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Human factors systems approach to healthcare quality and patient safety
Authors:Pascale Carayon  Tosha B. Wetterneck  A. Joy Rivera-Rodriguez  Ann Schoofs Hundt  Peter Hoonakker  Richard Holden  Ayse P. Gurses
Affiliation:1. Center for Quality and Productivity Improvement, University of Wisconsin-Madison, 1550 Engineering Drive, Madison, WI 53706, USA;2. Department of Industrial and Systems Engineering, University of Wisconsin-Madison, 1550 Engineering Drive, Madison, WI 53706, USA;3. Department of Medicine, University of Wisconsin, School of Medicine and Public Health, USA;4. Department of Industrial Engineering, Clemson University, USA;5. Department of Medicine, Division of General Internal Medicine & Public Health, and Department of Biomedical Informatics, Vanderbilt University, School of Medicine, USA;6. Department of Anesthesiology and Critical Care, Johns Hopkins University, School of Medicine, USA
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:Sociotechnical system   Macroergonomics   Healthcare   Patient safety   SEIPS model   Balanced work system   Patient-centered care   Healthcare team
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