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Ronald D. Kaye

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Publications by Ronald D. Kaye (bibliography)

1993

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Schoenfeld, Isabelle, Morisseau, Dolores, Callan, James R., Henriksen, Kerm, Jones, Edwin D., Kaye, Ronald D. and Quinn, Michael L. (1993): Risk Assessment and Approaches to Addressing Human Error in Medical Uses of Radioisotopes. In: Proceedings of the Human Factors and Ergonomics Society 37th Annual Meeting 1993. pp. 859-862.

“The objective of this panel is to provide a forum for the presentation of the results of the human factors analyses of two discrete medical systems (Teletherapy and Remote Afterloading Brachytherapy) and the risk assessment of a third (Gamma Knife). Although each of these systems uses some form of radiation to effect patient treatment, each is unique in the method used to effect the treatment. Records maintained by the Nuclear Regulatory Commission (NRC) indicate that human error is a primary or contributing factor to misadministration of prescribed doses of radiation during medical treatment. Such misadministrations, whether by machine or human error can have adverse consequences. Hence, the NRC undertook human factors analyses of the teletherapy and the remote afterloading brachytherapy systems and a risk assessment of the use of the gamma knife to determine the root causes of human errors and their potential risks. Results of these analyses will be discussed and include identification of the factors that contribute to human error in these systems, the impact of those factors on the performance of functions and tasks, their safety significance, and alternative approaches for resolving the safety significant human factors problems (e.g., improvements in human-machine interfaces, task design, procedures, training, and organizational practices). The risk analysis was designed to include a task based approach that departs from conventional probabilistic risk assessment techniques and provides risk profiles that can identify relatively high-risk or critical tasks. Hence, this panel will provide the human factors community with insights into techniques and results of human factors analyses and risk assessment performed on medical systems heretofore unexamined in this depth or across such a broad range of considerations.”

1991

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Henriksen, Kerm, Kaye, Ronald D. and Morisseau, Dolores S. (1991): Toward a Conceptualization of Human Error in Teletherapy. In: Proceedings of the Human Factors Society 35th Annual Meeting 1991. pp. 670-674.

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