. Ingéénierie du risque. Hermes science publication (2006).
[28]
Thellier, S., & Jeffroy, F. L'éétude des risques en radiothérapie : état des lieux et perspectives d'amélioration. Rapport IRSN/PSN-SRDS/SFOHR no 2014-01 (2014).
[29]
Weick, K. E., Sutcliffe, K. M., Obstfeld, D. Organizing for high reliability: processes of collective mindfulness. In B. Staw and L. L. Cummings (Eds.), Research in organizational behavior, 21 (1999) 81--123.

Cited By

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  • (2018)From Causality to Narration: The Search for Meaning in Accident AnalyzesProceedings of the 20th Congress of the International Ergonomics Association (IEA 2018)10.1007/978-3-319-96098-2_59(471-478)Online publication date: 8-Aug-2018
  • (2017)Espaces de discussion, management et épuisement professionnel@GRH10.3917/grh.172.0013n° 23:2(13-36)Online publication date: 24-Aug-2017
  • (2017)New vistas on causal-tree methods: from root cause analysis (RCA) to constructive cause analysis (CCA)Cognition, Technology & Work10.1007/s10111-017-0404-819:1(13-30)Online publication date: 7-Feb-2017

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cover image ACM Other conferences
ECCE '15: Proceedings of the European Conference on Cognitive Ergonomics 2015
July 2015
185 pages
ISBN:9781450336123
DOI:10.1145/2788412
© 2015 Association for Computing Machinery. ACM acknowledges that this contribution was authored or co-authored by an employee, contractor or affiliate of a national government. As such, the Government retains a nonexclusive, royalty-free right to publish or reproduce this article, or to allow others to do so, for Government purposes only.

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Published: 01 July 2015

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Author Tags

  1. Patient safety
  2. activity analysis
  3. radiotherapy
  4. reflection groups
  5. risk management

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View all
  • (2018)From Causality to Narration: The Search for Meaning in Accident AnalyzesProceedings of the 20th Congress of the International Ergonomics Association (IEA 2018)10.1007/978-3-319-96098-2_59(471-478)Online publication date: 8-Aug-2018
  • (2017)Espaces de discussion, management et épuisement professionnel@GRH10.3917/grh.172.0013n° 23:2(13-36)Online publication date: 24-Aug-2017
  • (2017)New vistas on causal-tree methods: from root cause analysis (RCA) to constructive cause analysis (CCA)Cognition, Technology & Work10.1007/s10111-017-0404-819:1(13-30)Online publication date: 7-Feb-2017

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