Uncovering Latent Failures Using Human Factors Approach as a Diagnostic Tool for Quality Improvement in Orthopedic Surgery
The HFACS framework demonstrated strong reliability in identifying systemic weaknesses within orthopedic surgical workflows. These findings emphasize the urgent need for structured interventions that reduce distractions, improve team communication, and regulate vendor interactions in the operating room, all essential steps toward advancing safety and enhancing overall patient care quality.
Authors
- Albert Boquet (ORCID: https://orcid.org/0009-0000-7581-7152)
- Scott A. Shappell
- Asfandyar Khan
- Tara Cohen (ORCID: https://orcid.org/0000-0003-2137-6093)
Institutions
- Cedars-Sinai Medical Center (US)
- Embry–Riddle Aeronautical University (US)
Publication Details
- Journal
- American Journal of Medical Quality
- Published
- 2025-07-24
- DOI
- https://doi.org/10.1097/jmq.0000000000000265
- Citations
- 2
- Primary Topic
- Patient Safety and Medication Errors
- Type
- article
- Field-Weighted Citation Impact
- 5.03