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Les erreurs humaines en anesthésie
De Keyser, Véronique; Nyssen, Anne-Sophie
1993In Travail Humain, 56 (2-3), p. 243-266
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Keywords :
erreur humaine; mécanismes cognitifs; anesthésie; human error; cognitive mechanisms; anesthesia
Abstract :
[en] Human errors in anesthesia - with due respect to the French-speaking tradition, human error is studied in field work, here in anesthesia. The authors specify the social context, compare the process of anesthesia to a continuous process, present a cognitive analyse of the task, emphasizing temporal characteristics and cognitive demands regarding the cognitive aspects of human behavior. Referring to the dictinction made by Hollnagel (1991) between reliability, robustness and adaptiveness of the system (man and machine), they present and analyse some human errors which reveal the importance of variation elements and the dynamic dimension of the environment. Influenced by Time Psychology, they postulate the existence of different systems of temporal reference and of external synchronizers connected to these systems, which would allow an individual to adaptively respond to the demands for synchronization in the face of events and actions whose evolutions cannot be calibrated in clock time. Inadequate systems of temporal reference and the absence of synchronizers can make this adaptation to the evolution and the dynamicity of the environment fail. The prevention integrates different measures (technological, ergonomic, social, organizational, of expertise development, etc.) and relies on collection and in-depth analysis of human error. This paper is dedicated to J. Leplat.
Disciplines :
Social, industrial & organizational psychology
Author, co-author :
De Keyser, Véronique ;  Université de Liège - ULiège > Département de personne et société > Psychologie du travail et des entreprises
Nyssen, Anne-Sophie ;  Université de Liège - ULiège > Département de personne et société > Ergonomie et intervention au travail
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Title :
Les erreurs humaines en anesthésie
Publication date :
Journal title :
Travail Humain
Publisher :
Presses Universitaires de France, Paris, France
Volume :
Issue :
Pages :
Peer reviewed :
Peer reviewed
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