Auszug
In einem Krankenhaus wurde nach umfangreichen Renovierungs-und Umbauarbeiten der neue OP-Trakt fertiggestellt. Trotz der noch ausstehenden Betriebsgenehmigung durch eine kommunale Zulassungsstelle wurde ein OP-Saal wegen einer Notoperation in Betrieb genommen. Derärztliche Direktor hatte diese Entscheidung getroffen, nachdemer sorgfältig zwischen der Übertretung der gesetzlichen Zulassungsauflage und der optimalen Patientenversorgung abgewogen hatte. Im OP-Raum, wo der Patient operiert wurde, wurde tags zuvor die zentrale Gasanlage von einer Installationsfirma eingebaut und geprüft. Diese Firma verlegte auch die Verbindungsschläuche zwischen Gasanlage und einem neuen Beatmungsgerät für die Narkosegase. Das OP-Team nahm unter dem Zeitdruck der anstehenden Notoperation u. a. dieses neue Beatmungsgerät in Betrieb. Dabei wurde das umfangreiche, checklistengestützte Verfahren zur Inbetriebnahme erheblich abgekürzt.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
Literatur
Awad, S. S., Fagan, S. P., Bellows, C., Albo, D., Green-Rashad, B., De La Garza, M., Berger, D. H. (2005). Bridging the communication gap in the operating room with medical team training. The American Journal of Surgery 190 (5), 770–774.
Baecker, D. (1997). Einfache Komplexität. In H. W. Ahlemeyer & R. Königswieser (Hg.), Komplexität managen. Strategien, Konzepte und Fallbeispiele, S. 21–50. Wiesbaden: Gabler.
Caroll, J. S. (1998). Safety culture as an ongoing process: Culture surveys as opportunities for enquiry and change. Work & Stress, 12, 272–284.
Colla, J. B., Bracken, A. C., Kinney, L. M. & Weeks, W. B. (2005). Measuring patient safety climate: a review of surveys. Quality and Safety in Health Care, 14 (5), 364–366.
Cox, S. & Flin, R. (1998). Safety Culture: Philosopher’s stone or man of straw? Work and Stress, 12 (3), 93–106.
Davies, J. M. (2005). Team communication in the operating room. Acta Anaest. Scan., 49 (7), 898–901.
Flin, R. (2001). Behavioral markers for crew resource management: A review of the current practice. International Journal of Aviation Psychology, 11 (1), 95–118.
Flin, R., Burns C., Mearns, K., Yule, S. & Robertson, E. M. (2006). Measuring safety in health care. Quality and Safety in Health Care, 15 (2), 109–115.
Ford, J. K., Kozlowski, S., Kraiger, K., Salas, E. & Teachout, M. (Eds.) (1997). Improving training effectiveness in work organizations. Mahwah: Erlbaum.
Helmreich, R. L., Merritt, A. C. & Wilhelm, J. A. (1999). The evolution of crew resource management training in commercial aviation. International Journal of Aviation Psychology, 9 (1), 19–32.
Hollnagel, E. (2004). Barriers and accident prevention. Aldershot: Ashgate.
Howard, S. K., Gaba, D. M., Fish, K. J., Yang, G. & Sarnquist, F. H. (1992). Anesthesia crisis resource management: teaching anesthesiologists to handle critical incidents. Aviation Space Environmental Medicine, 63, 763–770.
IAEA, International Atomic Energy Agency (1991). Safety culture. International Safety Advisory Group, Safety Series 75-INSAG-4. Vienna: IAEA.
IAEA, International Atomic Energy Agency (2005). Assessment of defence in depth for nuclear power plants (Safety Reports). Vienna: IAEA.
Jemison, D. B. & Sitkin, S. B. (1986). Acquisitions: The process can be a problem. Harvard Business Review, 1986 March–April, 106–116.
Kayes, A. B., Kayes, D. C., Kolb, D. A. (2005). Developing teams using the Kolb Team Learning Experience. Simulation & Gaming, 36, 355–363.
Krystek, U. (1992). Unternehmenskultur und Acquisition. Zeitschrift für Betriebswirtschaft, 5, 539–565.
Leveson, N. (2002). A new approach to system safety engineering. MIT: Boston.
Manser, T. (Hrsg.) (2003). Komplexes Handeln in der Anästhesie. Lengerich: Pabst.
Maturana, H. (1982). Erkennen: Die Organisation und Verkörperung von Wirklichkeit. Braunschweig: Vieweg.
Merritt, A. C. & Helmreich, R. L. (1997). CRM: I hate it, what isit? (Error, stress, and culture). Proceedings of the Orient Airlines Association Air Safety Seminar (p. 123–134). Manila: Metro.
