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. 2014 Jan;45(1):14-25.
doi: 10.1016/j.apergo.2013.04.023. Epub 2013 Jul 8.

Human factors systems approach to healthcare quality and patient safety

Pascale Carayon  1 , Tosha B Wetterneck, A Joy Rivera-Rodriguez, Ann Schoofs Hundt, Peter Hoonakker, Richard Holden, Ayse P Gurses
Affiliations

Human factors systems approach to healthcare quality and patient safety

Pascale Carayon et al. Appl Ergon. 2014 Jan.

Abstract

Human factors systems approaches are critical for improving healthcare quality and patient safety. The SEIPS (Systems Engineering Initiative for Patient Safety) model of work system and patient safety is a human factors systems approach that has been successfully applied in healthcare research and practice. Several research and practical applications of the SEIPS model are described. Important implications of the SEIPS model for healthcare system and process redesign are highlighted. Principles for redesigning healthcare systems using the SEIPS model are described. Balancing the work system and encouraging the active and adaptive role of workers are key principles for improving healthcare quality and patient safety.

Keywords: Balanced work system; Healthcare; Healthcare team; Macroergonomics; Patient safety; Patient-centered care; SEIPS model; Sociotechnical system.

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Figures

Figure 1
Figure 1
The SEIPS Model of Work System and Patient Safety (Carayon et al., 2006b)
See this image and copyright information in PMC

References

    1. Agency for Healthcare Research and Quality. Pocket Guide: TeamSTEPPS. Strategies & Tools to Enhance Performance and Patient Safety. Agency for Healthcare Research and Quality; Rockville, MD: 2008.
    1. Alper SJ, Holden RJ, Scanlon MC, Patel N, Kaushal R, Skibinski K, Brown RL, Karsh BT. Self-reported violations during medication administration in two paediatric hospitals. British Medical Journal Quality & Safety. 2012;21:408–415. - PMC - PubMed
    1. Alper SJ, Karsh B-T. A systematic review of safety violations in industry. Accid Anal Prev. 2009;41:739–754. - PubMed
    1. Alyousef B, Carayon P, Hoonakker P, Hundt AS, Cartmill R, Tomcavage J, Salek D, Hassol A, Chaundy K, Younkin J, Walker J. Care managers’ challenges in using multiple health IT applications. The Human Factors and Ergonomics Society; Proceedings of the Human Factors and Ergonomics Society 56th Annual Meeting. The Human Factors and Ergonomics Society; Santa Monica, CA. 2012. pp. 1748–1752.
    1. Interruptions to workflow: Their relationship with irritation and satisfaction with performance, and the mediating roles of time pressure and mental demands. Work & Stress. 27:43–63.

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