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. 2020 Apr:84:103033.
doi: 10.1016/j.apergo.2019.103033. Epub 2020 Jan 10.

SEIPS 3.0: Human-centered design of the patient journey for patient safety

Pascale Carayon  1 , Abigail Wooldridge  2 , Peter Hoonakker  3 , Ann Schoofs Hundt  3 , Michelle M Kelly  4
Affiliations

SEIPS 3.0: Human-centered design of the patient journey for patient safety

Pascale Carayon et al. Appl Ergon. 2020 Apr.

Abstract

The Systems Engineering Initiative for Patient Safety (SEIPS) and SEIPS 2.0 models provide a framework for integrating Human Factors and Ergonomics (HFE) in health care quality and patient safety improvement. As care becomes increasingly distributed over space and time, the "process" component of the SEIPS model needs to evolve and represent this additional complexity. In this paper, we review different ways that the process component of the SEIPS models have been described and applied. We then propose the SEIPS 3.0 model, which expands the process component, using the concept of the patient journey to describe the spatio-temporal distribution of patients' interactions with multiple care settings over time. This new SEIPS 3.0 sociotechnical systems approach to the patient journey and patient safety poses several conceptual and methodological challenges to HFE researchers and professionals, including the need to consider multiple perspectives, issues with genuine participation, and HFE work at the boundaries.

Keywords: Care coordination; Human-centered design; Participatory ergonomics; Patient journey; Patient safety; SEIPS.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1 -
Figure 1 -
Conceptual Framework of the Diagnostic Process Embedded in the Work System (Balogh et al., 2015)
Figure 2 -
Figure 2 -
Care Transitions in the Patient Journey (Carayon & Wooldridge, 2019)
Figure 3 -
Figure 3 -
Patient Journey Across the Life Course (NASEM (National Academies of Sciences, 2018a)
Figure 4 -
Figure 4 -
SEIPS 3.0 Model: Sociotechnical Systems Approach to Patient Journey and Patient Safety
Figure 5 -
Figure 5 -
Kathy’s Story and Journey
See this image and copyright information in PMC

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