Meshkati, N. (2002). Macroergonomics and aviation safety: The importance of cultural factors in technology transfer. In (H. W. Hendrick & B. M. Kleiner (Eds.) Macroergonomics: Theory, methods and applications (p. 23–330). Mahwah: Lawrence Erlbaum.
Meshkati, N. (1997) Human performance, organizational factors and safety culture. Paper presentedon National Summit by NTSB on transportation safety, Washington, D.C.
Morin, E. (2002). Kultur — Erkenntnis. In. P. Krieg & P. Watzlawick (Hrsg.). Das Auge des Betrachters. Beiträge zum Konstruktivismus (S. 75–84). Heidelberg: Auer.
Perrow, C. (1999). Normal accidents: Living with high-risk technologies. Princeton, NJ: Princeton Univ. Press.
Pidgeon, N. F. (1991). Safety culture and risk management in organizations. Journal of Cross-Cultural Psychology, 22, 129–141.
Pronovost, P. J. & Sexton, B. (2005). Assessing safety culture: guidelines and recommendations. Quality and Safety in Health Care, 14 (4) 231–233.
Pronovost, P. J., Weast, B., Rosenstein, B. et al. (2005). Implementing and validating a comprehensive unit-based safety program. Journal of Patient Safety, 1, 33–40.
Reason, J. (2000). Human error: Models and management. BMJ, 18 (320), 768–770.
Reason, J. (1997). Managing the risks of organizational accidents. Aldershort: Aldershot.
Reason, J. (1993). The Identification of latent organizational failures in complex systems. In J. A. Wiese, V. D. Hopkin & P. Stager (Esd.), Verification and identification of complex systems: Human factor issues (p. 223–237) New York: Springer.
Rochlin, G. I. & von Meier, A. (1994). Nuclear power operations: A cross-cultural perspective. Annual Review of Energy Environment, 19, 153–187.
Salas, E. & Cannon-Bowers, J. A. (2001). The science of training: A decade of progress. Annual Review of Psychology, 52, 471–499.
Salas, E., Fowlkes, J. E., Stout, R. J., Milanovich, D. M. & Prince, C. (1999). Does CRM training improve teamwork skills in the cockpit? Two evaluation studies. Human Factors, 41, 326–343.
Schein, E. H. (1997). Organizational culture and leadership. Chichester: Jossey-Bass Wiley.
Senge, P. M. (1990). The fifth discipline. The art and practice of the learning organization. New York: Dubleday.
Simon, F. B. (2006). Gemeinsam sind wir blödl? Die intelligezvon Untermehmen, Managern und Märkten. Heidelberg: Auer.
Sträter, O. (2005). Cognition and safety. An Integrated approach to system design und assessment. Aldershot: Ash gate.
Svenson, O. (2001). Accident and Incident analysis based on the Accident Evolution and Barrier function (AEB) model. Cognition, Technology & Work, 3 (1), 42–52.
Thomas, E. J. & Helmreich R. L. (2002). Will airline safety models work in medicine? In M. M. Rosenthal & K. M. Sutcliffe (Eds.), Medical error. What do we know? What do we do? (p. 217–234). San Francisco: Jossey-Bass.
Tsang, P. S. & Vidulich, M. A. (2002). Principles and practice of aviation psychology. Human Factors in Transportation. Mahwah: Lawrence Erlbaum.
Weick, K. E. (1995). Der Prozess des Organisierens. Frankfurt a. M.: Suhrkamp.
Weick, K. E. & Sutcliffe, K. M. (2003). Das unerwartete Managen. Wie Unternehmen aus Extremsituationen lernen. Stuttgart: Klett-Cotta.
Weick, K. E. & Roberts, K. H. (1993). Collective mind in organizations: Heedful interrelating on flight decks. Administrative Science Quarterly, 38, 357–381.
Xiao, Y., Hunter, W. A., Mackenzie, C. F., Jeffries, N. J., Horst, R. L. & the LOTAS Group (1996). Task complexity in emergency medical care and its implications for team coordination. Human Factors, 38, 636–645.
Zhang, H., Wiegmann, D. A., von Thaden, T. L., Sharma, G. & Mitchell, A. A. (2002). Safety culture: A concept in chaos? Proceedings of the 46 th annual Meeting of the Human Factors and Ergonomics Society. Santa Monica: Human Factors and Ergonomics Society.
Zohar, D. (2000). A group-level model of safety climate: Testing the effect of group climate on micro-accidents in manufacturing jobs. Journal of Applied Psychology, 85, 587–596.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
Buerschaper, C. (2008). Organisationen — Kommunikationssystem und Sicherheit. In: Badke-Schaub, P., Hofinger, G., Lauche, K. (eds) Human Factors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72321-9_9
Download citation
DOI: https://doi.org/10.1007/978-3-540-72321-9_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-72320-2
Online ISBN: 978-3-540-72321-9
eBook Packages: Humanities, Social Science (German Language)