We share lessons learned from a collaborative in situ simulation of Ebola preparedness for a large health region. The lessons are to use proactive analysis, undertake in situ simulation, and have professionals in infection prevention and control and those in human factors collaborate. These lessons are applicable as generalizable concepts, not only to Ebola preparedness but also to other infectious diseases, including the “next Ebola.” Implementing these concepts will help contribute to improvements in both patient and provider safety.
AggarwalR.MyttonO. T.DerbrewM.HananelD.HeydenburgM.IssenbergB.MacAulayC.ManciniM.MorimotoT.SoperN.ZivA.ReznickR. (2010). Training and simulation for patient safety. Quality and Safety in Health Care, 19(Suppl. 2), i34–i43.
2.
Alberta Health Services says it’s unlikely patient at Calgary hospital has Ebola. (2014, November27). Global News.
3.
AlvaradoC. (2012). Human factors and ergonomics in infection prevention. In CarayonP. (Ed.), Handbook of human factors and ergonomics in health care and patient safety (2nd ed., pp. 793–802). Hoboken, NJ: Wiley.
4.
AndersonJ.GosbeeL.BessesenM.WilliamsL. (2010). Using human factors engineering to improve the effectiveness of infection prevention and control. Critical Care Medicine, 38(Suppl. 8), S269–281.
5.
BerwickD. (1996). A primer on leading the improvement of systems. British Medical Journal, 312, 619–622.
6.
DaviesJ. M. (2000). Application of the Winnipeg model to obstetric and neonatal audit. Topics in Health Information Management, 20, 12–22.
7.
DonabedianA. (1966). Evaluating the quality of medical care. Milbank Memorial Fund Quarterly, 44(3), Suppl: 166–206.
Ebola test on Texas health-care worker comes back positive: Worker diagnosed with virus despite wearing full protective gear. (2014, October12). CBC.
10.
ForderA. (2007). A brief history of infection control: Past and present. South African Medical Journal, 97, 1161.
11.
GursesA.OzokA.PronovostP. (2012). Time to accelerate integration of human factors and ergonomics in patient safety. British Medical Journal Quality & Safety, 21, 347–351.
HallihanG.DaviesJ.BaersJ.WileyK.KaufmanJ.ConlyJ.CairdJ. K. (2015). Potential health care worker contamination from Ebola virus disease during personal protective equipment removal and disposal. In Proceedings of the Human Factors and Ergonomics Society 59th Annual Meeting (pp. 543–547). Santa Monica, CA: Human Factors and Ergonomics Society.
14.
JollyJ.HildebrandE.BranaghanR.GarlandT.EpsteinD.Babcock-ParzialeJ.BrownV. (2012). Patient safety and reprocessing: A usability test of the endoscope reprocessing procedure. Human Factors and Ergonomics in Manufacturing & Service Industries, 22, 39–51.
15.
LeapeL.BerwickD. (2005). Five years after To Err is Human: What have we learned?Journal of American Medical Association, 293, 2384–2390.
16.
LeBlancV.ManserT.WeingerM.MussonD.KutzinJ.HowardS. (2011). The study of factors affecting human and systems performance in healthcare using simulation. Simulation in Healthcare, 6(Suppl.), S24–29.
17.
MacPhersonD.GushulakB.BaineW.BalaS.GubbinsP.HoltomP.Segarra-HwenhamM. (2009). Population mobility, globalization, and antimicrobial drug resistance. Emerging Infectious Disease Journal, 15, 1727.
18.
ReasonJ. (2000). Human error: Models and management. British Medical Journal, 320, 768–770.
19.
ReasonJ. (2002). Combating omission errors through task analysis and good reminders. Quality and Safety in Health Care, 11, 40–44.
20.
SalasE.PaigeJ.RosenM. (2013). Creating new realities in healthcare: The status of simulation-based training as a patient safety improvement strategy. British Medical Journal Quality & Safety, 22, 449–452.
21.
SandsP.Mundaca-ShahC.DzauV. (2016). The neglected dimension of global security: A framework for countering infectious-disease crises. New England Journal of Medicine, 374, 1281–1287.
22.
StorrJ.WigglesworthN.KilpatrickC. (2013). Integrating human factors with infection prevention and control. London, UK: Health Foundation.
