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Updated: Mar 9, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[Human factors in medicine]
M Lazarovici1, H Trentzsch2, S Prückner2
1Institut für Notfallmedizin und Medizinmanagement, Klinikum der Universität München, Ludwig-Maximilians-Universität, Schillerstr. 53, 80336, München, Deutschland. marc.lazarovici@med.uni-muenchen.de.
Abstract:
The concept of human factors is commonly used in the context of patient safety and medical errors, all too often ambiguously. In actual fact, the term comprises a wide range of meanings from human-machine interfaces through human performance and limitations up to the point of working process design; however, human factors prevail as a substantial cause of error in complex systems. This article presents the full range of the term human factors from the (emergency) medical perspective. Based on the so-called Swiss cheese model by Reason, we explain the different types of error, what promotes their emergence and on which level of the model error prevention can be initiated.
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