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Ergonomics & Human factors 2018
Archives of Medicine
ISSN: 1989-5216
Page 40
July 26-27, 2018
Rome, Italy
1
st
Edition of International Conference on
Ergonomics &
Human Factors
Introduction:
Functional endoscopic sinus surgery (FESS) is a
common surgical procedure performed in all major ENT centres.
Understanding the mechanisms behind human errors in FESS
has potential to reduce the adverse events and improve the risks
associated with undergoing FESS.
Aim:
The aim of the study is to develop a hierarchical task listing
of steps required to perform Functional endoscopic sinus surgery
(FESS). To complete a technical and human factor analysis of
tasks resulting in the identification of errors, frequency, severity,
and reduction through remediation.
Methods:
A triangulation of methods was used in order to derive
the steps required to complete a FESS: (1) a literature review
was conducted on published descriptions of FESS techniques;
(2) observations of three FESS; (3) interviews with 5 surgeons
on FESS techniques. Data sets were combined to develop a task
analysis of a correct approach to conducting FESS. A review by
12 surgeons, and observation of 20 FESS resulted in refinement
of the task analysis. With input from 5 consultant surgeons and
2 consultant anaesthetists, a Systematic Human Error Reduction
and Prediction Approach (SHERPA) was used to identify the risks
and mitigating steps in FESS.
Conclusions:
Hierarchical Task Analysis and SHERPA are valuable
tools to deconstruct performance and to highlight potential errors
in FESS. The HTA and SHERPA approaches are useful learning
and assessment tools for novice surgeons. The information
offers the opportunity to improve surgical training and enhance
patient safety.
Biography
Mel Corbett obtained his primary degree in NUI Galway School of Medicine
in Republic of Ireland in 2017. He is currently pursuing MSc in Health Infor-
matics from the University of Limerick, while concurrently completing his
intern year in University Hospital Limerick, Republic of Ireland. He will be
commencing the Royal College of Surgeons Ireland Core Surgical Training
scheme in July 2018. His research interests include: quality improvement
in healthcare, sinus surgery and human factors in surgery. He has present-
ed nationally at the Irish Otolaryngology Society Conference and the Royal
Academy of Medicine in Ireland Section of Interns Study Day
.
melcorbett@rcsi.ieIdentifying and reducing risks in functional endoscopic sinus
surgery (FESS) through a hierarchical task analysis (HTA)
M Corbett
1
, P O’Connor
2
and
I Keogh
1
1
University Hospital Galway, Republic of Ireland
2
National University of Ireland Galway, Republic of Ireland
M Corbett et al., Arch Med 2018, Volume 10
DOI: 10.21767/1989-5216-C1-002